OB Maternity HESI EXIT VERSION 1 (V1) TEST BANK: (ALL 55 QUESTIONS & ANSWERS) - ALL BRAND NEW QUESTIONS & 100% CORRECT – GUARANTEED A++

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OB Maternity HESI EXIT VERSION 1 (V1) TEST BANK: (ALL 55 QUESTIONS & ANSWERS) - ALL BRAND NEW QUESTIONS & 100% CORRECT – GUARANTEED A++ A pregnant client presents to the antepartum clinic complaini... ng of brownish vaginal bleeding. The nurse notes that she has a greatly enlarges uterus and is complaining of severe nausea. The client reports that her period was "about 2 and a half months ago". Vital signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg. Based on these findings, what laboratory value should the nurse review? A. HcG values. B. Hematocrit. C. Vaginal secretions culture. D. Glucose in the urine. {{correct Ans:- A. HcG values. A woman who is 38 weeks gestation is receiving magnesium sulfate for severe preeclampsia. Which assessment finding warrants immediate intervention by the nurse? a. Dizziness when standing. b. Sinus tachycardia. c. Absent patellar reflexes. d. Lower back pain. {{correct Ans:- B. Sinus tachycardia The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first? A. Assess cervical dilation. B. Administer oxygen via facemask. C. Change the client's position. D. Turn off the oxytocin infusion. {{correct Ans:- C. Change the client's position. An ambulatory client at 39-weeks gestation presents to the emergency center with an obvious injury to her arm that occurred as the result of a fall. Which concurrent symptom is a priority for the nurse to assess. A. Ecchymotic knees. B. Dribbling urine. C. 1+ pedal edema. D. Pain in the forearm. {{correct Ans:- A. Ecchymotic knees. A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication? A. Folic acid deficiency B. Preeclampsia C. Tobacco use D. Short interval pregnancy {{correct Ans:- A. Folic acid deficiency Upon admission to the nursery, the nurse places a newborn supine under a radiant warmer, an external heat source. What intervention should the nurse implement to ensure safe thermoregulation? A. Wrap the infant in two blankets and place the radiant warmer on low. B. Dry the newborn's scalp and place a stockinet cap on the head. C. Move temperature probe over the ribs when turning to a lateral position. D. Place temperature probe on the abdomen in line with the radiant heat source. {{correct Ans:- D. Place temperature probe on the abdomen in line with the radiant heat source. At 6 weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client? A. Early postpartum, within 72hrs of delivery. B. Immediately, at 6-weeks gestation, to protect this fetus. C. After the client reaches 20-weeks gestation. D. After the client stops breastfeeding. {{correct Ans:- A. Early postpartum, within 72 hours of delivery. A woman who is trying to get pregnant tells the nurse that she was very disappointed several months ago when she was informed that her positive pregnancy test was a false positive. Which method of testing provides the greatest degree of accuracy? A. Visualization of implantation by vaginal ultrasound. B. Presence of amenorrhea for 2 months. C. Maternal blood serum tests positive for alpha-fetoprotein. D. Complaints of feeling tired all of the time. {{correct Ans:- A. Visualization of implantation by vaginal ultrasound. The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period? A. A multiparous client who lives with her husband and his family members. B. A primiparous woman who has recently immigrated to the U.S. with her spouse. C. A multiparous female with a large family living in the community. D. A primiparous adolescent living at home with her parents and significant other. {{correct Ans:- B. A primiparous woman who has recently immigrated to the U.S. with her spouse. Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mother's vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus. What action should the nurse take first? A. Increase oxytocin IV infusion. B. Have the client empty her bladder. C. Perform fundal massage until firm. D. Inspect the perineum for lacerations. {{correct Ans:- C. Perform fundal massage until firm. A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement? A. Inform her that a decreased need for insulin occurs while breastfeeding. B. Counsel her to increase her caloric intake. C. Advise the client to breastfeed more frequently. D. Schedule an appointment for the client with the diabetic nurse educator. {{correct Ans:- A. Inform her that a decreased need for insulin occurs while breastfeeding. A newborn's head circumference is 12inches and his chest measurement is 13 inches. The nurse notes that this infant has no molding, and was a breech presentation delivered by Cesarean section. What action should the nurse take based on these data? A. No action need be taken. It is normal for an infant born by Cesarean section to have a small head circumference. B. Notify the pediatrician immediately. These findings support the possibility of hydrocephalus. C. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal. D. Record the findings on the chart. They are within normal limits. {{correct Ans:- C. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal. [Show More]

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