OB MATERNITY HESI EXAM 2024 LATEST UPDATE 2

OB MATERNITY HESI EXAM 2024 LATEST UPDATE 2

DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS

WITH RATIONALES NEXT GEN (NGN) AGRADE

• A A women with Type 2 diabetes mellitus becomes

pregnant, and her oral hypoglycemic agents are dis- continued. Which intervention is most important for the nurse to implement?

• Describe diet changes that can improve the man-

agement of her diabetes

• Inform the client that oral hypoglycemic agents are

teratogenic during pregnancy

• Demonstrate self-administration of insulin
• Evaluate the client's ability to do glucose monitor-

ing

• C A client at 30-weeks gestation, complaining of pres-

sure over the pubic area, is admitted for observa- tion. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination re- veals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first?

• Provide oral hydration
• Have a complete blood count (CBC) drawn
• Obtain a specimen for urine analysis
• Place the client on strict bedrest

• A A woman who thinks she could be pregnant calls

her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response appropriate?

• "A home pregnancy test can be used right after

your missed period."

• "These tests are most accurate after you have

missed your second period."

• "Home pregnancy tests often give false positives

and should not be trusted." 1 / 4

• "The test can provide accurate information when

used right after ovulation."

• B A client who is attending antepartum classes asks

the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge?

• Supplementary iron is more efficiently utilized dur-

ing pregnancy

• It is difficult to consume 18 mg of additional iron by

diet alone

• Iron absorption is decreased in the GI tract during

pregnancy

• Iron is needed to prevent megaloblastic anemia in

the last trimester

• B A female client with insulin-dependent diabetes ar-

rives at the clinic seeking a plan to get pregnant in approximately 6 months. She tells the nurse that she wants to have an uncomplicated pregnancy and a healthy baby. What information should the nurse share with the client?

• "Your current dose of insulin should be maintained

throughout your pregnancy."

• "Maintain blood sugar levels in a constant range

within normal limits during pregnancy."

• "The course and outcome of your pregnancy is not

an achievable goal with diabetes."

• "Expect an increase in insulin dosages by 5

units/week during the first trimester."

• A The nurse is providing discharge teaching for a client

who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, "What if I start having red bleeding AFTER it changes?" What should the nurse instruct the client to do?

• Reduce activity level and notify the healthcare

provider 2 / 4

• Go to bed and assume a knee-chest position
• Massage the uterus and go to the emergency room
• Do not worry as this is a normal occurance

• D Just after delivery, a new mother tells the nurse, "I was

unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention is best for the nurse to implement first?

• Assess the husband's feelings about his wife's

decision to breastfeed their baby

• Ask the client to describe why she was unsuccess-

ful with breastfeeding her last child

• Encourage the client to develop a positive attitude

about breastfeeding to help ensure success

• Provide assistance to the mother to begin breast-

feeding as soon as possible after delivery

• A Immediately after birth a newborn infant is suctioned,

dried, and placed under a radiant warmer. The in- fant has spontaneous respirations and the nurse as- sesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. What action should the nurse perform next?

• Initiate positive pressure ventilation
• Intervene after the one minute Apgar is assessed
• Initiate CPR on the infant
• Assess the infant's blood glucose level

• A A 42-week gestational client is receiving an intra-

venous infusion of oxytocin (Pitocin) to augment early labor. the nurse should discontinue the oxytocin infu- sion for which pattern of contractions?

• Transition labor with contractions every 2 minutes,

lasting 90 seconds each

• Early labor with contractions every 5 minutes, last-

ing 40 seconds each

• Active labor with contractions every 31 minutes,

lasting 60 seconds each 3 / 4

• Active labor with contractions every 3 to 3 minutes,

lasting 70 to 80 seconds each

• A The nurse is teaching a woman how to use her basal

body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?

• Between the time the temperature falls and rises
• Between 36 and 48 hours after the temperature

rises

• When the temperature falls and remains low for 36

hours

• Within 72 hours before the temperature falls

• A A multigravida client at 41-weeks gestation presents

in the labor and delivery unit after a non-stress test indicated that the fetus is experiencing some difficul- ties in utero. Which diagnostic test should the nurse prepare the client for additional information about the fetus?

• Biophysical profile (BPP)
• Ultrasound for fetal anomalies
• Maternal serum alpha-fetoprotein (AF) screening
• Percutaneous umbilical blood sampling (PUBS)

• D One hour after giving birth to an 8-pound infant,

a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pres- sure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse take immediately?

• Give the medication as prescribed and monitor for

efficacy

• Encourage the client to breastfeed rather than bot-

tle feed

• Have the client empty her bladder and massage

the fundus

• Call the healthcare provider to question the pre-
• / 4