PRIMEXAM
HESI Maternity OB Exam ( Ver. 1 )
- A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the
grieving process, which intervention is most important for the nurse to implement?
- Provide an opportunity for the parents to hold their infant in privacy.
- Assist the couple in completing a request for autopsy.
- Encourage the couple to seek family counseling within the next few weeks.
- Explain the possible causes of fetal demise.
- What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
- Body temperature.
- Level of pain.
- Time of first void.
- Number of vessels in the cord.
- What is the most important assessment for the nurse to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
- Maternal blood pressure.
- Level of pain sensation
- Station of presenting part.
- Variability of fetal heart rate.
- A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer’s 500ml with
magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the infusion pump? (Enter numeric value only.) 75ml/hr
- A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is
more important for the nurse to implement?
- Graph the daily weight for the past week. 1 / 2
PRIMEXAM
- Explain that newborns get milk from their mothers in this way.
- Reassure the older brother that is does not hurt his mother.
- Decrease IV flow rate.
- Assess bilateral lung sounds.
- Restrict intake of oral fluids.
- A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse,
“Why is my baby sister eating my mommy’s breast?” How should the nurse respond? (Select all that apply.)
- Remind him that his mother breastfed him too.
- Suggest that the baby can also drink from a bottle.
- Clarify the breastfeeding is his mother’s choice.
- The nurse is examining an infant for possible cryptorchidism. Which exam technique should be
used?
- Place the infant in side-lying position to facilitate the exam.
- Hold the penis and retract the foreskin gently.
- Cleanse the penis with an antiseptic-soaked pad.
- Place the infant in a warm room and use a calm approach.
- The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor.
What maternal prescription is most important in preventing this fetus from developing respiratory syndrome?
- Betamethasone (Celestone) 12mg deep IM.
- Butorphanol 1mg IV push q2h PRN pain.
- Ampicillin 1g IV push q8h.
- Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3.
- Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis
(DKA). Which action is most important for the nurse it include in the child’s plan of care?
- Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
- Determine the child’s compliance schedule for subcutaneous NPH insulin (Humulin N).
- Demonstrate to parents how to program an insulin pen for daily glucose regulation.
- Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen).
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