HESI PN MATERNAL NEWBORN OB EXAM

HESI PN MATERNAL NEWBORN OB EXAM

VERSION 3

• When caring for a client diagnosed with placenta previa, the nurse should expect to

observe which of the following?

Firm, rigid abdomen Uterine hypertonicity Painless, vaginal bleeding Nonreassuring fetal heart tone

• A nurse working in a prenatal clinic should recognize that which of the following

clients has a contraindication to a contraction stress test?

A client with a previous stillbirth A client with maternal diabetes mellitus A client who had a nonreactive nonstress test A client with a previous classical incision

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• A nurse is performing Leopold's maneuvers as part of the assessment of a client

who is at 39 weeks of gestation and is in the active phase of the first stage of labor.Identify the sequence of steps the nurse should take. (Move the maneuvers into the box on the right, placing them in the selected order of performance. All steps must be used.)

Outline the fetal head.Palpate the fetal back.Identify the fetal parts occupying the fundus Determine the fetal part over the pelvic inlet.

• When assessing a client in true labor, the nurse should expect which of the

following characteristics?

The contractions felt by the client occur irregularly.The cervix is soft without effacement.The contractions become stronger with walking.The cervix is found in the posterior position.

• A nurse is assessing a client who is pregnant and has a history of irregular periods.

The nurse should recognize that which of the following assessment findings will reveal the most accurate date of birth for this client?

Näegele's rule Ultrasound Fetal heart tones Quickening 2 / 3

• A client requests rubbing alcohol for cord care for her newborn. The nurse should

explain that rubbing alcohol should not be used for cord care because it

is painful for the newborn.will mask signs of infection.delays cord separation.causes skin discoloration.

• A female adolescent presents to a family care clinic reporting unprotected sexual

intercourse the previous evening. Which of the following is the priority nursing assessment?

Last menstrual cycle date Family support Emotional response Information about sexual partner

• A client who is pregnant is unsure of the first day of her last menstrual period. The

nurse determines the client's fundal height to be 26 cm. The client is most likely to deliver in how many weeks?

8 11 14 26

• When providing culturally sensitive care in the perinatal environment, which of the

following actions by the nurse is most appropriate?

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