OB HESI MATERNITY 2024 ALL QUESTIONS WITH

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OB HESI MATERNITY 2024 ALL QUESTIONS WITH

100% CORRECT ANSWERS VERIFIED LATEST

UPDATE 2024 GRADED A+ BY EXPERTS

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?

• Visualization of implantation by vaginal ultrasound.
• Presence of amenorrhea for 2 months.
• Maternal blood serum tests positive for alpha-fetoprotein.
• Complaints of feeling tired all of the time. - ANSWER-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 multiparous client who lives with her husband and his family members.
• A primiparous woman who has recently immigrated to the U.S. with her spouse.
• A multiparous female with a large family living in the community.
• A primiparous adolescent living at home with her parents and significant other. -

ANSWER-B. A primiparous woman who has recently immigrated to the U.S. with her spouse.

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2 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?

• Increase oxytocin IV infusion.
• Have the client empty her bladder.
• Perform fundal massage until firm.
• Inspect the perineum for lacerations. - ANSWER-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?

• Inform her that a decreased need for insulin occurs while breastfeeding.
• Counsel her to increase her caloric intake.
• Advise the client to breastfeed more frequently.
• Schedule an appointment for the client with the diabetic nurse educator. - ANSWER-
• 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? 2 / 3

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• No action need be taken. It is normal for an infant born by Cesarean section to have

a small head circumference.

• Notify the pediatrician immediately. These findings support the possibility of

hydrocephalus.

• Call these findings to the attention of the pediatrician. The head/chest ratio is

abnormal.

• Record the findings on the chart. They are within normal limits. - ANSWER-C. Call

these findings to the attention of the pediatrician. The head/chest ratio is abnormal.

A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3cm. The nurse's assessment findings and electronic fetal monitoring(EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribed and oxytocin drip. Which data is most important for the nurse to monitor?

• Preparation for emergency cesarean birth.
• Client's hourly blood pressure.
• Checking the perineum for bulging.
• Intensity, interval, and length of contractions. - ANSWER-D. Intensity, interval, and

length of contractions.

A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein(AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?

• Reassure the client that the AFP results are likely to be a false reading.
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