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OB HESI MATERNITY 2024 VERSION 1,2 AND 3
AND 2023 2 LATEST VERSIONS 2024-2025
MATERNITY OB 3 VERSIONS ACTUAL EXAM
EACH EXAM CONTAINS 55 QUESTIONS AND
CORRECT ANSWERS AGRADE
RATED
OB HESI MATERNITY 2024 VERSION 1
A 4-year-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching?
- Lower legs become progressively weaker, causing a waddling, unsteady gait.
- Growth and development have been abnormal since birth.
- Muscular strength can be regained with physical exercise and therapy.
- Respiratory dysfunction and aspiration are prime concerns at this stage of disease. -
ANSWER-b. Growth and development have been abnormal since birth.
A male infant with a 2-day- history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important to implement?
- Provide a bottle of electrolyte solution. 1 / 4
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- Infuse normal saline intravenously.
- Administer an antipyretic rectally.
- Apply external cooling blanket. - ANSWER-b. Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction should the nurse provide to the child's parent?
- Chewable children's aspirin will help prevent inflammation.
- Keep the child home from daycare for the next two days.
- Any level of fever is serious and should be reported right away.
- Apply a cool pack to the injection site to reduce discomfort. - ANSWER-d. Apply a cool pack
to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be the primary focus of treatment for this child?
- Teach her social skills.
- Assist in preventing further disability.
- Ensure her participation in group activities.
- Help her achieve her maximum potential. - ANSWER-d. Help her achieve her maximum
potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention should the nurse plan to implement?
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- Obtain the healthcare provider's advice as to when the restraints should be removed.
- Remove restraints one at a time to provide range of motion exercises.
- Record observation of the restraints q2h and ensure that they are in place at all times.
- Remove restraints q4h for 30 minutes and place gloves on the child's hands. - ANSWER-b.
Remove restraints one at a time to provide range of motion exercises.
A new mother calls the nurse stating that she wants to start feeding her 6-month-old child something besides breast milk, but is concerned that the infant is too young to start eating solid foods. How should the nurse respond?
- Advise the mother to wait at least another month before starting any solid foods.
- Instruct the mother to offer a few spoons of 2 or 3 pureed fruits at each meal.
- Reassure the mother that the infant is old enough to eat iron-fortified cereal.
- Encourage the mother to schedule a developmental assessment of the infant. - ANSWER-c.
Reassure the mother that the infant is old enough to eat iron-fortified cereal.
A 10-year-old is admitted to the orthopedic unit with a diagnosis of slipped femoral capital epiphysis (SFCE). What focus should the nurse include in this child's plan of care?
- Ambulation with a walking cast.
- Pin and incisional care after surgery.
- Use of injections for pain control.
- Administration of growth hormone. - ANSWER-b. Pin and incisional care after surgery.
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4 While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heart rate pattern that falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first?
- Change the maternal position.
- Administer oxygen at 10/l by mask.
- Prepare for a potential cesarean.
- Allow the client to begin pushing. - ANSWER-a. Change the maternal position.
A postpartum client who is Rh-negative refuses to receive RhoGAM after delivery of an infant who is Rh-positive. Which information should the nurse provide this client?
- RhoGAM prevents maternal antibody formation for future Rh-positive babies.
- RhoGAM is not necessary unless all her pregnancies are Rh-positive.
- The R-positive factor from the fetus threatens her blood cells.
- The mother should receive RhoGAM when the baby is Rh-negative. - ANSWER-a. RhoGAM
prevents maternal antibody formation for future Rh-positive babies.
The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by
- ounces of orange juice. What should the nurse do next?
- Tell the mother to follow the iron drops with infant formula instead of orange juice.
- Suggest placing the iron drops in the orange juice and then feeding the infant.
- Instruct the mother to feed the infant nothing for 30 minutes after giving the iron drops.
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