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OB HESI MATERNITY 5 ACTUAL EXAM
VERSIONS WITH 250 REAL EXAM QUESTIONS
AND CORRECT ANSWERS LATEST 2024/2025 /
HESI OB MATERNITY LATEST EXAMS (5
VERSIONS) GUARATEED A
Hesi ob version 1 A woman, whose pregnancy is confirmed, asks the nurse what the function of the placenta is in early pregnancy. What information supports the explanation that the nurse should provide? - ANSWER-Secretes both estrogen and progesterone.
Rationale:
One of the early functions of the placenta as an endocrine gland is the production of four hormones, hCG, hPL, estrogen, and progesterone, necessary to maintain the pregnancy and support the embryo and fetus.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? - ANSWER-Avoid alcohol because it is excreted in breast milk.
Rationale:
Alcohol should be avoided while breastfeeding because, when consumed by the mother, it is excreted in breast milk.
A primigravida at 12-weeks gestation who just moved to the United States indicates she has not received any immunizations. Which immunization(s) should the nurse administer at this time? (Select all that apply.)
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pg. 2 Tetanus.Rubella.Diphtheria.Chickenpox.Hepatitis B. - ANSWER-Correct selections are (A, C, and E).
Rationale:
Vaccines composed of killed viruses may be administered during pregnancy.Rubella (B) and chickenpox (D) consist of live or attenuated live viruses which would be contraindicated during pregnancy due to potential teratogenicity.
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby jumped in response to the noise. What information should the nurse provide? - ANSWER-The fetus can respond to sound by 24-weeks gestation.
Rationale:
At 24-weeks gestation, the fetus's ability to hear loud environment sounds can illicit a startle response.
A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse assess first for signs of internal hemorrhage? - ANSWER-Changes in fetal heart rate patterns.
Rationale:
Hypoperfusion of the fetus may be present before the onset of clinical signs of maternal compromise or shock in a pregnant woman, so the external fetal monitor tracings should be assessed first to determine signs of fetal hypoxia due to internal bleeding in the mother. 2 / 4
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Which finding in the medical history of a post-partum client should the nurse withhold the administration of a routine standing order for methylergonovine maleate (Methergine)? - ANSWER-Pregnancy induced hypertension.
Rationale:
Methergine is used for post-partum bleeding. A client's history of pregnancy- induced hypertension is a contraindication for Methergine which causes vasoconstriction and increases blood pressure, so the routine standing order should be withheld and reported to the healthcare provider.
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. What information should the nurse provide? - ANSWER-The fetus in utero is capable of hearing and does respond to the mother's voice.
Rationale:
Fetal hearing and response to sound occurs by 24-weeks gestation, so the fetus can be soothed by the familiar sound of the mother's voice.
A female client who wants to delivery at home asks the nurse to explain the role of a nurse-midwife in providing obstetric care. What information should the nurse provide? - ANSWER-The pregnancy should progress normally and be considered low risk.
Rationale:
A nurse midwife is an advanced practice nurse who is prepared to provide quality perinatal care for a low-risk obstetric client.
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pg. 4 What nursing action should be included in the plan of care for a newborn experiencing symptoms of drug withdrawal ? - ANSWER-Swaddle the infant snugly and hold tightly.
Rationale:
An infant experiencing drug withdrawal should be swaddled, wrapped snugly, or placed in a "kangaroo pouch" to reduce self-stimulation behaviors and protect skin from abrasions that may occur due to muscular irritability.
The nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provides examples of different positional techniques used during the second stage of labor. Which position should the nurse address that provides the best advantage of gravity during delivery? - ANSWER-Squatting.
Rationale:
Squatting helps to align the fetus with the pelvic outlet and allows gravity to assist in fetal descent and gives the client an adventitious position for birth.
A multiparous client is bearing down with contractions and crying out, "The baby is coming!" Which immediate action should the nurse implement? - ANSWER- Visualize the perineum for bulging.
Rationale:
The perineum should be visualized for bulging or the presentation of the baby so assistance with the impending birth can be immediately rendered.
The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? (Select all that apply.)
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