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OB MATERNITY HESI EXAM VERSION A, B, C AND PRACTICE
EXAM LATEST 2024-2025 COMPLETE 500 QUESTIONS AND
DETAILED CORRECT ANSWERS ALREADY GRADED A+
RATED
OB MATERNITY HESI EXAM A
A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client'stemperature to be 101.2 F (38.4 C), with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition?
- Round ligamentstrain.
- Chorioamnionitis.
- Abruptio placenta.
- Viral infection.
- Chorioamnionitis.
- Lower legs become progressively weaker, causing a waddling, unsteady gait.
- Growth and development have been abnormal since birth. 1 / 6
A 4-year-old boy wasrecently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching?
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- Muscularstrength can be regained with physical exercise and therapy.
- Respiratory dysfunction and aspiration are prime concerns at this stage of disease.
- Lower legs become progressively weaker, causing a waddling, unsteady gait.
- Provide a bottle of electrolyte solution.
- Infuse normalsaline intravenously.
- Administer an antipyretic rectally.
- Apply external cooling blanket.
- Infuse normalsaline intravenously.
- 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.
- Apply a cool pack to the injection site to reduce discomfort.
- Teach hersocialskills.
- Assist in preventing further disability.
- Ensure her participation in group activities.
- Help her achieve her maximum potential. 2 / 6
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 more important to implement?
After administering varicella vaccine to a 5-year-old child, which instruction should the nurse provide the child's parent?
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?
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- Help her achieve her maximum potential.
- Obtain the healthcare provider's advice as to when the restraintsshould 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.
- Remove restraints one at a time to provide range of motion exercises.
- 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.
- Reassure the mother that the infant is old enough to eat iron-fortified cereal.
- Ambulation with a walking cast.
- Pin and incisional care after surgery.
- Use of injections for pain control.
- Administration of growth hormone.
- Pin and incisional care after surgery. 3 / 6
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?
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?
A 10-year-old is admitted to the orthopedic unit with a diagnosis ofslipped femoral capital epiphysis (SFCE). What focus should the nurse include in this child's plan of care?
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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.
- Change the maternal position.
- 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.
- Provide an opportunity for the parents to hold their infant in privacy.
- Body temperature.
- Level of pain.
- Time of first void.
- Number of vessels in the cord.
- Body temperature.
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?
What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
What is the most important assessment for the nurse to conduct following the administration of 4 / 6
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5 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.
- Maternal blood pressure.
- Graph the daily weight for the past week.
- Decrease IV flow rate.
- Assess bilateral lung sounds.
- Restrict intake of oral fluids.
- Assess bilateral lung sounds.
- Explain that newborns get milk from their mothers in this way. 5 / 6
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?
FIF
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.)
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- Reassure the older brother that is does not hurt his mother.
- 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.
- Explain that newborns get milk from their mothers in this way.
- Reassure the older brother that is does not hurt his mother.
- Remind him that his mother breastfed him too.
- 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.
- Place the infant in a warm room and use a calm approach.
- 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.
- Betamethasone (Celestone) 12mg deep IM.
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The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?
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?
Insulin therapy isinitiated 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?