HESI MATERNITY OB EXAM 2023\/2024 ACTUAL REAL EXAM WITH RATIONALES CONTAINS 50 QUESTIONS WITH DETAILED ANSWERS | VERIFIED FOR GUARANTEED PASS | GRADED A<\/p>\n\n\n\n
HESI MATERNITY OB EXAM 2023\/2024 ACTUAL REAL EXAM
WITH RATIONALES CONTAINS 50 QUESTIONS WITH
DETAILED ANSWERS | VERIFIED FOR GUARANTEED PASS |
GRADED A
The nurse is counseling a client who wants to become pregnant. She tells the nurse that she has a
36-day menstrual cycle and the first day of her last menstrual period was January 8. When will
the client’s next fertile period occur?
A. January 14 to 15
B. January 22 to 23
C. January 29 to 30
D. February 6 to 7
C
Rationale:
This client can expect her next period to begin 36 days from the first day of her last menstrual
period. Her next period would begin on February 12. Ovulation occurs 14 days before the first
day of the menstrual period. The client can expect ovulation to occur January 29 to 30. Options
A, B, and D are incorrect.
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The
home health nurse has taught her how to take her own blood pressure and gave her parameters to
judge a significant increase in blood pressure. When the client calls the clinic complaining of
indigestion, which instruction should the nurse provide?
A. Lie on your left side and call 911 for emergency assistance.
B. Take an antacid and call back if the pain has not subsided.
C. Take your blood pressure now, and if it is seriously elevated, go to the hospital.
D. See your health care provider to obtain a prescription for a histamine blocking agent.
C
Rationale:
Checking the blood pressure for an elevation is the best instruction to give at this time. A blood
pressure exceeding 140\/90 mm Hg is indicative of preeclampsia. Epigastric pain can be a sign of
an impending seizure (eclampsia), a life-threatening complication of gestational hypertension.
Additional data are needed to confirm an emergency situation as described in option A. Options
B and D ignore the threat to client safety posed by a significant increase in blood pressure.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her
lochia is getting lighter in color. Which action should the nurse take?
A. Instruct the client to go to the emergency room.
B. Recommend vaginal douching.<\/p>\n\n\n\n
C. Explain this is a normal finding.
D. Determine if ovulation has occurred.
C
Rationale:
The client is describing lochia serosa, a normal change in the lochial flow. Options A, B, and D
are not recommended for this normal finding.
Just after delivery, a new mother tells the nurse, “I was unsuccessful breastfeeding my first child,
but I would like to try with this baby.” Which intervention should the nurse implement first?
A. Assess the husband’s feelings about his wife’s decision to breastfeed their baby.
B. Ask the woman to describe why she was unsuccessful with breastfeeding her last child.
C. Encourage the woman to develop a positive attitude about breastfeeding to help ensure
success.
D. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
D
Rationale:
Infants respond to breastfeeding best when feeding is initiated in the active phase soon after
delivery. Options A and B might provide interesting data, but gathering this information is not as
important as providing support and instructions to the new mother. Although option C is also
true, this response by the nurse might seem judgmental to a new mother.
A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion
at 3 months of gestation. Which is the correct description of this client that should be
documented in the medical record?
A. Gravida 1, para 0
B. Gravida 1, para 1
C. Gravida 2, para 0
D. Gravida 2, para 1
C
Rationale:
This is the client’s second pregnancy or second gravid event, so option C is correct. The
spontaneous abortion (miscarriage) occurred at 3 months of gestation (12 weeks), so she is a para<\/p>\n\n\n\n
B. The couple’s highest levels of education
C. The order in which the information is presented
D. The extent to which the pregnancy was planned
A
Rationale:
When teaching any client, readiness to learn is related to how much the client has invested in
what is being taught or how important the materials are to the client’s particular life. For
example, the client with severe morning sickness in the first trimester may not be ready to learn
about labor and delivery but is probably very ready to learn about ways to relieve morning
sickness. Options B and C are factors that may influence learning but are not as influential as
option A. Even if a pregnancy is planned and very desirable, the client must be ready to learn the
content presented.
The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and
determines that the infant is demonstrating marked nasal flaring, an audible expiratory grunt, and
just visible intercostal and xiphoid retractions. Using this scale, which score should the nurse
assign?
A. 3
B. 4
C. 5
D. 8
C
Rationale:
The Silverman-Anderson index is an assessment scale that scores a newborn’s respiratory status
as grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen,
retractions, nasal flaring, and expiratory grunt. No respiratory distress is graded 0, and a total of
10 indicates maximum respiratory distress. This infant is demonstrating respiratory distress with
maximal effort, so a grade 2 is assigned for marked nasal flaring, grade 2 for an audible
expiratory grunting, plus grade 1 for just visible retractions, which is a total score of 5. Options
A, B, and D are not accurate.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal\/day.
D. Increase fluid intake to at least 3 quarts each day.
A
Rationale:
Alcohol should be avoided while breastfeeding because it is excreted in breast milk and may
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