OB HESI

1. One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and

notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current

vital signs. Which intervention should the nurse implement next?

A. Document number of pad changes in the last hour

B. Increase the rate of the oxytocin infusion

C. Palpate the suprapubic area for bladder distention

D. Provide bedpan to void if unable to ambulate

2. Missing

3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help

change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk.

What action should the nurse implement first?

A. Wipe away the spit-up and assist the mother with the diaper change

B. Turn the newborn to the side and bulb suction the mouth and nares

C. Sit the newborn up and burp by rubbing or patting the upper back

D. Place the newborn in a position with the head lower than the feet

4. Missing

5. Missing

6. Missing

7. A client delivers a viable infant but begins to have excessive uncontrolled vaginal bleeding after the IV

Pitocin is infused. When notifying the hcp of the clients condition, what information is most important for the

nurse to provide?

A. Total amount of Pitocin infused

B. Maternal Blood pressure

C. Maternal Apical Pulse rate

D. Time Pitocin infusion completed

8. The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Which

assessment finding warrants immediate intervention by the nurse?

A. Sweating during feedings

B. Weak peripheral pulse

C. Bluish tinge to the tongue

D. Increased respiratory rate

9. A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which

information is most important for the nurse to provide the client?

A. When there is no significant vaginal bleeding

B. When ambulating to void does not cause dizziness

C. After the vitamin K injection is given to the baby

D. After the baby no longer demonstrates acrocyanosis

10. A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no contractions

are noted on the external monitor. Which intervention should the nurse implement?

A. Weight perineal pads

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B. Weight daily

C. Measure intake and output

D. Ambulate 15 minutes QID

11. Missing

12. A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human

papillomavirus). What information should the nurse provide this client?

A. Treatment options, while limited due to the pregnancy, are available

B. The client should be treated with Penicillin G

C. This client should be treat with acyclovir (Zovirax)

D. Termination of the pregnancy should be considered

13. One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is positive.

Which hormone is responsible for producing the positive result?

A. Human placental lactogen

B. Gonadotrophin-releasing hormone

C. Human chorionic gonadotrophin

D. Prostaglandin E2 Aplha

14. A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information should the

nurse provide prior to discharge?

A. Avoid using lanolin-based nipple cream or ointment

B. Continue prenatal vitamins with B12 while breast feeding

C. Offer iron- fortified supplemental formula daily

D. Weigh the baby weekly to evaluate the newborns growth

15.Missing

16. A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a motor

vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider?

A. Fetal heart rate of 162 beats/minute

B. Trace of protein in the urine

C. Positive fetal hemoglobin test

D. Mild contractions every 10 minutes

17. The nurse is caring for a postnatal patient who is exhibiting symptoms of spinal headaches 24 hours

following delivery of a normal newborn. Prior to anesthesiologist’s arrival on the unit, which action should the

nurse perform?

A. Place procedure equipment at bedside

B. Apply an abdominal binder

C. Cleanse the spinal injection site

D. Insert an indwelling foley catheter

18. The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning sickness but does

not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client with the

nausea she is experiencing?

A. Ginko

B. Chamomile

C. Peppermint

D. Ginger

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