OB Hesi:

1. 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?

Provide an opportunity for the parents to hold their infant in privacy

2. A one-day-old neonate develops a cephalhematoma. The nurse should closely assess this

neonate for which common complication?

Jaundice

3. What is the most important assessment for the nurse to conduct following the administration

of epidural anesthesia to a client who is at 40-weeks gestation? KNOW TYPES OF

ANESTHESIA

Maternal blood pressure

4. The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2

proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a

severe frontal headache. Which medication should the nurse anticipate for this client?

Mag Sulfate

6. A client at 35 weeks gestation complains of a “pain whenever the baby moves.” On

assessment, the nurse notes the client’s temperature to be 101.2 F, with severe abdominal or

uterine tenderness on palpation. The nurse knows that these findings are indicative of what

condition?

Chorioamnionitis

7. 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 maternal position (for U shaped too)

8. The parents of a newborn tell the nurse that their newborn is already trying to walk. How

should the nurse respond?

 1 / 2

Explain the newborns normal stepping reflex

9. The nurse is conducting postpartum teaching with a mother who is breastfeeding her infant.

When discussing birth control, which method should the nurse recommend to this client as best

for her to use in preventing an unwanted pregnancy?

Condoms and contraceptive foam or gel

10. The nurse is planning discharge teaching for a client who had an evacuation of gestational

trophoblastic disease (GTD) two days ago. Which information is most important for the nurse to

include in this client’s teaching plan?

OCP at least one year

11. The nurse places one hand above the symphysis while massaging the fundus of a

multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce

infant. Which information should the nurse provide the client about this finding?

Both lower uterine segment and fundus need to be massaged

12. A primigravida arrives at the observation unit of the maternity unit because thinks is in labor.

The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140

beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What

assessment finding confirms to the nurse that the client is not labor at this time?

Contractions decrease with walking

13. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding

after the IV Pitocin is infused. When notifying the healthcare provider of the client’s condition,

what information is most important for the nurse to provide?

Maternal blood pressure

14. The current vital signs for a primipara who delivered vaginally during the previous shift are:

temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood

pressure 130/74. What action should the nurse implement?

Document vital signs in record (normal)

15. A 4-day postpartum client calls the clinic and reports that her nipples are so sore that she

does not know if she can continue to breastfeed her infant. What instruction is best for the nurse

to provide?

Apply hot packs before just before each feeding

Powered by qwivy(www.qwivy.org)

 2 / 2