OB HESI ULTIMATE QUESTION PACK WITH RATIONALES (Distinction Level Guide. Has everything.) 2022 Guaranteed A+: Latest 2023:2024 

OB HESI: ULTIMATE QUESTION PACK

3 day old baby. Feeds every 2 hours. Nurse notes white curd patches on oral mucus membranes. Action to implement? ans: needs medicine

3 day postpartum patient. Husband calls states wife is crying, irritable. Inform the husband? ans: contact the clinic in 2 weeks if symptoms become worse

Baby blues are normal, he needs to bring her in if it gets severe or persists for two weeks

Review this bc the answer choices are tricky!!Not just be there with her.. WATCH her and symptoms

3 months pregnant, thin watery secretions ans: normal lochia

4 postpartum clients. Who is a priority for psychosocial distress? ans: Immigrant that just moved with her husband, first baby, new country**

24 hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The nurse knows that an accumulation of blood between the periosteum and skull that does not cross suture lines is known as ans: Cephalohematoma

(Caused by forceps trauma, may last up to 8 weeks)

28 weeks gestation with twins. Fundal height 27 cm. fundal height measured 28 cm 3 weeks ago. What does the nurse conclude from this? ans: may indicate IUGR

30 minutes postpartum, continuing to bleed. Boggy uterus. Intervention? ans: Uterine massage

30 year old primigravida delivers 9 pound vaginally after 30 hour labor. Priority nursing action? ans: observe for signs of hemorrhage

32 weeks gestations with possible UTI. Action to implement? ans: Collect urine for culture**

35 weeks gestation. Breech baby. Contractions 3-5 minutes apart and mom states "I think my water just broke". Inspection reveals umbilical cord protruding. Intervention to implement? ans: Place patient in the knee-chest position

38 weeks gestation with a history of PIH. Pitocin started. 1 hour after Pitocin, patients gets a headache. Contractions are 1-2 minutes apart lasting 60-75 seconds. Intervention most important? ans: discontinue the Pitocin

38 weeks gestation, tachycardia, tremulous, hypertensive. Assessment action most important? ans: obtain a drug screen

40 weeks gestation and spontaneous rupture of membranes that is meconium stained. What additional finding should the nurse report? ans: - FHR 100-110

A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine?

A) The woman should not become pregnant for at least 4 weeks.

B) The woman should pump and dump her breast milk for 1 week.

C) The mother must wear a surgical mask when she cares for the baby.

D) Passive antibodies transported across the placenta will protect the baby. ans: A) The woman should not become pregnant for at least 4 weeks.

A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the hospital. Which of the following rationales should guide the nurse's response?

A) The client's obstetric status is optimal for receiving the vaccine.

B)The client's immune system is highly responsive during the postpartum period.

C) The client's baby will be high risk for acquiring rubella if the woman does not receive the vaccine.

D) The client's insurance company will pay for the shot if it is given during the immediate postpartum period. ans: A) The client's obstetric status is optimal for receiving the vaccine.

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? ans: ---

A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? ans: Monitor Blood pressure, pulse, and respirations q4h.

A 26-year old, G2 P1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg SQ to stop her labor contractions. The nurse plans to monitor which primary side effect of terbutaline sulfate? ans: Tachycardia & feeling of nervousness

A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26 weeks gestation in preterm labor. Given dose of terbutaline sulfate (Berthine) 0.25 mg SQ. Which assessment is the highest priority for the nurse to monitor during administration of this drug? ans: Monitoring fetal & maternal heart rates!!!

A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion pump? (Enter numeric value only) ans: 75

A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate (FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute. What action should the nurse implement first? ans: obtain written consent for an emergency cesarean section.

A 36-year-old woman comes to the emergency department complaining of severe abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of miscarriage is the client experiencing?

A) Missed

B) Complete

C) Inevitable

D) Threatened ans: C) Inevitable

Miscarriage is inevitable because the cervical os has opened, heavy bleeding is occurring, and tissue is present with the bleeding. In a missed miscarriage, the fetus has died but the products of conception are retained in utero for as long as several weeks. There may be no bleeding or cramping, and the os is closed. In a complete miscarriage all fetal tissue has already passed and the cervix is closed; there may be slight bleeding. Symptoms of a threatened miscarriage include spotting and a closed cervical os. There may be mild cramping.