HESI OB MATERNITY PROCTORED EXAM VERSION 1

HESI OB MATERNITY PROCTORED EXAM VERSION 1

93. A nurse is caring for the following four laboring
patients. Which client should the
nurse be prepared to monitor closely for signs of
postpartum hemorrhage (PPH)?
1. G1P0000, delivery at 29 weeks’ gestation.
2. G2P1001, prolonged first stage of labor.
3. G2P0010, delivery by cesarean section.
4. G3P0200, delivery of 2200-gram neonate.
94. A client is 3-days post–cesarean delivery for eclampsia.
The client is receiving hydralazine
(Apresoline) 10 mg 4 times a day by mouth. Which of the
following findings
would indicate that the medication is effective?
1. The client has had no seizures since delivery.
2. The client’s blood pressure has dropped from 160/120
to 130/90.
3. The client’s postoperative weight has dropped from 154
to 144 lb.
4. The client states that her headache is gone.
95. A home care nurse is visiting a breastfeeding client
who is 2 weeks postdelivery of
a 7-lb baby girl over a midline episiotomy. Which of the
following findings should
take priority?
1. Lochia is serosa.
2. Client cries throughout the visit.
3. Nipples are cracked.
4. Client yells at the baby for crying.
96. A client who is post–cesarean section for severe
preeclampsia is receiving magnesium
sulfate via IV pump and morphine sulfate via patientcontrolled anesthesia
(PCA) pump. The nurse enters the room on rounds and
notes that the client is not
breathing. Which of the following actions should the nurse
perform first?
1. Give two breaths.
2. Discontinue medications.
3. Call a code.
4. Check carotid pulse.
97. A breastfeeding client is being seen in the emergency
department with a hard, red,
warm nodule in the upper outer quadrant of her left
breast. Her vital signs are:
T 104.6ºF, P 100, R 20, and BP 110/60. She has a recent
history of mastitis and is
crying in pain. Which of the following nursing diagnoses is
highest priority?
1. Ineffective breastfeeding.
2. Infection.
3. Ineffective individual coping.
4. Pain.
98. A client is receiving an IV heparin drip at 16 mL/hr via
an infusion pump for a diagnosis
of deep vein thrombosis. The label on the liter bag of D5W
indicates
50,000 units of heparin have been added. How many units
of heparin is the client
receiving per hour?
800 units per hour.
99. A nurse massages the atonic uterus of a woman who
delivered 1 hour earlier.
The nurse identifies the nursing diagnosis: Risk for injury
related to uterine
atony. Which of the following outcomes indicates that the
client’s condition has
improved?