HESI OB/ HESI PEDIATRICS/ HESI MATERNITY EXAM |Version 2 | (55 Q & A) |QUESTIONS AND VERIFIED ANSWERS| 2023/ 2024 New Update
1. Which of the
... [Show More] following is NOT a reassuring component of the fetal heart rate
A. FHR of 114
B. Accelerations of the FHR
C. Moderate Variability
D. Absent FHR Variability
Answer: D) Absent FHR Variability
2. You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother, provide oxygen, increase intravenous (IV) fluid, and perform a vaginal examination. The cervix has not changed. Five minutes have passed, and the fetal heart rate remains in the 80s. What additional nursing measures should you take?
A. Call for help and Notify the care provider immediately
B. Start pitocin
C. Have her empty her bladder
D. Insert a Foley catheter
Answer: A) Call for help and notify the care provider immediately
3. What is an advantage of external electronic fetal monitoring?
A. Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.
B. The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of uterine contractions (UCs).
C. The external EFM does not require rupture of membranes or introduction of scalp electrode or IUPC which may introduce risk of infection or fetal scarring.
D. The external EFM can accurately record FHR all the time.
Answer: C) the external EFM does not require rupture of the membranes or introduction of scalp electrode or IUPC which may introduce risk of infection or fetal scarring
4. A number of methods to assist in the assessment of fetal well-being have been developed for use in conjunction with electronic fetal monitoring. These various technologies assist in supporting interventions for a nonreassuring fetal heart rate pattern when necessary. The labor and delivery nurse should be aware that one of these modalities, fetal oxygen saturation monitoring, includes the use of:
A. Fetal blood sampling
B. Umbilical cord acid-base determination
C. Fetal pulse oximetry.
D. A fetal acoustic stimulator.
Answer: C) Fetal pulse oximetry
5. The nurse caring for the woman in labor should understand that maternal hypotension can result in:
A. Uteroplacental insufficiency.
B. Spontaneous rupture of membranes
C. Fetal dysrhythmias.
D. Early decelerations.
Answer: A) Uteroplacental insufficiency
6. The nurse providing care for the laboring woman should understand that accelerations with fetal movement:
A. Are caused by umbilical cord compression
B. Are caused by uteroplacental insufficiency
C. Warrant close observation
D. Are reassuring.
Answer: D) Are reassuring
7. A woman in active labor receives an analgesic, an opioid agonist. Which medication relieves severe, persistent, or recurrent pain; creates a sense of well-being; overcomes inhibitory factors; and may even relax the cervix but should be used cautiously in women with cardiac disease?
A. Meperidine (Demerol)
B. Promethazine (Phenergan)
C. Butorphanol tartrate (Stadol)
D. Nalbuphine (Nubain)
Answer: A) Meperidine (Demerol)
8. A laboring woman received meperidine (Demerol) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Demerol on the neonate?
A. Fentanyl (Sublimaze)
B. Promethazine (Phenergan)
C. Naloxone (Narcan)
D. Nalbuphine (Nubain)
Answer: C) Naloxone (Narcan)
9. A woman in labor has just received an epidural block. The most important nursing intervention is to:
A. Limit parenteral fluids.
B. Monitor the fetus for possible tachycardia
C. Monitor the maternal blood pressure for possible hypotension.
D. Monitor the maternal pulse for possible bradycardia
Answer: C) Monitor the maternal blood pressure for possible hypotension
10. A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure would be to use:
A. Counterpressure against the sacrum
B. Pant-blow (breaths and puffs) breathing techniques
C. Effleurage.
D. Conscious relaxation or guided imagery. [Show Less]