OB HESI EXAMS 1 version 1,2,3 LATEST UPDATE DETAILED SOLUTIONS WITH NGN
1. A postpartum patient who has had a vaginal birth asks the nurse, “I
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wondering if my cervix will return to its previous shape before I had the baby?”
Which is the best response by the nurse? Ans. The cervix will now have a slit-like shape.
2. A patient who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which scenario would cause an emergency department nurse to suspect that the woman has been battered?
Ans. The woman has injuries on various parts of her body that are in different stages of healing.
3. The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
Ans. “Because childbirth is normal, after my baby’s birth our family dynamics will not change.”
4. The nurse in labor and birth is caring for a Muslim patient during the active phase of labor. The nurse notes that the patient quickly draws away when touched. Which intervention should the nurse implement?
Ans. Limit touching to a minimum because physical contact may not be acceptable in her culture.
5. The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse explain is responsible for milk production after the birth of the placenta?
Ans. Prolactin.
6. A patient tells the nurse at a prenatal interview that she has quit smoking, and only has one glass of wine with dinner. Which response by the nurse will be most helpful in promoting a lifestyle change?
Ans. “You have made some good progress toward having a healthy baby.
Let’s talk about the changes you have made.”
7. A 35-year-old patient has an amniocentesis performed to identify whether her baby has a chromosomal defect. Which statement indicates that the patient understands the situation?
Ans. “When all the lab results come back, my husband and I will make a decision about the pregnancy.”
8. The patient indicates to the clinic nurse that she is trying to become pregnant. The clinic nurse reviews the patient’s chart and notes the following laboratory values: Blood type O−, RPR nonreactive, rubella non-immune, HCT 35%. Which laboratory value is most concerning to the nurse?
Ans. Rubella non-immune.
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