2023 MATERNITY/OB PN HESI
SPECIALITY V1
1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty
minutes after admission, the client reports feeling...
,1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty
minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain.
Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of
86/48. Which action should the nurse implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2) During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who
have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
Correct Answer: D
3) Which action should the LPN/LVN implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
, D. Give the client some cold juice to drink.
Correct Answer:A
4) The LPN/LVN identifies crepitus when examining the chest of a newborn who was delivered
vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
Correct Answer: B
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small
to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood
pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription.
Correct Answer: D
6) The LPN/LVN is preparing to give an enema to a laboring client. Which client requires the most
caution when carrying out this procedure?
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