HESI OB Maternity V1 Examination 2026/2027 –
Elsevier Evolve – Comprehensive Obstetric &
Newborn Care Competency Assessment|Just
Released!!
The nurse should explain to a 30-year-old gravid client
that alpha fetoprotein testing is recommended for which
purpose?
A. Detect cardiovascular disorders
B. Screen for neural tube defects
C. Monitor the placental functioning
D. Assess for maternal pre-eclampsia - ANSWER-B.
Screen for neural tube defects
,A primigravida at 40-weeks gestation is receiving oxytocin
to augment labor. Which adverse effect should the nurse
monitor for during the infusion of Pitocin?
A. Dehydration
B. Hyperstimulation
C. Galactorrhea
D. Fetal tachycardia - ANSWER-B. Hyperstimulation
A 23-year-old client who is receiving Medicaid benefits is
pregnant with her first child. Based on knowledge of the
statistics related to infant mortality, which plan should the
nurse implement with this client?
A. Refer the client to a social worker to arrange for home
care
,B. Recommend perinatal care from an obstetrician, not a
nurse-midwife
C. Teach the client why keeping prenatal care
appointments is important
D. Advise the client that neonatal intensive care may be
needed - ANSWER-C. Teach the client why keeping
prenatal care appointments is important
A female client with insulin-dependent diabetes arrives at
the clinic seeking a plan to get pregnant in approximately
6 months. She tells the nurse that she wants to have an
uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
A. "Your current dose of insulin should be maintained
throughout your pregnancy."
, B. "Maintain blood sugar levels in a constant range within
normal limits during pregnancy."
C. "The course and outcome of your pregnancy is not an
achievable goal with diabetes."
D. "Expect an increase in insulin dosages by 5 units/week
during the first trimester." - ANSWER-B. "Maintain blood
sugar levels in a constant range within normal limits during
pregnancy."
A multigravida client at 41-weeks gestation presents in the
labor and delivery unit after a non-stress test indicated that
the fetus is experiencing some difficulties in utero. Which
diagnostic test should the nurse prepare the client for
additional information about the fetus?
A. Biophysical profile (BPP)
Elsevier Evolve – Comprehensive Obstetric &
Newborn Care Competency Assessment|Just
Released!!
The nurse should explain to a 30-year-old gravid client
that alpha fetoprotein testing is recommended for which
purpose?
A. Detect cardiovascular disorders
B. Screen for neural tube defects
C. Monitor the placental functioning
D. Assess for maternal pre-eclampsia - ANSWER-B.
Screen for neural tube defects
,A primigravida at 40-weeks gestation is receiving oxytocin
to augment labor. Which adverse effect should the nurse
monitor for during the infusion of Pitocin?
A. Dehydration
B. Hyperstimulation
C. Galactorrhea
D. Fetal tachycardia - ANSWER-B. Hyperstimulation
A 23-year-old client who is receiving Medicaid benefits is
pregnant with her first child. Based on knowledge of the
statistics related to infant mortality, which plan should the
nurse implement with this client?
A. Refer the client to a social worker to arrange for home
care
,B. Recommend perinatal care from an obstetrician, not a
nurse-midwife
C. Teach the client why keeping prenatal care
appointments is important
D. Advise the client that neonatal intensive care may be
needed - ANSWER-C. Teach the client why keeping
prenatal care appointments is important
A female client with insulin-dependent diabetes arrives at
the clinic seeking a plan to get pregnant in approximately
6 months. She tells the nurse that she wants to have an
uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
A. "Your current dose of insulin should be maintained
throughout your pregnancy."
, B. "Maintain blood sugar levels in a constant range within
normal limits during pregnancy."
C. "The course and outcome of your pregnancy is not an
achievable goal with diabetes."
D. "Expect an increase in insulin dosages by 5 units/week
during the first trimester." - ANSWER-B. "Maintain blood
sugar levels in a constant range within normal limits during
pregnancy."
A multigravida client at 41-weeks gestation presents in the
labor and delivery unit after a non-stress test indicated that
the fetus is experiencing some difficulties in utero. Which
diagnostic test should the nurse prepare the client for
additional information about the fetus?
A. Biophysical profile (BPP)
