HESI Maternity OB Exam (Versions 1, 2 & 3 + A, B, C
Practice) 2026/2027 || Elsevier Evolve
||Comprehensive Obstetric & Newborn Care
Competency Assessment Package!!
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action will the nurse take?
A. Notify the healthcare provider or anesthesiologist
immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
,D. Turn off the continuous epidural - ANSWER-C. Place
the woman in a lateral position
These symptoms are suggestive of hypotension which is a
side effect of epidural anesthesia. Raising the foot of the
bed will increase venous return and provide blood to the
vital areas. Increasing the IV fluid rate using a balanced
non-dextrose solution and ensuring that the client is in a
lateral position are also appropriate interventions, and
then checking the patients blood pressure.
A newborn infant is brought to the nursery from the
birthing suite. The nurse notices that the infant is breathing
satisfactorily but appears dusky. What action should the
nurse take first?
,A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - ANSWER-C.
Check the infant's oxygen saturation rate
Breastfeeding infants should be kept in the room with the
mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
, A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANSWER-C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta
covering the entire cervical os (opening). The onset of
uterine contractions places the client at risk for dilation and
placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous
infusion of oxytocin (Pitocin) to augment early labor. the
Practice) 2026/2027 || Elsevier Evolve
||Comprehensive Obstetric & Newborn Care
Competency Assessment Package!!
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action will the nurse take?
A. Notify the healthcare provider or anesthesiologist
immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
,D. Turn off the continuous epidural - ANSWER-C. Place
the woman in a lateral position
These symptoms are suggestive of hypotension which is a
side effect of epidural anesthesia. Raising the foot of the
bed will increase venous return and provide blood to the
vital areas. Increasing the IV fluid rate using a balanced
non-dextrose solution and ensuring that the client is in a
lateral position are also appropriate interventions, and
then checking the patients blood pressure.
A newborn infant is brought to the nursery from the
birthing suite. The nurse notices that the infant is breathing
satisfactorily but appears dusky. What action should the
nurse take first?
,A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - ANSWER-C.
Check the infant's oxygen saturation rate
Breastfeeding infants should be kept in the room with the
mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
, A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANSWER-C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta
covering the entire cervical os (opening). The onset of
uterine contractions places the client at risk for dilation and
placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous
infusion of oxytocin (Pitocin) to augment early labor. the
