lOMoARcPSD|46354221
HESI OB Maternity 2024
Maternal-Child Nursing (Chamberlain University)
, lOMoARcPSD|46354221
HESI OB MATERNITY 2024-2025
NEWEST VERSION WITH 70
QUESTIONS AND VERIFIED
CORRECT ANSWERS/GRADED A+
A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes the nurse observes several shallow small
vesicles on her pubis labia and perineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - ANSWER herpes simplex virus
A client who had her first baby three months ago and is breastfeeding
her infant tells the nurse that she is currently using the same diaphragm
that she used before becoming pregnant. Which information should the
nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm
has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is
obtained. - ANSWER Use an alternate form of contraceptive until a new
diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a
30- hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
1
, lOMoARcPSD|46354221
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - ANSWER Observe for
signs of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - ANSWER Inform the anesthesia
care provider
The nurse is caring for a postpartum client who is exhibiting symptoms
of a spinal headache 24 hours following delivery of a normal newborn.
Prior to the anesthesiologist arrival on the unit, which action should the
nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - ANSWER Place procedure
equipment at bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chest
circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - ANSWER Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean
section 2 hours ago. The nurse observes the infant's respiratory rate is 72
2
HESI OB Maternity 2024
Maternal-Child Nursing (Chamberlain University)
, lOMoARcPSD|46354221
HESI OB MATERNITY 2024-2025
NEWEST VERSION WITH 70
QUESTIONS AND VERIFIED
CORRECT ANSWERS/GRADED A+
A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes the nurse observes several shallow small
vesicles on her pubis labia and perineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - ANSWER herpes simplex virus
A client who had her first baby three months ago and is breastfeeding
her infant tells the nurse that she is currently using the same diaphragm
that she used before becoming pregnant. Which information should the
nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm
has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is
obtained. - ANSWER Use an alternate form of contraceptive until a new
diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a
30- hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
1
, lOMoARcPSD|46354221
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - ANSWER Observe for
signs of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - ANSWER Inform the anesthesia
care provider
The nurse is caring for a postpartum client who is exhibiting symptoms
of a spinal headache 24 hours following delivery of a normal newborn.
Prior to the anesthesiologist arrival on the unit, which action should the
nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - ANSWER Place procedure
equipment at bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chest
circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - ANSWER Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean
section 2 hours ago. The nurse observes the infant's respiratory rate is 72
2
