HESI MATERNITY OB ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ 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.
,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 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate
which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia..
Answer: Transient tachypnea of the newborn
◉ A primipara client at 42 weeks gestation is admitted for induction.
within one hour after initiating an oxytocin infusion, her cervix is
, 100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions
are occurring every 5 minutes with 20 second duration. Which
intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol..
Answer: Restart oxytocin infusion rate per protocol
◉ A primigravida arrives at the observation unit of the maternity
unit because she thinks she is in labor. The nurse applies the
external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly
every 10-15 minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact..
Answer: Contractions decrease with walking
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ 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.
,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 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate
which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia..
Answer: Transient tachypnea of the newborn
◉ A primipara client at 42 weeks gestation is admitted for induction.
within one hour after initiating an oxytocin infusion, her cervix is
, 100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions
are occurring every 5 minutes with 20 second duration. Which
intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol..
Answer: Restart oxytocin infusion rate per protocol
◉ A primigravida arrives at the observation unit of the maternity
unit because she thinks she is in labor. The nurse applies the
external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly
every 10-15 minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact..
Answer: Contractions decrease with walking
