HESI MATERNITY OB EXAM PREP UPDATED
STUDY GUIDE SOLVED QUESTIONS AND
ANSWERS
◉ The nurse is teaching breastfeeding to prospective parents in a
childbirth education class. Which instruction should the nurse
include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour
feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at
night in the nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever
comes first
D. Do not allow your baby to nurse any longer than the prescribed
number of minutes.
Answer: C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
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 nurse should
discontinue the oxytocin infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds
each
C. Active labor with contractions every 31 minutes, lasting 60
seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to
80 seconds each.
Answer: A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
,When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin infusion
should be discontinued because placental perfusion is impeded
◉ Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8
weeks
B. a subarachnoid hematoma, which requires immediate drainage to
prevent further complications
C. molding, caused by pressure during labor and will disappear
withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage.
Answer: A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn,
usually arises within the first 24 hours after delivery. Trauma from
delivery causes capillary bleeding between the periosteum and the
skull.
, ◉ The nurse is assessing a 3-day old infant with a cephalohematoma
in the newborn nursery. Which assessment finding should the nurse
report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise.
Answer: A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone
and its covering, the periosteum. Due to the breakdown of the red
blood cells within a hematoma, the infant is at a greater risk for
jaundice, so a yellowish tinge to the skin should be reported.
◉ After each feeding, a 3-day-old newborn is spitting up large
amounts of Enfamil Newborn Formula, a nonfat cow's milk formula.
The pediatric healthcare provider changes the neonate's formula to
Simialc Soy Isomil formula, a soy protein isolate based infant
formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with
impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed
with diarrhea
STUDY GUIDE SOLVED QUESTIONS AND
ANSWERS
◉ The nurse is teaching breastfeeding to prospective parents in a
childbirth education class. Which instruction should the nurse
include as content in the class?
A. Begin as soon as your baby is born to establish a four-hour
feeding schedule
B. Resting helps with milk production. Ask that your baby be fed at
night in the nursery
C. Feed your baby every 2 to 3 hours or on demand, whichever
comes first
D. Do not allow your baby to nurse any longer than the prescribed
number of minutes.
Answer: C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
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 nurse should
discontinue the oxytocin infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds
each
C. Active labor with contractions every 31 minutes, lasting 60
seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to
80 seconds each.
Answer: A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
,When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin infusion
should be discontinued because placental perfusion is impeded
◉ Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8
weeks
B. a subarachnoid hematoma, which requires immediate drainage to
prevent further complications
C. molding, caused by pressure during labor and will disappear
withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage.
Answer: A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn,
usually arises within the first 24 hours after delivery. Trauma from
delivery causes capillary bleeding between the periosteum and the
skull.
, ◉ The nurse is assessing a 3-day old infant with a cephalohematoma
in the newborn nursery. Which assessment finding should the nurse
report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise.
Answer: A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone
and its covering, the periosteum. Due to the breakdown of the red
blood cells within a hematoma, the infant is at a greater risk for
jaundice, so a yellowish tinge to the skin should be reported.
◉ After each feeding, a 3-day-old newborn is spitting up large
amounts of Enfamil Newborn Formula, a nonfat cow's milk formula.
The pediatric healthcare provider changes the neonate's formula to
Simialc Soy Isomil formula, a soy protein isolate based infant
formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with
impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed
with diarrhea
