HESI OB MATERNITY VERSION 1 ACTUAL TEST
PAPER WITH CORRECT ANSWERS
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
Answer: It is difficult to consume 18 mg of additional iron by diet
alone.
◉ The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which infectious
organism will this treatment prevent from harming the infant?
Answer: Gonorrhea.
◉ 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?
Answer: Onset of uterine contractions.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
,pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM X 1. What action should the nurse take immediately?
Answer: Call the healthcare provider to question the prescription
◉ The nurse is preparing a client with a term pregnancy who is in
active labor for an amniotomy. What equipment should the nurse
have available at the client's bedside?
Answer: A sterile glove.
An amnihook.
Lubricant.
◉ A 28-year-old G1 P0 client who is currently 32 weeks pregnant is
started on IV magnesium sulfate after being diagnosed with severe
preeclampsia. After determining the serum magnesium level to be
15 mEq/L, the nurse should expect which of the following
manifestations in the client?
Answer: Respiratory distress.
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate?
Answer: Dark, red vaginal bleeding.A rigid abdomen
, ◉ Immediately after birth a newborn infant is suctioned, dried, and
placed under a radiant warmer. The infant has spontaneous
respirations and the nurse assesses an apical heart rate of 80
beats/minute and respirations of 20 breaths/minute. What action
should the nurse perform next?
Answer: A. Initiate positive pressure ventilation
◉ The nurse attempts to help an unmarried teenager deal with her
feelings following a spontaneous abortion at 8-weeks gestation.
What type of emotional response should the nurse anticipate?
Answer: Grief related to her perceptions about the loss of this child.
◉ The nurse is assessing a client who is having a non-stress test
(NST) at 41-weeks gestation. The nurse determines that the client is
not having contractions, the fetal heart rate (FHR) baseline is 144
bpm, and no FHR accelerations are occurring. What action should
the nurse take?
Answer: Ask the client if she has felt any fetal movement.
◉ 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 fetal
status?
Answer: Biophysical profile (BPP)
PAPER WITH CORRECT ANSWERS
◉ A client who is attending antepartum classes asks the nurse why
her healthcare provider has prescribed iron tablets. The nurse's
response is based on what knowledge?
Answer: It is difficult to consume 18 mg of additional iron by diet
alone.
◉ The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which infectious
organism will this treatment prevent from harming the infant?
Answer: Gonorrhea.
◉ 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?
Answer: Onset of uterine contractions.
◉ One hour after giving birth to an 8-pound infant, a client's lochia
rubra has increased from small to large and her fundus is boggy
despite massage. The client's pulse is 84 beats/minute and blood
,pressure is 156/96. The healthcare provider prescribes Methergine
0.2 mg IM X 1. What action should the nurse take immediately?
Answer: Call the healthcare provider to question the prescription
◉ The nurse is preparing a client with a term pregnancy who is in
active labor for an amniotomy. What equipment should the nurse
have available at the client's bedside?
Answer: A sterile glove.
An amnihook.
Lubricant.
◉ A 28-year-old G1 P0 client who is currently 32 weeks pregnant is
started on IV magnesium sulfate after being diagnosed with severe
preeclampsia. After determining the serum magnesium level to be
15 mEq/L, the nurse should expect which of the following
manifestations in the client?
Answer: Respiratory distress.
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate?
Answer: Dark, red vaginal bleeding.A rigid abdomen
, ◉ Immediately after birth a newborn infant is suctioned, dried, and
placed under a radiant warmer. The infant has spontaneous
respirations and the nurse assesses an apical heart rate of 80
beats/minute and respirations of 20 breaths/minute. What action
should the nurse perform next?
Answer: A. Initiate positive pressure ventilation
◉ The nurse attempts to help an unmarried teenager deal with her
feelings following a spontaneous abortion at 8-weeks gestation.
What type of emotional response should the nurse anticipate?
Answer: Grief related to her perceptions about the loss of this child.
◉ The nurse is assessing a client who is having a non-stress test
(NST) at 41-weeks gestation. The nurse determines that the client is
not having contractions, the fetal heart rate (FHR) baseline is 144
bpm, and no FHR accelerations are occurring. What action should
the nurse take?
Answer: Ask the client if she has felt any fetal movement.
◉ 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 fetal
status?
Answer: Biophysical profile (BPP)
