HESI OB MATERNITY VERSION 1
CERTIFICATION EVALUATION EXAMS SET
WITH COMPLETE ANSWERS AND EXPERT
REVIEW
◉ A one-day-old neonate develops a cephalohematoma. The nurse
should closely assess this neonate for which common
complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia
Answer: A. jaundice
◉ The nurse is reviewing the serum laboratory finding for a 5-
day-old infant with congenital adrenal hyperplasia. Which
laboratory results should be reported to the healthcare provider
immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L
Answer: D. Sodium of 119 mEq/L
,◉ At 39-weeks gestation, a multigravida is having a non-stress
test (NST). The fetal heart rate (FHR) has remained nonreactive
during the 30 minutes of evaluation. Based on this finding, which
action should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen
Answer: D. Place an acoustic stimulator on the abdomen
◉ A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32-
weeks gestation. The client tells the nurse that she has been
having intermittent back pain since the night before. What is the
priority nursing intervention?
A. Ask the clients mother to call an ambulance for transport to the
hospital immediately.
B. Determine what physical activities the client has performed for
the past 24 hours
C. Teach the client if she has experienced any recent changes in
vaginal discharge.
Answer: C. Teach the client if she has experienced any recent
changes in vaginal discharge.
◉ Albumin 25% IV is prescribed for a child with nephrotic
syndrome. Which assessment finding indicates to the nurse that
the medication is having the desired effect?
,A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema
Answer: D. Reduction of edema
◉ The nurse is conducting postpartum teaching with a mother
who is breastfeeding here infant. When discussing birth control,
which method should the nurse recommend to this client as
beneficial for her to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives.
Answer: B. Condoms and contraceptive foam or gel
◉ One day after a vaginal delivery of a full-term baby, a
postpartum client's white blood cell count is 15,000/mm2. What
action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of
infection
D. Assess the clients perineal area for signs of a perineal
hematoma.
, Answer: A. Check he differential, since the WBC is normal for this
client.
◉ The parents of a newborn tell the nurse that their baby is
already trying to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex.
Answer: D. Explain the newborn's normal stepping reflex.
◉ A breastfeeding infant, screened for congenital hypothyroidism,
is found to have low levels of thyroxine (t4) and high levels of
thyroid stimulating hormone (TSH)/ What is the best explanation
for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine
for several weeks after birth
D. The TSH is high because of the low production of T4 by the
thyroid.
Answer: D. The TSH is high because of the low production of T4 by
the thyroid.
CERTIFICATION EVALUATION EXAMS SET
WITH COMPLETE ANSWERS AND EXPERT
REVIEW
◉ A one-day-old neonate develops a cephalohematoma. The nurse
should closely assess this neonate for which common
complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia
Answer: A. jaundice
◉ The nurse is reviewing the serum laboratory finding for a 5-
day-old infant with congenital adrenal hyperplasia. Which
laboratory results should be reported to the healthcare provider
immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L
Answer: D. Sodium of 119 mEq/L
,◉ At 39-weeks gestation, a multigravida is having a non-stress
test (NST). The fetal heart rate (FHR) has remained nonreactive
during the 30 minutes of evaluation. Based on this finding, which
action should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen
Answer: D. Place an acoustic stimulator on the abdomen
◉ A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32-
weeks gestation. The client tells the nurse that she has been
having intermittent back pain since the night before. What is the
priority nursing intervention?
A. Ask the clients mother to call an ambulance for transport to the
hospital immediately.
B. Determine what physical activities the client has performed for
the past 24 hours
C. Teach the client if she has experienced any recent changes in
vaginal discharge.
Answer: C. Teach the client if she has experienced any recent
changes in vaginal discharge.
◉ Albumin 25% IV is prescribed for a child with nephrotic
syndrome. Which assessment finding indicates to the nurse that
the medication is having the desired effect?
,A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema
Answer: D. Reduction of edema
◉ The nurse is conducting postpartum teaching with a mother
who is breastfeeding here infant. When discussing birth control,
which method should the nurse recommend to this client as
beneficial for her to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives.
Answer: B. Condoms and contraceptive foam or gel
◉ One day after a vaginal delivery of a full-term baby, a
postpartum client's white blood cell count is 15,000/mm2. What
action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of
infection
D. Assess the clients perineal area for signs of a perineal
hematoma.
, Answer: A. Check he differential, since the WBC is normal for this
client.
◉ The parents of a newborn tell the nurse that their baby is
already trying to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex.
Answer: D. Explain the newborn's normal stepping reflex.
◉ A breastfeeding infant, screened for congenital hypothyroidism,
is found to have low levels of thyroxine (t4) and high levels of
thyroid stimulating hormone (TSH)/ What is the best explanation
for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine
for several weeks after birth
D. The TSH is high because of the low production of T4 by the
thyroid.
Answer: D. The TSH is high because of the low production of T4 by
the thyroid.
