HESI OB MATERNITY VERSION 1
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
Answer: 30 weeks gestation
◉ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan?
Answer: Mood swings.
Tearfulness.
◉ A 35-year-old primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data would indicate to the nurse that the client is
experiencing magnesium sulfate toxicity?
Answer: Urine output 90mL / 4 hours
,◉ The nurse assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus
slightly tense between contractions, BP 110/68, FHR 110
beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse
implement?
Answer: C. monitor bleeding from IV sites.
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital
at 28-weeks gestation in preterm labor. She is given 3 doses of
terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her
labor contractions. Which assessment finding would provide the
nurse the earliest indication that the client is experiencing primary
side effects of terbutaline sulfate?
Answer: Tachycardia and a feeling of nervousness.
◉ 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
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
Answer: 30 weeks gestation
◉ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan?
Answer: Mood swings.
Tearfulness.
◉ A 35-year-old primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data would indicate to the nurse that the client is
experiencing magnesium sulfate toxicity?
Answer: Urine output 90mL / 4 hours
,◉ The nurse assesses a client admitted to the labor and delivery unit
and obtains the following data: dark red vaginal bleeding, uterus
slightly tense between contractions, BP 110/68, FHR 110
beats/minute, cervix 1 cm dilated and uneffaced. Based on these
assessment findings, what intervention should the nurse
implement?
Answer: C. monitor bleeding from IV sites.
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital
at 28-weeks gestation in preterm labor. She is given 3 doses of
terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her
labor contractions. Which assessment finding would provide the
nurse the earliest indication that the client is experiencing primary
side effects of terbutaline sulfate?
Answer: Tachycardia and a feeling of nervousness.
◉ 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
