Hesi Maternity OB Exam Questions &
Answers (A+ grade)
• The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The
nurse observes red marks on the head with swelling that does not cross the suture line. Which
condition should the nurse documents in the medical record?
• Caput succedaneum
• Hydrocephalus
• Cephalhematoma
• Microcephaly
• A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal
bleeding.
Fetal rate of 130 - 140 beats per minute, no contractions and no complaints of pain what is the most
likely cause of these client's bleeding.
A Abruptio Placenta
• Placenta Previa
• Normal bloody show indicting induction of labor
• A ruptured blood vessel in the vaginal vault.
• A client at 30 weeks gestation reports that she has not felt the baby move in the last 24
hours. Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the
hospital. which assessment warrants immediate intervention by the nurse.
• Fetal Heart rate 60 beats per minute
• Ruptured amniotic membrane
• onset of uterine contractions
• leaking amniotic fluid.
,• A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the
nurse should recognize the clients is prohibiting symptoms of which condition?
A Genital Warts
• Syphilis
• Herpes Simplex Virus
• German Measles
• The nurse is planning care for a client at 30 weeks gestation who is experiencing
preterm labor which maternity description is most important in preventing this fetus from developing
respiratory distress syndrome.
A Ampicillin 1 gram IV push q8h
• Betamethasone 12 mg deep IM
• Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
• Butorphanol tartrate 1mg IV push q2h PRN.
• A 16 year old gravida 1 para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to
include in this client's nursing care plan?
A Allow liberal family visitation
, • Keep an airway at the bedside
• Assess temperature every hour
• Monitor blood pressure, pulse, and respiration every 4 hours.
• At 12 hours after the birth of a healthy infant the mother complains of feeling constant
vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra
lochia. which action should nurse take?
A Check the suprapubic area for distention.
• Inform the client to take a warm sitz bath
• Inspect clients perineal and rectal areas
• Apply a fresh pad and check in 1 hour.
• If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma
in a motor vehicle collision. Which assessment finding is most important for the nurse to report to
the health care provider?
• A Fetal heart rate at 162 beats /minute
• Mild contractions every 10 minutes.
• Trace of protein in the urine
• D. Positive fetal hemoglobin testing
Answers (A+ grade)
• The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The
nurse observes red marks on the head with swelling that does not cross the suture line. Which
condition should the nurse documents in the medical record?
• Caput succedaneum
• Hydrocephalus
• Cephalhematoma
• Microcephaly
• A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal
bleeding.
Fetal rate of 130 - 140 beats per minute, no contractions and no complaints of pain what is the most
likely cause of these client's bleeding.
A Abruptio Placenta
• Placenta Previa
• Normal bloody show indicting induction of labor
• A ruptured blood vessel in the vaginal vault.
• A client at 30 weeks gestation reports that she has not felt the baby move in the last 24
hours. Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the
hospital. which assessment warrants immediate intervention by the nurse.
• Fetal Heart rate 60 beats per minute
• Ruptured amniotic membrane
• onset of uterine contractions
• leaking amniotic fluid.
,• A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the
nurse should recognize the clients is prohibiting symptoms of which condition?
A Genital Warts
• Syphilis
• Herpes Simplex Virus
• German Measles
• The nurse is planning care for a client at 30 weeks gestation who is experiencing
preterm labor which maternity description is most important in preventing this fetus from developing
respiratory distress syndrome.
A Ampicillin 1 gram IV push q8h
• Betamethasone 12 mg deep IM
• Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
• Butorphanol tartrate 1mg IV push q2h PRN.
• A 16 year old gravida 1 para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to
include in this client's nursing care plan?
A Allow liberal family visitation
, • Keep an airway at the bedside
• Assess temperature every hour
• Monitor blood pressure, pulse, and respiration every 4 hours.
• At 12 hours after the birth of a healthy infant the mother complains of feeling constant
vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra
lochia. which action should nurse take?
A Check the suprapubic area for distention.
• Inform the client to take a warm sitz bath
• Inspect clients perineal and rectal areas
• Apply a fresh pad and check in 1 hour.
• If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma
in a motor vehicle collision. Which assessment finding is most important for the nurse to report to
the health care provider?
• A Fetal heart rate at 162 beats /minute
• Mild contractions every 10 minutes.
• Trace of protein in the urine
• D. Positive fetal hemoglobin testing
