OB/Maternity HESI practice questions and answers to pass for 2024 guaranteed ==
The nurse is assessing a postpartum client who delivered a 10 pound infant vaginally two hours ago. The
clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and boggy. After the
client voids 250 ml of urine using a bedpan, what action should the nurse implement?
A. Re-evaluate the client in 15 minutes
B. Assist the client to the bathroom to void
C. Palpate the suprapubic region for distention
D. Encourage the client to breastfeed - ANSWER-C
At 0600 while admitting a woman for a scheduled repeat c section, the client tells the nurse that she
drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action should the
nurse take first?
A. Ensure preoperative lab results are available
B. Start prescribed IV with Lactated Ringers
C. Inform the anesthesia care provider
D. Contact the clients obstetrician - ANSWER-C
A client who is in active labor is receiving magnesium sulfate and begin to experience slurred speech and
decreased reflexes. Which action should the nurse implement first?
A. Obtain a serum magnesium level
B. Measure the clients hourly urinary output
C. Provide an emesis basin for vomiting
D. Turn off the magnesium sulfate infusion - ANSWER-D
A 3 hour old male infant's hands are feet are cyanotic, and he has an axillary temperature of 96.5 F, a
respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing intervention is best
for the nurse to implement?
A. Perform a heel- stick to monitor blood glucose level
B.Gradually warm the infant under a radiant heart source
C. Administer oxygen by mask at 2L/minute
D. Notify the pediatrician of the infants unstable vital signs - ANSWER-B
,One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural
and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains
current vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C.Palpate the suprapubic area for bladder distention
D.Provide bedpan to void if unable to ambulate - ANSWER-C
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to
help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the
breast milk. What action should the nurse implement first?
A.Wipe away the spit-up and assist the mother with the diaper change
B.Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet - ANSWER-B
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV
Pitocin is infused. When notifying the hcp of the clients condition, what information is most important
for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed - ANSWER-B
The nurse is caring for a newborn infant who was recently diagnosed with a congenital heart defect.
Which assessment finding warrants immediate intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
,D. Increased respiratory rate - ANSWER-C
A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which
information is most important for the nurse to provide the client?
A.When there is no significant vaginal bleeding
B. When ambulating to void does not cause dizziness
C. After the vitamin K injection is given to the baby
D. After the baby no longer demonstrates acrocyanosis - ANSWER-A
A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no
contractions are noted on the external monitor. Which intervention should the nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID - ANSWER-A
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human
papilloma virus). What information should the nurse provide this client?
A.Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered - ANSWER-A
One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is
positive. Which hormone is responsible for producing the positive result?
A. Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Alpha - ANSWER-C
, A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information should the
nurse provide prior to discharge?
A.Avoid using lanolin-based nipple cream or ointment
B.Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth - ANSWER-B
A 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 of 162 beats/minute
B. Trace of protein in the urine
C.Positive fetal hemoglobin test
D. Mild contractions every 10 minutes - ANSWER-C
The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours
following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit, which action
should the nurse perform?
A.Place procedure equipment at bedside
B. Apply an abdominal binder
C. Cleanse the spinal injection site
D. Insert an indwelling foley catheter - ANSWER-A
The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning sickness, but
does not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client
with the nausea she is experiencing?
A. Ginko
B. Chamomile
C. Peppermint
D. Ginger - ANSWER-D
The nurse is assessing a postpartum client who delivered a 10 pound infant vaginally two hours ago. The
clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and boggy. After the
client voids 250 ml of urine using a bedpan, what action should the nurse implement?
A. Re-evaluate the client in 15 minutes
B. Assist the client to the bathroom to void
C. Palpate the suprapubic region for distention
D. Encourage the client to breastfeed - ANSWER-C
At 0600 while admitting a woman for a scheduled repeat c section, the client tells the nurse that she
drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action should the
nurse take first?
A. Ensure preoperative lab results are available
B. Start prescribed IV with Lactated Ringers
C. Inform the anesthesia care provider
D. Contact the clients obstetrician - ANSWER-C
A client who is in active labor is receiving magnesium sulfate and begin to experience slurred speech and
decreased reflexes. Which action should the nurse implement first?
A. Obtain a serum magnesium level
B. Measure the clients hourly urinary output
C. Provide an emesis basin for vomiting
D. Turn off the magnesium sulfate infusion - ANSWER-D
A 3 hour old male infant's hands are feet are cyanotic, and he has an axillary temperature of 96.5 F, a
respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing intervention is best
for the nurse to implement?
A. Perform a heel- stick to monitor blood glucose level
B.Gradually warm the infant under a radiant heart source
C. Administer oxygen by mask at 2L/minute
D. Notify the pediatrician of the infants unstable vital signs - ANSWER-B
,One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural
and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains
current vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C.Palpate the suprapubic area for bladder distention
D.Provide bedpan to void if unable to ambulate - ANSWER-C
After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to
help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the
breast milk. What action should the nurse implement first?
A.Wipe away the spit-up and assist the mother with the diaper change
B.Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet - ANSWER-B
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV
Pitocin is infused. When notifying the hcp of the clients condition, what information is most important
for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed - ANSWER-B
The nurse is caring for a newborn infant who was recently diagnosed with a congenital heart defect.
Which assessment finding warrants immediate intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
,D. Increased respiratory rate - ANSWER-C
A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which
information is most important for the nurse to provide the client?
A.When there is no significant vaginal bleeding
B. When ambulating to void does not cause dizziness
C. After the vitamin K injection is given to the baby
D. After the baby no longer demonstrates acrocyanosis - ANSWER-A
A client at 33- weeks gestation is admitted with a moderate amount of vaginal bleeding and no
contractions are noted on the external monitor. Which intervention should the nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID - ANSWER-A
A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human
papilloma virus). What information should the nurse provide this client?
A.Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered - ANSWER-A
One week after missing her menstrual period, a woman performs an OTC pregnancy test and it is
positive. Which hormone is responsible for producing the positive result?
A. Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Alpha - ANSWER-C
, A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What information should the
nurse provide prior to discharge?
A.Avoid using lanolin-based nipple cream or ointment
B.Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth - ANSWER-B
A 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 of 162 beats/minute
B. Trace of protein in the urine
C.Positive fetal hemoglobin test
D. Mild contractions every 10 minutes - ANSWER-C
The nurse is caring for a postpartal patient who is exhibiting symptoms of spinal headaches 24 hours
following delivery of a normal newborn. Prior to anesthesiologists's arrival on the unit, which action
should the nurse perform?
A.Place procedure equipment at bedside
B. Apply an abdominal binder
C. Cleanse the spinal injection site
D. Insert an indwelling foley catheter - ANSWER-A
The nurse is counseling a client who is at 6 weeks gestation and is experiencing morning sickness, but
does not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client
with the nausea she is experiencing?
A. Ginko
B. Chamomile
C. Peppermint
D. Ginger - ANSWER-D
