HESI OB MATERNITY
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 are prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - ANS herpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant tells the nurse
that she is currently using the same diaphragm that she used before becoming pregnant. Which
information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. - ANS Use an
alternate form of contraceptive until a new diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the
priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - ANS Observe for signs of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting
a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - ANS Inform the anesthesia care provider
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24
hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit,
which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - ANS Place procedure equipment at bedside
, The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a
head circumference of 13 inches, and a chest circumference of 10 inches. Based on these
physical findings, assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - ANS Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago.
The nurse observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - ANS Transient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating
an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring
every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts oxygen.
After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second
duration. Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - ANS Restart oxytocin infusion rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly every 10-15 minutes. Which
assessment finding confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - ANS Contractions decrease with walking
A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for
induction of labor. The nurse administers misoprostol at 0700, then observes regular
contractions with cervical changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - ANS Begin oxytocin 4hrs after misoprostol is
given
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 are prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - ANS herpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant tells the nurse
that she is currently using the same diaphragm that she used before becoming pregnant. Which
information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. - ANS Use an
alternate form of contraceptive until a new diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the
priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - ANS Observe for signs of uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting
a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - ANS Inform the anesthesia care provider
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24
hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit,
which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - ANS Place procedure equipment at bedside
, The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a
head circumference of 13 inches, and a chest circumference of 10 inches. Based on these
physical findings, assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - ANS Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago.
The nurse observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - ANS Transient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating
an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring
every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts oxygen.
After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second
duration. Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - ANS Restart oxytocin infusion rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly every 10-15 minutes. Which
assessment finding confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - ANS Contractions decrease with walking
A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for
induction of labor. The nurse administers misoprostol at 0700, then observes regular
contractions with cervical changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - ANS Begin oxytocin 4hrs after misoprostol is
given
