HESI OB/MATERNITY PRACTICE QUIZ | ANSWERED
QUESTIONS AND ANSWERS WITH NGN | 2024
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - correct answers c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation - correct
answers a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly - correct answers c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural - correct answers c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second
week
,d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month - correct answers d. anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is most
significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute - correct answers a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - correct answers c. changes in
apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - correct answers b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of transition
using the Dubowitz scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40 weeks. Which findings should the nurse identify to
determine if the neonate is SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position - correct answers a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers - correct answers c. monitor for bleeding from IV sites
,Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous respirations and the nurse assess an apical heart
rate of 80 bpm and respirations 20. What action should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. eeassess eethe eeinfant's eeblood eeglucose eelevel ee- eecorrect eeanswers eea. eeinitiate eepositive
eepressure eeventilation
A eeclient eewith eeno eeprenatal eecare eearrives eeat eethe eelabor eeunit eescreaming, ee"The eebaby eeis
eecoming!" eeThe eenurse eeperforms eea eevaginal eeexamination eethat eereveals eethe eecervix eeis ee3
eecm eedilated eeand ee75% eeeffaced. eeWhat eeadditional eeinformation eeis eemost eeimportant eefor
eethe eenurse eeto eeobtain?
a. eegravidity eeand eeparity
b. eetime eeand eeamount eeof eelast eeoral eeintake
c. eedate eeof eelast eenormal eemenstrual eeperiod
d. eefrequency eeand eeintensity eeof eecontractions ee- eecorrect eeanswers eec. eedate eeof eelast
eenormal eemenstrual eeperiod
A eemutigravida eeclient eeat ee41 eeweeks eegestation eepresent eein eethe eelabor eeand eedelivery eeunit
eeafter eea eenon-stress eetest eeindicated eethat eethe eefetus eeis eeexperiencing eesome eedifficulties
eein eeutero. eeWhich eediagnostic eetest eeshould eethe eenurse eeprepare eethe eeclient eefor
eeadditional eeinformation eeabout eefetal eestatus?
a. eebiophysical eeprofile
b. eeultrasound eefor eefetal eeabnormalities
c. eematernal eeserum eealpha-fetoprotein eescreening
d. eepercutaneous eeumbilical eeblood eesampling ee- eecorrect eeanswers eea. eebiophysical eeprofile
A eeclient eereceiving eeepidural eeanesthesia eebegins eeto eeexperience eenausea eeand eebecomes
eepale eeand eeclammy. eeWhat eeintervention eeshould eethe eenurse eeimplement eefirst?
a. eeraise eethe eefoot eeof eethe eebed
b. eeassess eefor eevaginal eebleeding
c. eeevaluate eethe eefetal eeheart eerate
d. eetake eethe eeclient's eeblood eepressure ee- eecorrect eeanswers eea. eeraise eethe eefoot eeof eethe
eebed
A eeclient eeat ee28 eeweeks eegestation eecalls eethe eeantepartal eeclinic eeand eestates eethat eeshe eeis
eeexperiencing eea eesmall eeamount eeof eevaginal eebleeding eewhich eeshe eedescribes eeas eebright
eered. eeShe eefurther eestates eethat eeshe eeis eenot eeexperiencing eeany eeuterine eecontractions eeor
eeabdominal eepain. eeWhat eeinstruction eeshould eethe eenurse eeprovide?
a. eecome eeto eethe eeclinic eetoday eefor eean eeultrasound
b. eego eeimmediately eeto eethe eeemergency eeroom
c. eelie eeon eeyour eeleft eeside eefor eeabout eeone eehour eeand eesee eeif eethe eebleeding eestops
d. eebring eea eeurine eespecimen eeto eethe eelab eetomorrow eeto eedetermine eeif eeyou eehave eea eeUTI
ee- eecorrect eeanswers eea. eecome eeto eethe eeclinic eetoday eefor eean eeultrasound
, Which eenursing eeintervention eeis eehelpful eein eerelieving ee"afterpains"?
a. eeusing eerelaxation eebreathing eetechniques
b. eeusing eea eebreast eepump
c. eemassaging eethe eeabdomen
d. eegiving eeoxytocic eemedications ee- eecorrect eeanswers eea. eeusing eerelaxation eebreathing
eetechniques
The eenurse eeis eecounseling eea eecouple eewho eehas eesought eeinformation eeabout eeconceiving.
eeFor eeteaching eepurposes, eethe eenurses eeshould eeknow eethat eeovulation eeusually eeoccurs
a. eetwo eeweeks eebefore eemenstruation
b. eeimmediately eeafter eemenstruation
c. eeimmediately eebefore eemenstruation
d. eethree eeweeks eebefore eemenstruation ee- eecorrect eeanswers eea. eetwo eeweeks eebefore
eemenstruation
A eeclient eewho eehas eean eeautosomal eedominant eeinherited eedisorder eeis eeexploring eefamily
eeplanning eeoptions eeand eethe eerisk eeof eetransmission eeof eethe eedisorder eeto eean eeinfant. eeThe
eenurses's eeresponse eeshould eebe eebased eeon eewhat eeinformation?
a. eemales eeinherit eethe eedisorder eewith eea eegreater eefrequency eethan eefemales
b. eeeach eepregnancy eecarries eea ee50% eechance eeof eeinheriting eethe eedisorder
c. eethe eedisorder eeoccurs eein ee25% eeof eepregnancies
d. eeall eechildren eewill eebe eecarriers eeof eethe eedisorder ee- eecorrect eeanswers eeb. eeeach
eepregnancy eecarries ee50% eechance eeof eeinheriting eethe eedisorder
The eenurse eeis eeassessing eea ee3 eeday eeold eeinfant eewith eea eecephalohematoma eein eethe
eenewborn eenursery. eeWhich eeassessment eefinding eeshould eethe eenurse eereport eeto eethe
eehealthcare eeprovider?
a. eeyellowish eetinge eeto eethe eeskin
b. eeBabinski eereflex eepresent eebilaterally
c. eepink eepapular eerash eeon eethe eeface
d. eeMoro eereflex eenoted eeafter eea eeloud eenoise ee- eecorrect eeanswers eea. eeyellowish eetinge eeto
eethe eeskin
A eewoman eewho eehad eea eemiscarriage ee6 eemonths eeago eebecomes eepregnant. eeWhich
eeinstruction eeis eemost eeimportant eefor eethe eenurse eeto eeprovide eethis eeclient?
a. eeelevate eelower eelegs eewhile eeresting
b. eeincrease eecaloric eeintake eeby ee200 eeto ee300 eecalories eeper eeday
c. eeincrease eewater eeintake eeto ee8 eefull eeglasses eeper eeday
d. eetake eeprescribed eemultivitamin eeand eemineral eesupplements ee- eecorrect eeanswers eed.
eetake eeprescribed eemultivitamin eeand eemineral eesupplements
Which eeassessment eefinding eeshould eethe eenursery eenurse eereport eeto eethe eepediatric
eehealthcare eeprovider?
a. eeblood eeglucose eelevel eeof ee45
b. eeblood eepressure eeof ee82/45
QUESTIONS AND ANSWERS WITH NGN | 2024
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and
initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - correct answers c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation - correct
answers a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly - correct answers c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural - correct answers c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second
week
,d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month - correct answers d. anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is most
significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute - correct answers a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - correct answers c. changes in
apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - correct answers b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of transition
using the Dubowitz scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40 weeks. Which findings should the nurse identify to
determine if the neonate is SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position - correct answers a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers - correct answers c. monitor for bleeding from IV sites
,Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous respirations and the nurse assess an apical heart
rate of 80 bpm and respirations 20. What action should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. eeassess eethe eeinfant's eeblood eeglucose eelevel ee- eecorrect eeanswers eea. eeinitiate eepositive
eepressure eeventilation
A eeclient eewith eeno eeprenatal eecare eearrives eeat eethe eelabor eeunit eescreaming, ee"The eebaby eeis
eecoming!" eeThe eenurse eeperforms eea eevaginal eeexamination eethat eereveals eethe eecervix eeis ee3
eecm eedilated eeand ee75% eeeffaced. eeWhat eeadditional eeinformation eeis eemost eeimportant eefor
eethe eenurse eeto eeobtain?
a. eegravidity eeand eeparity
b. eetime eeand eeamount eeof eelast eeoral eeintake
c. eedate eeof eelast eenormal eemenstrual eeperiod
d. eefrequency eeand eeintensity eeof eecontractions ee- eecorrect eeanswers eec. eedate eeof eelast
eenormal eemenstrual eeperiod
A eemutigravida eeclient eeat ee41 eeweeks eegestation eepresent eein eethe eelabor eeand eedelivery eeunit
eeafter eea eenon-stress eetest eeindicated eethat eethe eefetus eeis eeexperiencing eesome eedifficulties
eein eeutero. eeWhich eediagnostic eetest eeshould eethe eenurse eeprepare eethe eeclient eefor
eeadditional eeinformation eeabout eefetal eestatus?
a. eebiophysical eeprofile
b. eeultrasound eefor eefetal eeabnormalities
c. eematernal eeserum eealpha-fetoprotein eescreening
d. eepercutaneous eeumbilical eeblood eesampling ee- eecorrect eeanswers eea. eebiophysical eeprofile
A eeclient eereceiving eeepidural eeanesthesia eebegins eeto eeexperience eenausea eeand eebecomes
eepale eeand eeclammy. eeWhat eeintervention eeshould eethe eenurse eeimplement eefirst?
a. eeraise eethe eefoot eeof eethe eebed
b. eeassess eefor eevaginal eebleeding
c. eeevaluate eethe eefetal eeheart eerate
d. eetake eethe eeclient's eeblood eepressure ee- eecorrect eeanswers eea. eeraise eethe eefoot eeof eethe
eebed
A eeclient eeat ee28 eeweeks eegestation eecalls eethe eeantepartal eeclinic eeand eestates eethat eeshe eeis
eeexperiencing eea eesmall eeamount eeof eevaginal eebleeding eewhich eeshe eedescribes eeas eebright
eered. eeShe eefurther eestates eethat eeshe eeis eenot eeexperiencing eeany eeuterine eecontractions eeor
eeabdominal eepain. eeWhat eeinstruction eeshould eethe eenurse eeprovide?
a. eecome eeto eethe eeclinic eetoday eefor eean eeultrasound
b. eego eeimmediately eeto eethe eeemergency eeroom
c. eelie eeon eeyour eeleft eeside eefor eeabout eeone eehour eeand eesee eeif eethe eebleeding eestops
d. eebring eea eeurine eespecimen eeto eethe eelab eetomorrow eeto eedetermine eeif eeyou eehave eea eeUTI
ee- eecorrect eeanswers eea. eecome eeto eethe eeclinic eetoday eefor eean eeultrasound
, Which eenursing eeintervention eeis eehelpful eein eerelieving ee"afterpains"?
a. eeusing eerelaxation eebreathing eetechniques
b. eeusing eea eebreast eepump
c. eemassaging eethe eeabdomen
d. eegiving eeoxytocic eemedications ee- eecorrect eeanswers eea. eeusing eerelaxation eebreathing
eetechniques
The eenurse eeis eecounseling eea eecouple eewho eehas eesought eeinformation eeabout eeconceiving.
eeFor eeteaching eepurposes, eethe eenurses eeshould eeknow eethat eeovulation eeusually eeoccurs
a. eetwo eeweeks eebefore eemenstruation
b. eeimmediately eeafter eemenstruation
c. eeimmediately eebefore eemenstruation
d. eethree eeweeks eebefore eemenstruation ee- eecorrect eeanswers eea. eetwo eeweeks eebefore
eemenstruation
A eeclient eewho eehas eean eeautosomal eedominant eeinherited eedisorder eeis eeexploring eefamily
eeplanning eeoptions eeand eethe eerisk eeof eetransmission eeof eethe eedisorder eeto eean eeinfant. eeThe
eenurses's eeresponse eeshould eebe eebased eeon eewhat eeinformation?
a. eemales eeinherit eethe eedisorder eewith eea eegreater eefrequency eethan eefemales
b. eeeach eepregnancy eecarries eea ee50% eechance eeof eeinheriting eethe eedisorder
c. eethe eedisorder eeoccurs eein ee25% eeof eepregnancies
d. eeall eechildren eewill eebe eecarriers eeof eethe eedisorder ee- eecorrect eeanswers eeb. eeeach
eepregnancy eecarries ee50% eechance eeof eeinheriting eethe eedisorder
The eenurse eeis eeassessing eea ee3 eeday eeold eeinfant eewith eea eecephalohematoma eein eethe
eenewborn eenursery. eeWhich eeassessment eefinding eeshould eethe eenurse eereport eeto eethe
eehealthcare eeprovider?
a. eeyellowish eetinge eeto eethe eeskin
b. eeBabinski eereflex eepresent eebilaterally
c. eepink eepapular eerash eeon eethe eeface
d. eeMoro eereflex eenoted eeafter eea eeloud eenoise ee- eecorrect eeanswers eea. eeyellowish eetinge eeto
eethe eeskin
A eewoman eewho eehad eea eemiscarriage ee6 eemonths eeago eebecomes eepregnant. eeWhich
eeinstruction eeis eemost eeimportant eefor eethe eenurse eeto eeprovide eethis eeclient?
a. eeelevate eelower eelegs eewhile eeresting
b. eeincrease eecaloric eeintake eeby ee200 eeto ee300 eecalories eeper eeday
c. eeincrease eewater eeintake eeto ee8 eefull eeglasses eeper eeday
d. eetake eeprescribed eemultivitamin eeand eemineral eesupplements ee- eecorrect eeanswers eed.
eetake eeprescribed eemultivitamin eeand eemineral eesupplements
Which eeassessment eefinding eeshould eethe eenursery eenurse eereport eeto eethe eepediatric
eehealthcare eeprovider?
a. eeblood eeglucose eelevel eeof ee45
b. eeblood eepressure eeof ee82/45
