HESI MATERNITY OB EXAM VERSION 3 2025.
COMPLETE QUESTIONS AND ANSWERS.
A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving
process, which intervention is most important for the nurse to implement? - Correct Answer-Provide an
opportunity for the parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula? - Correct Answer-Body temperature
What is the most important assessment for the nurse to conduct following the administration of epidural
anesthesia to a client who is at 40-weeks gestation? - Correct Answer-a. Maternal blood pressure.
A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the infusion pump? (Enter
numeric value only.) - Correct Answer-75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is more
important for the nurse to implement? - Correct Answer-c. Assess bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why
is my baby sister eating my mommy's breast?" How should the nurse respond? (Select all that apply.) -
Correct Answer-Explain that newborns get milk from their mothers in this way.
,Reassure the older brother that is does not hurt his mother.
Remind him that his mother breastfed him too.
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? -
Correct Answer-d. Place the infant in a warm room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What
maternal prescription is most important in preventing this fetus from developing respiratory syndrome? -
Correct Answer-a. Betamethasone (Celestone) 12mg deep IM.
Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which
action is most important for the nurse it include in the child's plan of care? - Correct Answer-Monitor serum
glucose for adjustment in infusion rate of regular insulin (Novolin R)
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4hrs to prevent urinary
retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery
eyes, and a rash in the diaper area. What action is most important for the nurse to take? - Correct Answer-b.
Change to latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds.
The available suspension is labeled, Amoxicillin Suspension 250mg/5ml. The recommended maximum dose
is 50mg/kg/24hr. How many ml should the nurse administer in a single dose based on the child's weight?
(Enter numerical value only. If rounding is required, round to the whole number.) - Correct Answer-10mL
The nurse is caring for a female client, a primigravida with preeclampsia. Findings include +2 proteinuria,
BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache.
Which medication should the nurse anticipate for this client? - Correct Answer-d.
Magnesium sulfate
A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2 F (38.4 C), with severe abdominal or uterine tenderness on
, palpation. The nurse knows that these findings are indicative of what condition? - Correct Answer-
Chorioamnionitis
A 4-year-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic
of the disease is most important for the nurse to focus on during the initial teaching? - Correct Answer-a.
Lower legs become progressively weaker, causing a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to the clinic by his mother who tells the
nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no
tears. Which prescription is more important to implement? - Correct Answer-b.
Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction should the nurse provide the
child's parent? - Correct Answer-d. Apply a cool pack to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What
should be the primary focus of treatment for this child? - Correct Answer-d. Help her achieve her maximum
potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention
should the nurse plan to implement? - Correct Answer-Remove restraints one at a time to provide range of
motion exercises
...to the clinic because they are concerned that she is not did. Which
developmental characteristics should the nurse expect the patient exhibit? - Correct Answer-a. Sits alone
unsupported.
d. Can feed self-finger food.
A new mother calls the nurse stating that she wants to start feeding her 6- month-old child something
besides breast milk, but is concerned that the infant is too young to start eating solid foods. How should the
nurse respond? - Correct Answer-Reassure the mother that the infant is old enough to eat iron-fortified
cereal.
COMPLETE QUESTIONS AND ANSWERS.
A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving
process, which intervention is most important for the nurse to implement? - Correct Answer-Provide an
opportunity for the parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula? - Correct Answer-Body temperature
What is the most important assessment for the nurse to conduct following the administration of epidural
anesthesia to a client who is at 40-weeks gestation? - Correct Answer-a. Maternal blood pressure.
A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the infusion pump? (Enter
numeric value only.) - Correct Answer-75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is more
important for the nurse to implement? - Correct Answer-c. Assess bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why
is my baby sister eating my mommy's breast?" How should the nurse respond? (Select all that apply.) -
Correct Answer-Explain that newborns get milk from their mothers in this way.
,Reassure the older brother that is does not hurt his mother.
Remind him that his mother breastfed him too.
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? -
Correct Answer-d. Place the infant in a warm room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What
maternal prescription is most important in preventing this fetus from developing respiratory syndrome? -
Correct Answer-a. Betamethasone (Celestone) 12mg deep IM.
Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which
action is most important for the nurse it include in the child's plan of care? - Correct Answer-Monitor serum
glucose for adjustment in infusion rate of regular insulin (Novolin R)
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4hrs to prevent urinary
retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery
eyes, and a rash in the diaper area. What action is most important for the nurse to take? - Correct Answer-b.
Change to latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds.
The available suspension is labeled, Amoxicillin Suspension 250mg/5ml. The recommended maximum dose
is 50mg/kg/24hr. How many ml should the nurse administer in a single dose based on the child's weight?
(Enter numerical value only. If rounding is required, round to the whole number.) - Correct Answer-10mL
The nurse is caring for a female client, a primigravida with preeclampsia. Findings include +2 proteinuria,
BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache.
Which medication should the nurse anticipate for this client? - Correct Answer-d.
Magnesium sulfate
A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2 F (38.4 C), with severe abdominal or uterine tenderness on
, palpation. The nurse knows that these findings are indicative of what condition? - Correct Answer-
Chorioamnionitis
A 4-year-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic
of the disease is most important for the nurse to focus on during the initial teaching? - Correct Answer-a.
Lower legs become progressively weaker, causing a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to the clinic by his mother who tells the
nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no
tears. Which prescription is more important to implement? - Correct Answer-b.
Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction should the nurse provide the
child's parent? - Correct Answer-d. Apply a cool pack to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What
should be the primary focus of treatment for this child? - Correct Answer-d. Help her achieve her maximum
potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention
should the nurse plan to implement? - Correct Answer-Remove restraints one at a time to provide range of
motion exercises
...to the clinic because they are concerned that she is not did. Which
developmental characteristics should the nurse expect the patient exhibit? - Correct Answer-a. Sits alone
unsupported.
d. Can feed self-finger food.
A new mother calls the nurse stating that she wants to start feeding her 6- month-old child something
besides breast milk, but is concerned that the infant is too young to start eating solid foods. How should the
nurse respond? - Correct Answer-Reassure the mother that the infant is old enough to eat iron-fortified
cereal.
