2024 HESI MATERNITY OB EXAM VERSION 1 LATEST ALL
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
While assessing a 40-week gestation primigravida in active labor, the client's
membranes rupture spontaneously and the nurse notices that the amniotic fluid is
meconium stained. Which additional finding is most important for the nurse to report to
the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. - A. Maternal blood pressure of 130/85
mmHg.
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. - B. 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. The nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. What 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. - D. Restart oxytocin infusion rate per
protocol.
At 0600 while admitting a woman for a scheduled repeat cesarean 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 would 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. - B. 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
anesthesiologists 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. - B. Place procedure equipment at bedside.
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. - A. Contractions decrease with walking.
A client who had her first baby 3 months ago & 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. - D. Use
an alternate form of contraceptive until a new diaphragm is obtained.
The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman
who is HIV positive. How much do you administer? (?) - 10
The nurse is preparing a young couple and their 24-hour-old infant for discharge from
the hospital. In conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - D. Evaluate infant feeding
technique prior to discharge.
A 30-year-old primigravida delivers a 9-pound (4082 gram) 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. - A. Gently massage the fundus every 4
hours.
A multiparous client with active herpes lesion is admitted to the unit with spontaneous
rupture of membranes. Which action should the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. - D. Prepare for a cesarean section.
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, assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - D. Hypoglycemia
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an
effective contraction pattern. The available solution is Lactacted Ringer's 1,000 mL with
oxytocin 20 units. The nurse should program the infusion pump to deliver how many
mL/hr? - 12
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. - D. Begin oxytocin 4hrs after
misoprostol is given.
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After
the fetus is delivered vaginally, the nurse implements routine fetal demise protocol and
identification procedures. Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs. - B. Encourage the
mother to hold and spend time with her baby.
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to
the emergency center. She is lying supine on a backboard, is awake, and denies any
complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action
should the nurse implement first?
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
While assessing a 40-week gestation primigravida in active labor, the client's
membranes rupture spontaneously and the nurse notices that the amniotic fluid is
meconium stained. Which additional finding is most important for the nurse to report to
the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. - A. Maternal blood pressure of 130/85
mmHg.
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. - B. 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. The nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. What 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. - D. Restart oxytocin infusion rate per
protocol.
At 0600 while admitting a woman for a scheduled repeat cesarean 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 would 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. - B. 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
anesthesiologists 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. - B. Place procedure equipment at bedside.
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. - A. Contractions decrease with walking.
A client who had her first baby 3 months ago & 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. - D. Use
an alternate form of contraceptive until a new diaphragm is obtained.
The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman
who is HIV positive. How much do you administer? (?) - 10
The nurse is preparing a young couple and their 24-hour-old infant for discharge from
the hospital. In conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - D. Evaluate infant feeding
technique prior to discharge.
A 30-year-old primigravida delivers a 9-pound (4082 gram) 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. - A. Gently massage the fundus every 4
hours.
A multiparous client with active herpes lesion is admitted to the unit with spontaneous
rupture of membranes. Which action should the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. - D. Prepare for a cesarean section.
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, assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - D. Hypoglycemia
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an
effective contraction pattern. The available solution is Lactacted Ringer's 1,000 mL with
oxytocin 20 units. The nurse should program the infusion pump to deliver how many
mL/hr? - 12
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. - D. Begin oxytocin 4hrs after
misoprostol is given.
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After
the fetus is delivered vaginally, the nurse implements routine fetal demise protocol and
identification procedures. Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs. - B. Encourage the
mother to hold and spend time with her baby.
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to
the emergency center. She is lying supine on a backboard, is awake, and denies any
complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action
should the nurse implement first?
