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HESI OB MATERNITY TEST
BANK/MATERNITY OB HESI TEST
BANK 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
GUARANTEED PASS
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
A. "Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together."
B. "That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot."
C. "The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby."
D. "There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair." –
Correct Answer-D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
This answer provides correct information and attempts to alleviate anxiety related to knowledge deficit
A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed
iron tablets. The nurse's response is based on what knowledge?
A. Supplementary iron is more efficiently utilized during pregnancy
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B. It is difficult to consume 18 mg of additional iron by diet alone
C. Iron absorption is decreased in the GI tract during pregnancy
D. Iron is needed to prevent megaloblastic anemia in the last trimester
- Correct Answer-B. It is difficult to consume 18 mg of additional iron by diet alone
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to meet the
demands of pregnancy is difficult so iron supplements are often recommended.
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart
- Correct Answer-B. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is capable) (B),
and putting the heel of the foot on the floor is the best means of relieving leg cramps.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation.
She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse
implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest
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t - Correct Answer-C. Obtain a specimen for urine analysis
Obtaining a urine analysis should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
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 Answer-A. Patellar reflex 4+
A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an indication
of an impending seizure.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which
assessment finding indicates to the nurse that the drug is effective?
A. Slowly increasing urinary output over the last week
B. Respiratory rate changes from the 40s to the 60s
C. Changes in apical heart rate from the 180s to the 140s
D. Change in indirect bilirubin from 12mg/dl to 8 mg/dl - Correct Answer-C. Changes in apical heart rate
from the 180s to the 140s
Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase in
RBCs. Since the body has not had to compensate for anemia with an increased heart rate, changes in
heart rate from high to normal is one indicator that Epogen is effective
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this
prescription, it is most important for the nurse to assess the client for which condition?
A. Gestational diabetes
B. Elevated blood pressure
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C. Urinary tract infection
D. Swelling in lower extremities - Correct Answer-A. Gestational diabetes
.
The nurse should evaluate the client for gestational diabetes because terbutaline (Brethine) increases
blood glucose levels.
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
A. Gravidity and parity
B. Time and amount of last oral intake
C. Date of last normal menstrual period
D. Frequency and intensity of contractions - Correct Answer-C. Date of last normal menstrual period
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart pattern
is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark
red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix
1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse
implement?
A. Insert an internal fetal monitor
B. Assess for cervical changes q1h
C. Monitor bleeding from IV sites
D. Perform Leopold's maneuvers - Correct Answer-C. Monitor bleeding from IV sites
Monitoring bleeding from peripheral sites is the priority intervention. This client is presenting with signs of
placental abruption. Disseminated intravascular coagulation (DIC) is a complication of placental abruptio,
characterized by abnormal bleeding.
HESI OB MATERNITY TEST
BANK/MATERNITY OB HESI TEST
BANK 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
GUARANTEED PASS
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
A. "Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together."
B. "That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot."
C. "The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby."
D. "There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair." –
Correct Answer-D. "There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
This answer provides correct information and attempts to alleviate anxiety related to knowledge deficit
A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed
iron tablets. The nurse's response is based on what knowledge?
A. Supplementary iron is more efficiently utilized during pregnancy
,2|Page
B. It is difficult to consume 18 mg of additional iron by diet alone
C. Iron absorption is decreased in the GI tract during pregnancy
D. Iron is needed to prevent megaloblastic anemia in the last trimester
- Correct Answer-B. It is difficult to consume 18 mg of additional iron by diet alone
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to meet the
demands of pregnancy is difficult so iron supplements are often recommended.
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart
- Correct Answer-B. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is capable) (B),
and putting the heel of the foot on the floor is the best means of relieving leg cramps.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation.
She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse
implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest
,3|Page
t - Correct Answer-C. Obtain a specimen for urine analysis
Obtaining a urine analysis should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
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 Answer-A. Patellar reflex 4+
A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an indication
of an impending seizure.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which
assessment finding indicates to the nurse that the drug is effective?
A. Slowly increasing urinary output over the last week
B. Respiratory rate changes from the 40s to the 60s
C. Changes in apical heart rate from the 180s to the 140s
D. Change in indirect bilirubin from 12mg/dl to 8 mg/dl - Correct Answer-C. Changes in apical heart rate
from the 180s to the 140s
Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase in
RBCs. Since the body has not had to compensate for anemia with an increased heart rate, changes in
heart rate from high to normal is one indicator that Epogen is effective
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this
prescription, it is most important for the nurse to assess the client for which condition?
A. Gestational diabetes
B. Elevated blood pressure
, 4|Page
C. Urinary tract infection
D. Swelling in lower extremities - Correct Answer-A. Gestational diabetes
.
The nurse should evaluate the client for gestational diabetes because terbutaline (Brethine) increases
blood glucose levels.
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
A. Gravidity and parity
B. Time and amount of last oral intake
C. Date of last normal menstrual period
D. Frequency and intensity of contractions - Correct Answer-C. Date of last normal menstrual period
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart pattern
is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark
red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix
1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse
implement?
A. Insert an internal fetal monitor
B. Assess for cervical changes q1h
C. Monitor bleeding from IV sites
D. Perform Leopold's maneuvers - Correct Answer-C. Monitor bleeding from IV sites
Monitoring bleeding from peripheral sites is the priority intervention. This client is presenting with signs of
placental abruption. Disseminated intravascular coagulation (DIC) is a complication of placental abruptio,
characterized by abnormal bleeding.
