HESI OB MATERNITY Questions With
Correct Answers Verified By Experts
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 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. 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. 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. 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. 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. 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?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. Tilt the backboard sideways to
displace the uterus laterally
A new mother asks the nurse about an area of swelling on her baby's head near the posterior
fontanel that lies across the suture line. How should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." That is
called caput succedaneum. It will absorb and cause no problems
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 101.2F with severe abdominal or uterine tenderness
on palpation. The nurse knows that these findings are indicative of which condition?
Correct Answers Verified By Experts
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 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. 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. 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. 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. 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. 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?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. Tilt the backboard sideways to
displace the uterus laterally
A new mother asks the nurse about an area of swelling on her baby's head near the posterior
fontanel that lies across the suture line. How should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." That is
called caput succedaneum. It will absorb and cause no problems
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 101.2F with severe abdominal or uterine tenderness
on palpation. The nurse knows that these findings are indicative of which condition?
