2025 HESI MATERNITY OB EXAM VERSION
1. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the
nurse observes several shallow small vesicles on her pubis labia and perineum.the nurse should
recognize the clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
2. herpes simplex virus
A client who had her first baby three months ago and 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?
Use alternative form of birth control until new diaphragm can be obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority
nursing action for this client?
Massage the fundus Q 4 hours
At 0600 while admitting a woman for a scheduled repeat cesarean section (CSection), the client tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
Inform the anesthesia care provider
We have an expert-written solution to this problem!
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 anesthesiologist arrival
on the unit, which action should the nurse perform?
Place procedure equipment at bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has ahead
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
Hypoglycemia
the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago.the nurse
observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and retractions.
the nurse should recognize these finding indicate which complication?
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 occuring 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 occuring every 5 minutes with 20 second duration. which intervention should
the nurse implement?
Restart the oxytocin per oxytocin 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 she is not in labor. What makes the
nurse realize she is not in labor?
Contractions stop when the client is walking
A primigravida client with gestational hypertension and bishop score of 3 is
1. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the
nurse observes several shallow small vesicles on her pubis labia and perineum.the nurse should
recognize the clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
2. herpes simplex virus
A client who had her first baby three months ago and 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?
Use alternative form of birth control until new diaphragm can be obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority
nursing action for this client?
Massage the fundus Q 4 hours
At 0600 while admitting a woman for a scheduled repeat cesarean section (CSection), the client tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
Inform the anesthesia care provider
We have an expert-written solution to this problem!
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 anesthesiologist arrival
on the unit, which action should the nurse perform?
Place procedure equipment at bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has ahead
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
Hypoglycemia
the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago.the nurse
observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and retractions.
the nurse should recognize these finding indicate which complication?
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 occuring 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 occuring every 5 minutes with 20 second duration. which intervention should
the nurse implement?
Restart the oxytocin per oxytocin 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 she is not in labor. What makes the
nurse realize she is not in labor?
Contractions stop when the client is walking
A primigravida client with gestational hypertension and bishop score of 3 is
