2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
1. 1. A primipara has delivered a stillborn fetus at a. Provide an opportuni-
30-weeks gestation. To assist the parents with the ty for the parents to hold
grieving process, which intervention is most important their infant in privacy.
for the nurse to implement?
a. Provide an opportunity for the parents to hold their
infant in privacy.
b. Assist the couple in completing a request for autop-
sy.
c. Encourage the couple to seek family counseling
within the next few weeks.
d. Explain the possible causes of fetal demise.
2. 2. What is the priority nursing assessment immediately a. Body temperature.
following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
3. 3. What is the most important assessment for the a. Maternal blood pres-
nurse to conduct following the administration of sure.
epidural anesthesia to a client who is at 40-weeks ges-
tation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate
4. 4. A 34-week primigravida woman with preeclampsia 75ml/hr
is receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
should the nurse program the infusion pump? (Enter
numeric value only.
5. 5. A 6-year-old with heart failure (HF) gained 2 pounds c. Assess bilateral lung
in the last 24 hours. Which intervention is more impor- sounds.
tant for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
6. 6. A mother of a 3-year-old boy has just given birth to a. Explain that newborns
a new baby girl. The little boy asks the get milk from their moth-
nurse, <Why is my baby sister eating my mommy's ers in this way.
breast?= How should the nurse respond? b. Reassure the older
(Select all that apply.) brother that is does not
a. Explain that newborns get milk from their mothers hurt his mother.
in this way. c. Remind him that his
b. Reassure the older brother that is does not hurt his mother breastfed him too.
mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice.
7. 7. The nurse is examining an infant for possible cryp- d. Place the infant in a
torchidism. Which exam technique should be warm room and use a calm
used? approach.
a. Place the infant in side-lying position to facilitate the
exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
d. Place the infant in a warm room and use a calm
approach.
8. 8. The nurse is planning care for a client at 30-weeks a. Betamethasone (Cele-
gestation who is experiencing preterm labor. stone) 12mg deep IM
What maternal prescription is most important in pre-
venting this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15
minutes x3.
9. 9. Insulin therapy is initiated for a 12-year-old child a. Monitor serum glucose
who is admitted with diabetic ketoacidosis for adjustment in infusion
(DKA). Which action is most important for the nurse it rate of regular insulin (No-
include in the child's plan of care? volin R).
a. Monitor serum glucose for adjustment in infusion
rate of regular insulin (Novolin R).
b. Determine the child's compliance schedule for sub-
cutaneous NPH insulin (Humulin N).
c. Demonstrate to parents how to program an insulin
pen for daily glucose regulation.
d. Consult with healthcare provider about use of in-
sulin detemir (Levemir Flex Pen).
10. 10. A 3-month-old with myelomeningocele and atonic b. Change to latex-free
bladder is catheterized every 4hrs to prevent gloves when handling in-
urinary retention. The home health nurse notes that fant
the child has developed episodes of sneezing, urticar-
ial, watery eyes, and a rash in the diaper area. What
Study online at https://quizlet.com/_fpg5k4
1. 1. A primipara has delivered a stillborn fetus at a. Provide an opportuni-
30-weeks gestation. To assist the parents with the ty for the parents to hold
grieving process, which intervention is most important their infant in privacy.
for the nurse to implement?
a. Provide an opportunity for the parents to hold their
infant in privacy.
b. Assist the couple in completing a request for autop-
sy.
c. Encourage the couple to seek family counseling
within the next few weeks.
d. Explain the possible causes of fetal demise.
2. 2. What is the priority nursing assessment immediately a. Body temperature.
following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
3. 3. What is the most important assessment for the a. Maternal blood pres-
nurse to conduct following the administration of sure.
epidural anesthesia to a client who is at 40-weeks ges-
tation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate
4. 4. A 34-week primigravida woman with preeclampsia 75ml/hr
is receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
should the nurse program the infusion pump? (Enter
numeric value only.
5. 5. A 6-year-old with heart failure (HF) gained 2 pounds c. Assess bilateral lung
in the last 24 hours. Which intervention is more impor- sounds.
tant for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
6. 6. A mother of a 3-year-old boy has just given birth to a. Explain that newborns
a new baby girl. The little boy asks the get milk from their moth-
nurse, <Why is my baby sister eating my mommy's ers in this way.
breast?= How should the nurse respond? b. Reassure the older
(Select all that apply.) brother that is does not
a. Explain that newborns get milk from their mothers hurt his mother.
in this way. c. Remind him that his
b. Reassure the older brother that is does not hurt his mother breastfed him too.
mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice.
7. 7. The nurse is examining an infant for possible cryp- d. Place the infant in a
torchidism. Which exam technique should be warm room and use a calm
used? approach.
a. Place the infant in side-lying position to facilitate the
exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
d. Place the infant in a warm room and use a calm
approach.
8. 8. The nurse is planning care for a client at 30-weeks a. Betamethasone (Cele-
gestation who is experiencing preterm labor. stone) 12mg deep IM
What maternal prescription is most important in pre-
venting this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15
minutes x3.
9. 9. Insulin therapy is initiated for a 12-year-old child a. Monitor serum glucose
who is admitted with diabetic ketoacidosis for adjustment in infusion
(DKA). Which action is most important for the nurse it rate of regular insulin (No-
include in the child's plan of care? volin R).
a. Monitor serum glucose for adjustment in infusion
rate of regular insulin (Novolin R).
b. Determine the child's compliance schedule for sub-
cutaneous NPH insulin (Humulin N).
c. Demonstrate to parents how to program an insulin
pen for daily glucose regulation.
d. Consult with healthcare provider about use of in-
sulin detemir (Levemir Flex Pen).
10. 10. A 3-month-old with myelomeningocele and atonic b. Change to latex-free
bladder is catheterized every 4hrs to prevent gloves when handling in-
urinary retention. The home health nurse notes that fant
the child has developed episodes of sneezing, urticar-
ial, watery eyes, and a rash in the diaper area. What
