OB/MATERNITY HESI ASSIGNMENT
EXAM WITH CORRECT ANSWERS
2025
At 10-weeks gestation, a high-risk multiparous client with a family
history of Down syndrome is admitted for observation following a
chorionic villi sampling (CVS) procedure. What assessment finding
requires immediate intervention? correct answers >> A.
Uterine cramping
A client states, "During the three months I've been pregnant, it
seems like I have had to go to the bathroom every five minutes."
Which explanation should the nurse provide to this client?
correct answers >> D. The growing uterus is putting pressure on
the bladder.
The nurse assesses a male newborn and determines that he has
the following vital signs: axillary temperature 95.1 F, heart rate
136 beats/minute, and a respiratory rate 48 breaths/minute.
Based on these findings, which action should the nurse take first?
correct answers >> C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat
is 85%. What is the priority nursing intervention? correct
answers >> B. Begin humidified oxygen via hood
,When assessing a newborn infant's heart rate, which technique is
most important for the nurse to use? correct answers >> C.
Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a
newborn infant. The mother tells the nurse, "Wait! I don't want
my baby to have a shot." Which response would be best for the
nurse to make? correct answers >> B. Explore the mother's
concerns about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching
plan? correct answers >> A. Avoid alcohol because it is
excreted in breast milk
Which nursing intervention best enhances maternal-infant
bonding during the fourth stage of labor? correct answers >>
D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora
congenital heart defect (CHD) in her baby. Which response best
explains when a CHD may occur? correct answers >> D. The
heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her
baby listens to her, but her husband thinks she is imagining
things. What information should the nurse provide? correct
answers >> B. The fetus in utero is capable of hearing and does
respond to the mother's voice
, A client at 25-weeks gestation tells the nurse that she dropped a
cooking utensil last week and her baby jumped in response to the
noise. What information should the nurse provide? correct
answers >> B. The fetus can respond to sound by 24-weeks
gestation
A woman whose pregnancy is confirmed asks the nurse what the
function of the placenta is in early pregnancy. What information
supports the explanation that the nurse should provide?
correct answers >> C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a
client who is at 20-weeks gestation? correct answers >> A.
Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy
test that is positive one week after a missed period. At the clinic,
the client tells the nurse she takes phenytoin (Dilantin) for
epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination
and ultrasound do not indicate that she is pregnant. How should
the nurse explain the most likely cause for obtaining false-positive
pregnancy test results? correct answers >> B. Using an
anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned
about in a client at 28-weeks gestation? correct answers >>
A. PICA
During a preconception counseling session for women trying to
get pregnant in 3 to 6 months, what information should the nurse
EXAM WITH CORRECT ANSWERS
2025
At 10-weeks gestation, a high-risk multiparous client with a family
history of Down syndrome is admitted for observation following a
chorionic villi sampling (CVS) procedure. What assessment finding
requires immediate intervention? correct answers >> A.
Uterine cramping
A client states, "During the three months I've been pregnant, it
seems like I have had to go to the bathroom every five minutes."
Which explanation should the nurse provide to this client?
correct answers >> D. The growing uterus is putting pressure on
the bladder.
The nurse assesses a male newborn and determines that he has
the following vital signs: axillary temperature 95.1 F, heart rate
136 beats/minute, and a respiratory rate 48 breaths/minute.
Based on these findings, which action should the nurse take first?
correct answers >> C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat
is 85%. What is the priority nursing intervention? correct
answers >> B. Begin humidified oxygen via hood
,When assessing a newborn infant's heart rate, which technique is
most important for the nurse to use? correct answers >> C.
Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a
newborn infant. The mother tells the nurse, "Wait! I don't want
my baby to have a shot." Which response would be best for the
nurse to make? correct answers >> B. Explore the mother's
concerns about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching
plan? correct answers >> A. Avoid alcohol because it is
excreted in breast milk
Which nursing intervention best enhances maternal-infant
bonding during the fourth stage of labor? correct answers >>
D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora
congenital heart defect (CHD) in her baby. Which response best
explains when a CHD may occur? correct answers >> D. The
heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her
baby listens to her, but her husband thinks she is imagining
things. What information should the nurse provide? correct
answers >> B. The fetus in utero is capable of hearing and does
respond to the mother's voice
, A client at 25-weeks gestation tells the nurse that she dropped a
cooking utensil last week and her baby jumped in response to the
noise. What information should the nurse provide? correct
answers >> B. The fetus can respond to sound by 24-weeks
gestation
A woman whose pregnancy is confirmed asks the nurse what the
function of the placenta is in early pregnancy. What information
supports the explanation that the nurse should provide?
correct answers >> C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a
client who is at 20-weeks gestation? correct answers >> A.
Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy
test that is positive one week after a missed period. At the clinic,
the client tells the nurse she takes phenytoin (Dilantin) for
epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination
and ultrasound do not indicate that she is pregnant. How should
the nurse explain the most likely cause for obtaining false-positive
pregnancy test results? correct answers >> B. Using an
anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned
about in a client at 28-weeks gestation? correct answers >>
A. PICA
During a preconception counseling session for women trying to
get pregnant in 3 to 6 months, what information should the nurse