2024 HESI MATERNITY OB EXAM VERSION 2
1. 1. The nurse is providing care for a newborn who was C. Cephalhematoma
delivered vaginally assisted by forceps.
The nurseobserves red marks on the head with
swelling that does not cross the suture line.
Which condition should the nurse documents in the
medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
2. 2. A client at 34 weeks gestation comes to the birthing B. Placenta Previa
center complaining of vaginal bleeding
that began one hour ago. The nurse assessment re-
veals approximately 30ML of bright red
vaginal bleeding. Fetal rate of 130 - 140 beats per
minute, no contractions and no
complaints of pain what is the most likely cause of
these client's bleeding.
A Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicting induction of labor
D. A ruptured blood vessel in the vaginal vault.
3. 3. A client at 30 weeks gestation reports that she has A. Fetal Heart rate 60 beats
not felt the baby move in the last 24 hours. Concerned per minute
she arrives in a panic at the obstetric clinic where she
is immediately sent to the hospital. which assessment
warrants immediate intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
, 2024 HESI MATERNITY OB EXAM VERSION 2
C. onset of uterine contractions
D. leaking amniotic fluid.
4. 4. A client at 37 weeks gestation presents to labor and C. Herpes Simplex Virus
delivery with contractions every two
minutesthe nurse observes several shallow small vesi-
cles on her pubis labia and
perineum. the nurse should recognize the clients is
prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
5. 5. The nurse is planning care for a client at 30 weeks B. Betamethasone 12 mg
gestation who is experiencing preterm labor which deep IM
maternity prescription is most important in preventing
this fetus from developing respiratory distress syn-
drome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X
3
D. Butorphanol tartrate 1mg IV push q2h PRN.
6. 6. A 16 year old gravida 1 para 0 client has just been B. Keep an airway at the
admitted to the hospital with a diagnosis of eclamp- bedside
sia. She's not presently convulsing. Which intervention
should the nurse plan to include in this client's nursing
care plan?
A Allow liberal family visitation
, 2024 HESI MATERNITY OB EXAM VERSION 2
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and respiration
every 4 hours.
7. 7. At 12 hours after the birth of a healthy infant the C. Inspect clients perineal
mother complains of feeling constant vaginal pres- and rectal areas
sure. The nurse determines the fundus is firm and
at midline with moderate rubra lochia. which action
should nurse take?
A Check the suprapubic area for distention.
B. Inform the client to take a warm sitz bath
C. Inspect clients perineal and rectal areas
D. Apply a fresh pad and check in 1 hour.
8. 8. If primigravida at 36 weeks gestation who is RH neg- B. Mild contractions every
ative experienced abdominal trauma ina motor vehicle 10 minutes.
collision. Which assessment finding is most important
for
the nurse to report to the health care provider?
A Fetal heart rate at 162 beats /minute
B. Mild contractions every 10 minutes.
C. Trace of protein in the urine
D. Positive fetal hemoglobin testing
9. 9. In The Ballard Gestational Age Assessment Tool, B. Provide a capillary blood
the nurse determines that a 15-month-old infant as glucose
a gestational age of 42 weeks. Based on this finding
which intervention is most important for the nurse to
implement.
A Provide blow by oxygen
B. Provide a capillary blood glucose
1. 1. The nurse is providing care for a newborn who was C. Cephalhematoma
delivered vaginally assisted by forceps.
The nurseobserves red marks on the head with
swelling that does not cross the suture line.
Which condition should the nurse documents in the
medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
2. 2. A client at 34 weeks gestation comes to the birthing B. Placenta Previa
center complaining of vaginal bleeding
that began one hour ago. The nurse assessment re-
veals approximately 30ML of bright red
vaginal bleeding. Fetal rate of 130 - 140 beats per
minute, no contractions and no
complaints of pain what is the most likely cause of
these client's bleeding.
A Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicting induction of labor
D. A ruptured blood vessel in the vaginal vault.
3. 3. A client at 30 weeks gestation reports that she has A. Fetal Heart rate 60 beats
not felt the baby move in the last 24 hours. Concerned per minute
she arrives in a panic at the obstetric clinic where she
is immediately sent to the hospital. which assessment
warrants immediate intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
, 2024 HESI MATERNITY OB EXAM VERSION 2
C. onset of uterine contractions
D. leaking amniotic fluid.
4. 4. A client at 37 weeks gestation presents to labor and C. Herpes Simplex Virus
delivery with contractions every two
minutesthe nurse observes several shallow small vesi-
cles on her pubis labia and
perineum. the nurse should recognize the clients is
prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
5. 5. The nurse is planning care for a client at 30 weeks B. Betamethasone 12 mg
gestation who is experiencing preterm labor which deep IM
maternity prescription is most important in preventing
this fetus from developing respiratory distress syn-
drome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X
3
D. Butorphanol tartrate 1mg IV push q2h PRN.
6. 6. A 16 year old gravida 1 para 0 client has just been B. Keep an airway at the
admitted to the hospital with a diagnosis of eclamp- bedside
sia. She's not presently convulsing. Which intervention
should the nurse plan to include in this client's nursing
care plan?
A Allow liberal family visitation
, 2024 HESI MATERNITY OB EXAM VERSION 2
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and respiration
every 4 hours.
7. 7. At 12 hours after the birth of a healthy infant the C. Inspect clients perineal
mother complains of feeling constant vaginal pres- and rectal areas
sure. The nurse determines the fundus is firm and
at midline with moderate rubra lochia. which action
should nurse take?
A Check the suprapubic area for distention.
B. Inform the client to take a warm sitz bath
C. Inspect clients perineal and rectal areas
D. Apply a fresh pad and check in 1 hour.
8. 8. If primigravida at 36 weeks gestation who is RH neg- B. Mild contractions every
ative experienced abdominal trauma ina motor vehicle 10 minutes.
collision. Which assessment finding is most important
for
the nurse to report to the health care provider?
A Fetal heart rate at 162 beats /minute
B. Mild contractions every 10 minutes.
C. Trace of protein in the urine
D. Positive fetal hemoglobin testing
9. 9. In The Ballard Gestational Age Assessment Tool, B. Provide a capillary blood
the nurse determines that a 15-month-old infant as glucose
a gestational age of 42 weeks. Based on this finding
which intervention is most important for the nurse to
implement.
A Provide blow by oxygen
B. Provide a capillary blood glucose
