2025 HESI Maternity OB Version 1 Exam
Questions and Verified Rationalized Answers,
100% Guarantee Pass A+ Graded
With Multiple Choice Questions and Answers
1. Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications: a. Lying prone with a pillow on the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who
commonly experience afterpains due to lack of uterine tone.
2. A multigravida client arrives at the labor and delivery unit and tells the nurse that
her bag of water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What
action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment: a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to deter- mine the
,presence of a prolapsed cord.
3. When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant: a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings (A), tearfulness (C), feeling
low, emotional, and fatigued.
4. A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates underlying
uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and
high. Based on these data, which intervention should the nurse implement first?
a. Provide oral hydration
, b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest: c. Obtain a specimen for urine analysis
Obtaining a urine analysis (C) should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection, and this should
be ruled out first.
5. A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart: b. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the client is
capable) (B), and putting the heel of the foot on the floor is the best means of relieving leg
cramps.
6. The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension: a. Edema, basilar rales, and an irregular pulse
Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation and
Questions and Verified Rationalized Answers,
100% Guarantee Pass A+ Graded
With Multiple Choice Questions and Answers
1. Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications: a. Lying prone with a pillow on the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who
commonly experience afterpains due to lack of uterine tone.
2. A multigravida client arrives at the labor and delivery unit and tells the nurse that
her bag of water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What
action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment: a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to deter- mine the
,presence of a prolapsed cord.
3. When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant: a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings (A), tearfulness (C), feeling
low, emotional, and fatigued.
4. A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates underlying
uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and
high. Based on these data, which intervention should the nurse implement first?
a. Provide oral hydration
, b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest: c. Obtain a specimen for urine analysis
Obtaining a urine analysis (C) should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection, and this should
be ruled out first.
5. A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart: b. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the client is
capable) (B), and putting the heel of the foot on the floor is the best means of relieving leg
cramps.
6. The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension: a. Edema, basilar rales, and an irregular pulse
Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation and
