OB/Maternity HESI Practice Exam QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client at 32 weeks gestation comes to the prenatal clinic with reports of pedal edema, dyspnea,
fatigue, and a moist cough. Which question is the most important for the nurse to ask this client?
"Which symptom did you experience first?"
"Are you eating large amounts of salty foods?"
"Have you visited a foreign country recently?"
"Do you have a history of rheumatic fever?" - answer :"Do you have a history of rheumatic fever?"
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
Blood glucose level of 45 mg/dL.
Blood pressure of 82/45 mmHg.
Non-bulging anterior fontanel.
Central cyanosis when crying. - answer :d
A client who has an autosomal dominant inherited disorder is exploring family planning options and the
risk of transmission of the disorder to an infant. The nurse's response should be based on what
information?
Males inherit the disorder with a greater frequency than females.
Each pregnancy carries a 50% chance of inheriting the disorder.
The disorders can occur in 25% of pregnancies.
All children will be carriers of the disorder. - answer :b
When evaluating a laboring client's progress, which finding would be an indicator to the RN to
encourage the client to begin pushing?
,There is only an anterior or posterior lip of the cervix left.
The client describes the need to have a bowel movement.
The cervix is completely dilated.
The cervix is completely effaced. - answer :c
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history,
the client indicates that she has delivered premature twins, one full-term baby, and has had no
abortions. When preparing to document the client's delivery history, it is important for the nurse to
document in the client's record which GTPAL history?
3-1-2-0-3.
4-1-2-0-3.
2-1-2-1-2.
3-1-1-0-3. - answer :d
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
"Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together."
"That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot."
"The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby."
"There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb their hair." - answer :d
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I
would like to try with this baby." Which intervention is best for the nurse to implement first?
Assess the husband's feelings about his wife's decision to breastfeed their baby.
Ask the client to describe why she was unsuccessful with breastfeeding her last child.
Encourage the client to develop a positive attitude about breastfeeding to help ensure success.
Provide assistance to the mother to begin breastfeeding as soon as possible after delivery. - answer :d
, A client is admitted with the diagnosis of total placenta previa. Which finding is the most important for
the nurse to report to the healthcare provider immediately?
Heart rate of 100 beats/minute.
Variable fetal heart rate.
The onset of uterine contractions.
Burning on urination. - answer :c
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist
her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and
therefore, the best time for intercourse to ensure conception?
Between the time the temperature falls and rises.
Between 36 and 48 hours after the temperature rises.
When the temperature falls and remains low for 36 hours.
Within 72 hours before the temperature falls. - answer :a
The nurse is teaching care of the newborn to a group of prospective parents and describes the need for
administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this
treatment prevent from harming the infant?
Herpes.
Staphylococcus.
Gonorrhea.
Syphilis. - answer :c
The nurse is calculating the estimated date of birth (EDB) using Naegele's rule for a client whose last
menstrual period started on December 1. Which date is most accurate?
August 1.
August 10.
September 3.
September 8. - answer :d
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client at 32 weeks gestation comes to the prenatal clinic with reports of pedal edema, dyspnea,
fatigue, and a moist cough. Which question is the most important for the nurse to ask this client?
"Which symptom did you experience first?"
"Are you eating large amounts of salty foods?"
"Have you visited a foreign country recently?"
"Do you have a history of rheumatic fever?" - answer :"Do you have a history of rheumatic fever?"
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
Blood glucose level of 45 mg/dL.
Blood pressure of 82/45 mmHg.
Non-bulging anterior fontanel.
Central cyanosis when crying. - answer :d
A client who has an autosomal dominant inherited disorder is exploring family planning options and the
risk of transmission of the disorder to an infant. The nurse's response should be based on what
information?
Males inherit the disorder with a greater frequency than females.
Each pregnancy carries a 50% chance of inheriting the disorder.
The disorders can occur in 25% of pregnancies.
All children will be carriers of the disorder. - answer :b
When evaluating a laboring client's progress, which finding would be an indicator to the RN to
encourage the client to begin pushing?
,There is only an anterior or posterior lip of the cervix left.
The client describes the need to have a bowel movement.
The cervix is completely dilated.
The cervix is completely effaced. - answer :c
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history,
the client indicates that she has delivered premature twins, one full-term baby, and has had no
abortions. When preparing to document the client's delivery history, it is important for the nurse to
document in the client's record which GTPAL history?
3-1-2-0-3.
4-1-2-0-3.
2-1-2-1-2.
3-1-1-0-3. - answer :d
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
"Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together."
"That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot."
"The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby."
"There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb their hair." - answer :d
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I
would like to try with this baby." Which intervention is best for the nurse to implement first?
Assess the husband's feelings about his wife's decision to breastfeed their baby.
Ask the client to describe why she was unsuccessful with breastfeeding her last child.
Encourage the client to develop a positive attitude about breastfeeding to help ensure success.
Provide assistance to the mother to begin breastfeeding as soon as possible after delivery. - answer :d
, A client is admitted with the diagnosis of total placenta previa. Which finding is the most important for
the nurse to report to the healthcare provider immediately?
Heart rate of 100 beats/minute.
Variable fetal heart rate.
The onset of uterine contractions.
Burning on urination. - answer :c
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist
her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and
therefore, the best time for intercourse to ensure conception?
Between the time the temperature falls and rises.
Between 36 and 48 hours after the temperature rises.
When the temperature falls and remains low for 36 hours.
Within 72 hours before the temperature falls. - answer :a
The nurse is teaching care of the newborn to a group of prospective parents and describes the need for
administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this
treatment prevent from harming the infant?
Herpes.
Staphylococcus.
Gonorrhea.
Syphilis. - answer :c
The nurse is calculating the estimated date of birth (EDB) using Naegele's rule for a client whose last
menstrual period started on December 1. Which date is most accurate?
August 1.
August 10.
September 3.
September 8. - answer :d
