HESI OB MATERNITY PRACTICE ACCURATE
EXAM COMPLETE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A+
| 100% VERIFIED 2026-2027 UPDATE
At 14-weeks’ gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her abdomen.
The nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abdominal pain and a shoulder
pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - CORRECT ANSWER>> c.
increases the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask when she could use a home pregnancy test to diagnose pregnancy.
Which response is best?
a. a home pregnancy test can be used right after your first missed period
,b. these tests are most accurate after you have missed your second
period
c. home pregnancy tests often give false positives and should not be
trusted
d. the test can provide accurate information when used right after
ovulation -
CORRECT ANSWER>> a. a home pregnancy test can be used right after
your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for
a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - CORRECT ANSWER>> c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notifies the healthcare provider or anesthesiologist
b. continues to assess the blood pressure q5min
c. places the woman in a lateral position
d. turns off continuous epidural - CORRECT ANSWER>> c. place
the woman in a lateral position
,In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the Explanation on knowledge that for
the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end
of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end
of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end
of the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the
end of the second month - CORRECT ANSWER>> d. anterior fontanel
closes at 12 to 18 months and the posterior by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four-hour urine output 240 ml
d. respiration 12/minute - CORRECT ANSWER>> a. patellar reflex 4+
, A 4-week-old premature infant has been receiving epoetin alfa for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. changes in indirect bilirubin from 12 mg/dl to 8 mg/dl - CORRECT
ANSWER>>
c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2006. Based on Nagele's rule, what is the estimated
date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - CORRECT ANSWER>> b. May 9, 2007
The nurse is performing an AGA on a full-term newborn during the first
hour of transition using the Dubowitz scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of 40 weeks.
Which findings should the nurse identify to determine if the neonate is
SGA? (Select all that apply.)
a. admission weight of 4 lbs. 15 oz
EXAM COMPLETE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A+
| 100% VERIFIED 2026-2027 UPDATE
At 14-weeks’ gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her abdomen.
The nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abdominal pain and a shoulder
pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. - CORRECT ANSWER>> c.
increases the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask when she could use a home pregnancy test to diagnose pregnancy.
Which response is best?
a. a home pregnancy test can be used right after your first missed period
,b. these tests are most accurate after you have missed your second
period
c. home pregnancy tests often give false positives and should not be
trusted
d. the test can provide accurate information when used right after
ovulation -
CORRECT ANSWER>> a. a home pregnancy test can be used right after
your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for
a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly - CORRECT ANSWER>> c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notifies the healthcare provider or anesthesiologist
b. continues to assess the blood pressure q5min
c. places the woman in a lateral position
d. turns off continuous epidural - CORRECT ANSWER>> c. place
the woman in a lateral position
,In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the Explanation on knowledge that for
the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end
of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end
of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end
of the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the
end of the second month - CORRECT ANSWER>> d. anterior fontanel
closes at 12 to 18 months and the posterior by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four-hour urine output 240 ml
d. respiration 12/minute - CORRECT ANSWER>> a. patellar reflex 4+
, A 4-week-old premature infant has been receiving epoetin alfa for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. changes in indirect bilirubin from 12 mg/dl to 8 mg/dl - CORRECT
ANSWER>>
c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2006. Based on Nagele's rule, what is the estimated
date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - CORRECT ANSWER>> b. May 9, 2007
The nurse is performing an AGA on a full-term newborn during the first
hour of transition using the Dubowitz scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of 40 weeks.
Which findings should the nurse identify to determine if the neonate is
SGA? (Select all that apply.)
a. admission weight of 4 lbs. 15 oz
