2026 HESI OB MATERNITY ONLINE PRACTICE
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ | LATEST
VERSION (JUST RELEASED)
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - Correct Answer-C. Place the woman in a
lateral position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - Correct Answer-C. Onset of uterine contractions
1
,Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each - Correct Answer-A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate
resting time between contractions, the oxytocin infusion should be discontinued
because placental perfusion is impeded
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and skull
which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent
further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage - Correct Answer-A.
a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
2
,Cephalhematoma, a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare
provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise - Correct Answer-A. Yellowish tinge to the
skin
Cephalohematomas are characterized by bleeding between the bone and its
covering, the periosteum. Due to the breakdown of the red blood cells within a
hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to the
skin should be reported.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil
Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider
changes the neonate's formula to Simialc Soy Isomil formula, a soy protein isolate
based infant formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired fat
absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
3
, C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose -
Correct Answer-D. Similac Soy Isomil Formula is a soy-based formula that contains
sucrose
The nurse should explain that the newborn's feeding intolerance may be related
to the lactose found in cow's milk formula and is being replaced with the soy-
based formula that contains sucrose, which is well-tolerated in infants with milk
allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning immediate
care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor - Correct Answer-B. Infant's
condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor
has the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
4
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ | LATEST
VERSION (JUST RELEASED)
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action will the nurse
take?
A. Notify the healthcare provider or anesthesiologist immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - Correct Answer-C. Place the woman in a
lateral position
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide
blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose
solution and ensuring that the client is in a lateral position are also appropriate
interventions, and then checking the patients blood pressure.
A client is admitted with the diagnosis of total placenta previa. Which finding is
most important for the nurse to report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - Correct Answer-C. Onset of uterine contractions
1
,Total (complete) placenta previa involves the placenta covering the entire cervical
os (opening). The onset of uterine contractions places the client at risk for dilation
and placental separation, which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each - Correct Answer-A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate
resting time between contractions, the oxytocin infusion should be discontinued
because placental perfusion is impeded
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and skull
which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent
further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage - Correct Answer-A.
a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
2
,Cephalhematoma, a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare
provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise - Correct Answer-A. Yellowish tinge to the
skin
Cephalohematomas are characterized by bleeding between the bone and its
covering, the periosteum. Due to the breakdown of the red blood cells within a
hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to the
skin should be reported.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil
Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider
changes the neonate's formula to Simialc Soy Isomil formula, a soy protein isolate
based infant formula. What information should the nurse provide to the mother
about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired fat
absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
3
, C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose -
Correct Answer-D. Similac Soy Isomil Formula is a soy-based formula that contains
sucrose
The nurse should explain that the newborn's feeding intolerance may be related
to the lactose found in cow's milk formula and is being replaced with the soy-
based formula that contains sucrose, which is well-tolerated in infants with milk
allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning immediate
care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor - Correct Answer-B. Infant's
condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor
has the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
4
