HESI Maternity OB Exam Bundle (Versions 1, 2 & 3 +
A, B, C Practice) 2025/2027 – Elsevier Evolve –
Comprehensive Obstetric & Newborn Care
Competency Assessment|Just Released!!
When the presenting part is ballottable, it is floating out of
the pelvis. In such a situation, the cord can descend
before the fetus causing a prolapsed cord, which is an
emergency situation.
The nurse is providing discharge teaching for a client who
is 24 hours postpartum. The nurse explains to the client
that her vaginal discharge will change from red to pink and
then to white. The client asks, "What if I start having red
,bleeding AFTER it changes?" What should the nurse
instruct the client to do?
A. Reduce activity level and notify the healthcare provider
B. Go to bed and assume a knee-chest position
C. Massage the uterus and go to the emergency room
D. Do not worry as this is a normal occurance - ANSWER-
A. Reduce activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to
serosa (pinkish) to alba (whitish), and not return to red.
The return to rubra usually indicates subinvolution or
infection. If such a sign occurs, the mother should notify
the clinic/healthcare provider and reduce her activity to
conserve energy
,One hour after giving birth to an 8-pound infant, a client's
lochia rubra has increased from small to large and her
fundus is boggy despite massage. The client's pulse is 84
beats/minute and blood pressure is 156/96. The
healthcare provider prescribes Methergine 0.2 mg IM × 1.
What action should the nurse take immediately?
A. Give the medication as prescribed and monitor for
efficacy
B. Encourage the client to breastfeed rather than bottle
feed
C. Have the client empty her bladder and massage the
fundus
, D. Call the healthcare provider to question the prescription
- ANSWER-D. Call the healthcare provider to question the
prescription
Methergine is contraindicated for clients with elevated
blood pressure, so the nurse should contact the
healthcare provider and question the prescription
A client at 32-weeks gestation is diagnosed with
preeclampsia. Which assessment finding is most
indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. Periorbital edema
C. Epigastric pain
A, B, C Practice) 2025/2027 – Elsevier Evolve –
Comprehensive Obstetric & Newborn Care
Competency Assessment|Just Released!!
When the presenting part is ballottable, it is floating out of
the pelvis. In such a situation, the cord can descend
before the fetus causing a prolapsed cord, which is an
emergency situation.
The nurse is providing discharge teaching for a client who
is 24 hours postpartum. The nurse explains to the client
that her vaginal discharge will change from red to pink and
then to white. The client asks, "What if I start having red
,bleeding AFTER it changes?" What should the nurse
instruct the client to do?
A. Reduce activity level and notify the healthcare provider
B. Go to bed and assume a knee-chest position
C. Massage the uterus and go to the emergency room
D. Do not worry as this is a normal occurance - ANSWER-
A. Reduce activity level and notify the healthcare provider
Lochia should progress in stages from rubra (red) to
serosa (pinkish) to alba (whitish), and not return to red.
The return to rubra usually indicates subinvolution or
infection. If such a sign occurs, the mother should notify
the clinic/healthcare provider and reduce her activity to
conserve energy
,One hour after giving birth to an 8-pound infant, a client's
lochia rubra has increased from small to large and her
fundus is boggy despite massage. The client's pulse is 84
beats/minute and blood pressure is 156/96. The
healthcare provider prescribes Methergine 0.2 mg IM × 1.
What action should the nurse take immediately?
A. Give the medication as prescribed and monitor for
efficacy
B. Encourage the client to breastfeed rather than bottle
feed
C. Have the client empty her bladder and massage the
fundus
, D. Call the healthcare provider to question the prescription
- ANSWER-D. Call the healthcare provider to question the
prescription
Methergine is contraindicated for clients with elevated
blood pressure, so the nurse should contact the
healthcare provider and question the prescription
A client at 32-weeks gestation is diagnosed with
preeclampsia. Which assessment finding is most
indicative of an impending convulsion?
A. 3+ deep tendon reflexes
B. Periorbital edema
C. Epigastric pain
