NSG 4419C - 2026 HESI OB MATERNITY ] ] ]
ONLINE PRACTICE EXAM QUESTIONS
] ] ] ]] ]
AND CORRECT ANSWERS ALREADY G
] ] ]] ]
RADED A+ LATEST VERSION
] ]] ]
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. ]Rais
ing ]the ]foot ]of ]the ]bed ]will ]increase ]venous ]return ]and ]provide ]blood ]to ]the ]vital ]areas. ]Increasin
g ]the ]IV ]fluid ]rate ]using ]a ]balanced ]non-
dextrose ]solution ]and ]ensuring ]that ]the ]client ]is ]in ]a ]lateral ]position ]are ]also ]appropriate ]interve
ntions, ]and ]then ]checking ]the ]patients ]blood ]pressure.
A ]newborn ]infant ]is ]brought ]to ]the ]nursery ]from ]the ]birthing ]suite. ]The ]nurse ]notices ]that ]the ]inf
ant ]is ]breathing ]satisfactorily ]but ]appears ]dusky. ]What ]action ]should ]the ]nurse ]take ]first?
A. ]Notify ]the ]pediatrician ]immediately
B. ]Suction ]the ]infant's ]nares, ]then ]the ]oral ]cavity
C. ]Check ]the ]infant's ]oxygen ]saturation ]rate
D. ]Position ]the ]infant ]on ]the ]right ]side ]- ]correct ]answer: ]C. ]Check ]the ]infant's ]oxygen ]saturation ]r
ate
When ]possible, ]the ]nurse ]should ]first ]obtain ]measurable ]objective ]data; ]an ]oxygen ]saturation ]ra
te ]provides ]such ]information.
,FYI. ]The ]pediatrician ]should ]be ]notified ]if ]the ]oxygen ]saturation ]rate ]is ]below ]90%
The ]nurse ]is ]teaching ]breastfeeding ]to ]prospective ]parents ]in ]a ]childbirth ]education ]class. ]Which
]instruction ]should ]the ]nurse ]include ]as ]content ]in ]the ]class?
A. ]Begin ]as ]soon ]as ]your ]baby ]is ]born ]to ]establish ]a ]four-hour ]feeding ]schedule
B. ]Resting ]helps ]with ]milk ]production. ]Ask ]that ]your ]baby ]be ]fed ]at ]night ]in ]the ]nursery
C. ]Feed ]your ]baby ]every ]2 ]to ]3 ]hours ]or ]on ]demand, ]whichever ]comes ]first
D. ]Do ]not ]allow ]your ]baby ]to ]nurse ]any ]longer ]than ]the ]prescribed ]number ]of ]minutes ]- ]correct ]
answer: ]C. ]Feed ]your ]baby ]every ]2 ]to ]3 ]hours ]or ]on ]demand, ]whichever ]comes ]first
Breastfeeding ]infants ]should ]be ]kept ]in ]the ]room ]with ]the ]mother ]and ]fed ]every ]2 ]to ]3 ]hours ]or ]
on ]demand--whichever ]comes ]first.
A ]client ]is ]admitted ]with ]the ]diagnosis ]of ]total ]placenta ]previa. ]Which ]finding ]is ]most ]important ]f
or ]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
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 ]se
paration, ]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 ]pa
ttern ]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 ]an
swer: ]A. ]Transition ]labor ]with ]contractions ]every ]2 ]minutes, ]lasting ]90 ]seconds ]each
When ]oxytocin ]causes ]uterine ]hyperstimulation ]as ]evidence ]by ]inadequate ]resting ]time ]betwee
n ]contractions, ]the ]oxytocin ]infusion ]should ]be ]discontinued ]because ]placental ]perfusion ]is ]imp
eded
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, ]i
n ]the ]newborn, ]an ]accumulation ]of ]blood ]between ]the ]periosteum ]and ]skull ]which ]does ]not ]cro
ss ]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 ]complicati
ons
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 ]cephalhemat
oma, ]caused ]by ]forceps ]trauma ]and ]may ]last ]up ]to ]8 ]weeks
Cephalhematoma, ]a ]slight ]abnormal ]variation ]of ]the ]newborn, ]usually ]arises ]within ]the ]first ]24 ]h
ours ]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 ]shou
ld ]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 ]perio
steum. ]Due ]to ]the ]breakdown ]of ]the ]red ]blood ]cells ]within ]a ]hematoma, ]the ]infant ]is ]at ]a ]greate
r ]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 ]form
ula. ]The ]pediatric ]healthcare ]provider ]changes ]the ]neonate's ]formula ]to ]Simialc ]Soy ]Isomil ]form
ula, ]a ]soy ]protein ]isolate ]based ]infant ]formula. ]What ]information ]should ]the ]nurse ]provide ]to ]th
e ]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
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 ]f
ound ]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 ]mos
t ]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
ONLINE PRACTICE EXAM QUESTIONS
] ] ] ]] ]
AND CORRECT ANSWERS ALREADY G
] ] ]] ]
RADED A+ LATEST VERSION
] ]] ]
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. ]Rais
ing ]the ]foot ]of ]the ]bed ]will ]increase ]venous ]return ]and ]provide ]blood ]to ]the ]vital ]areas. ]Increasin
g ]the ]IV ]fluid ]rate ]using ]a ]balanced ]non-
dextrose ]solution ]and ]ensuring ]that ]the ]client ]is ]in ]a ]lateral ]position ]are ]also ]appropriate ]interve
ntions, ]and ]then ]checking ]the ]patients ]blood ]pressure.
A ]newborn ]infant ]is ]brought ]to ]the ]nursery ]from ]the ]birthing ]suite. ]The ]nurse ]notices ]that ]the ]inf
ant ]is ]breathing ]satisfactorily ]but ]appears ]dusky. ]What ]action ]should ]the ]nurse ]take ]first?
A. ]Notify ]the ]pediatrician ]immediately
B. ]Suction ]the ]infant's ]nares, ]then ]the ]oral ]cavity
C. ]Check ]the ]infant's ]oxygen ]saturation ]rate
D. ]Position ]the ]infant ]on ]the ]right ]side ]- ]correct ]answer: ]C. ]Check ]the ]infant's ]oxygen ]saturation ]r
ate
When ]possible, ]the ]nurse ]should ]first ]obtain ]measurable ]objective ]data; ]an ]oxygen ]saturation ]ra
te ]provides ]such ]information.
,FYI. ]The ]pediatrician ]should ]be ]notified ]if ]the ]oxygen ]saturation ]rate ]is ]below ]90%
The ]nurse ]is ]teaching ]breastfeeding ]to ]prospective ]parents ]in ]a ]childbirth ]education ]class. ]Which
]instruction ]should ]the ]nurse ]include ]as ]content ]in ]the ]class?
A. ]Begin ]as ]soon ]as ]your ]baby ]is ]born ]to ]establish ]a ]four-hour ]feeding ]schedule
B. ]Resting ]helps ]with ]milk ]production. ]Ask ]that ]your ]baby ]be ]fed ]at ]night ]in ]the ]nursery
C. ]Feed ]your ]baby ]every ]2 ]to ]3 ]hours ]or ]on ]demand, ]whichever ]comes ]first
D. ]Do ]not ]allow ]your ]baby ]to ]nurse ]any ]longer ]than ]the ]prescribed ]number ]of ]minutes ]- ]correct ]
answer: ]C. ]Feed ]your ]baby ]every ]2 ]to ]3 ]hours ]or ]on ]demand, ]whichever ]comes ]first
Breastfeeding ]infants ]should ]be ]kept ]in ]the ]room ]with ]the ]mother ]and ]fed ]every ]2 ]to ]3 ]hours ]or ]
on ]demand--whichever ]comes ]first.
A ]client ]is ]admitted ]with ]the ]diagnosis ]of ]total ]placenta ]previa. ]Which ]finding ]is ]most ]important ]f
or ]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
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 ]se
paration, ]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 ]pa
ttern ]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 ]an
swer: ]A. ]Transition ]labor ]with ]contractions ]every ]2 ]minutes, ]lasting ]90 ]seconds ]each
When ]oxytocin ]causes ]uterine ]hyperstimulation ]as ]evidence ]by ]inadequate ]resting ]time ]betwee
n ]contractions, ]the ]oxytocin ]infusion ]should ]be ]discontinued ]because ]placental ]perfusion ]is ]imp
eded
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, ]i
n ]the ]newborn, ]an ]accumulation ]of ]blood ]between ]the ]periosteum ]and ]skull ]which ]does ]not ]cro
ss ]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 ]complicati
ons
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 ]cephalhemat
oma, ]caused ]by ]forceps ]trauma ]and ]may ]last ]up ]to ]8 ]weeks
Cephalhematoma, ]a ]slight ]abnormal ]variation ]of ]the ]newborn, ]usually ]arises ]within ]the ]first ]24 ]h
ours ]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 ]shou
ld ]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 ]perio
steum. ]Due ]to ]the ]breakdown ]of ]the ]red ]blood ]cells ]within ]a ]hematoma, ]the ]infant ]is ]at ]a ]greate
r ]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 ]form
ula. ]The ]pediatric ]healthcare ]provider ]changes ]the ]neonate's ]formula ]to ]Simialc ]Soy ]Isomil ]form
ula, ]a ]soy ]protein ]isolate ]based ]infant ]formula. ]What ]information ]should ]the ]nurse ]provide ]to ]th
e ]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
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 ]f
ound ]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 ]mos
t ]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
