HESI OBSTETRICS/MATERNITY Question and Answer
[2026] | UPDATED ACTUAL Exam | 100% Verified
Answers
• During labor, the nurse determines that a full term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing
actions? (Place in the first action on top and last action on the bottom) -✓✓ 1.
Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. Call the health care provider
• A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" -✓✓ "Your milk is sufficient if the baby is voiding pale
straw-colored urine 6-10 times a day"
• 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? -✓✓ Infant's condition at birth and treatment received
• The nurse is assessing the umbilical cord of a newborn. Which finding constitutes
a normal finding? -✓✓ Three vessels: two arteries and one vein
• When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply) -✓✓
-Mood swings
-Tearfulness
,• A new mother who has just had her first baby says to the nurse, "I saw the baby
in the recovery room. She sure has a funny looking head." Which response by the
nurse is best? -✓✓ "That is normal; the head will return to a round shape within 7
to 10 days."
• 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? -✓✓ Yellowish tinge to the skin
• A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion? -✓✓ -3+ deep tendon
reflexes and hyperclonus
-epigastric pain
• 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? -✓✓ Provide assistance to the
mother to begin breastfeeding as soon as possible after delivery
• 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 appropriate? -✓✓ "A home pregnancy test can be used right after your first
missed period."
• Which assessment finding should the nursery nurse report to the pediatric
healthcare provider? -✓✓ Central cyanosis when crying
• A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge? -✓✓ It is difficult to consume 18 mg of additional iron by diet alone.
, • The nurse is counseling a couple who has sought information about conceiving.
For teaching purposes, the nurse should know that ovulation usually occurs -✓✓
Two weeks before menstruation
• 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? -✓✓
"There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
• The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's
bedside? (Select all that apply) -✓✓ - Sterile glove
- An amniotic hook
- A doppler
- Lubricant?
• An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? -✓✓ Put the newborn to breast
• A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the nurse
implement first? -✓✓ Obtain a specimen for urine analysis
• An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
[2026] | UPDATED ACTUAL Exam | 100% Verified
Answers
• During labor, the nurse determines that a full term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing
actions? (Place in the first action on top and last action on the bottom) -✓✓ 1.
Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. Call the health care provider
• A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" -✓✓ "Your milk is sufficient if the baby is voiding pale
straw-colored urine 6-10 times a day"
• 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? -✓✓ Infant's condition at birth and treatment received
• The nurse is assessing the umbilical cord of a newborn. Which finding constitutes
a normal finding? -✓✓ Three vessels: two arteries and one vein
• When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply) -✓✓
-Mood swings
-Tearfulness
,• A new mother who has just had her first baby says to the nurse, "I saw the baby
in the recovery room. She sure has a funny looking head." Which response by the
nurse is best? -✓✓ "That is normal; the head will return to a round shape within 7
to 10 days."
• 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? -✓✓ Yellowish tinge to the skin
• A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion? -✓✓ -3+ deep tendon
reflexes and hyperclonus
-epigastric pain
• 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? -✓✓ Provide assistance to the
mother to begin breastfeeding as soon as possible after delivery
• 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 appropriate? -✓✓ "A home pregnancy test can be used right after your first
missed period."
• Which assessment finding should the nursery nurse report to the pediatric
healthcare provider? -✓✓ Central cyanosis when crying
• A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge? -✓✓ It is difficult to consume 18 mg of additional iron by diet alone.
, • The nurse is counseling a couple who has sought information about conceiving.
For teaching purposes, the nurse should know that ovulation usually occurs -✓✓
Two weeks before menstruation
• 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? -✓✓
"There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair."
• The nurse is preparing a client with a term pregnancy who is in active labor for an
amniotomy. What equipment should the nurse have available at the client's
bedside? (Select all that apply) -✓✓ - Sterile glove
- An amniotic hook
- A doppler
- Lubricant?
• An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? -✓✓ Put the newborn to breast
• A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the nurse
implement first? -✓✓ Obtain a specimen for urine analysis
• An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
