HESI MATERNITY (OB) OBSTETRICS EXAM
PEDIATRICS EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+
LATEST
1. A 28-year-old client at 36 weeks’ gestation presents with severe headache,
visual disturbances, and epigastric pain. BP is 168/110 mmHg. What is the nurse’s
priority action?
A. Administer magnesium sulfate
B. Place the client in Trendelenburg position
C. Encourage oral fluids
D. Obtain a urine specimen
✅ Correct Answer: A
Rationale:
These findings indicate severe preeclampsia. Magnesium sulfate is the priority
intervention to prevent seizures. Other actions are secondary once seizure
prophylaxis is initiated.
2. Which assessment finding in a postpartum client requires immediate
intervention?
A. Lochia rubra saturating one pad in 1 hour
B. Fundus firm and midline
C. BP 118/74 mmHg
D. Mild perineal edema
✅ Correct Answer: A
Rationale:
Saturating a pad in 1 hour indicates postpartum hemorrhage and requires
immediate evaluation and intervention.
,3.
A client in active labor suddenly reports sharp abdominal pain and vaginal
bleeding. The fetal heart rate shows late decelerations. What condition does the
nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Abruptio placentae
D. Cord prolapse
✅ Correct Answer: C
Rationale:
Abruptio placentae presents with painful bleeding, uterine tenderness, and fetal
distress. Placenta previa bleeding is painless.
4.
The nurse is caring for a newborn of a diabetic mother. Which complication is the
infant at highest risk for?
A. Hyperglycemia
B. Hypocalcemia
C. Hypoglycemia
D. Hyperbilirubinemia
✅ Correct Answer: C
Rationale:
Infants of diabetic mothers produce excess insulin, placing them at high risk for
hypoglycemia after birth.
,5.
Which statement by a pregnant client indicates understanding of iron
supplementation?
A. “I will take it with milk to avoid stomach upset.”
B. “I should expect black stools.”
C. “I can stop if I feel constipated.”
D. “It works best when taken with calcium.”
✅ Correct Answer: B
Rationale:
Black stools are a normal side effect of iron supplementation. Milk and calcium
reduce absorption.
6.
A client receiving oxytocin develops uterine tachysystole. What is the nurse’s first
action?
A. Increase IV fluids
B. Stop oxytocin infusion
C. Administer terbutaline
D. Apply oxygen
✅ Correct Answer: B
Rationale:
The priority intervention for uterine tachysystole is to stop oxytocin
immediately to reduce uterine stimulation.
, 7.
Which finding indicates a normal newborn transition?
A. Central cyanosis lasting 10 minutes
B. Acrocyanosis
C. Heart rate of 90 bpm
D. Respiratory rate of 70/min
✅ Correct Answer: B
Rationale:
Acrocyanosis (blue hands and feet) is normal during newborn transition. Central
cyanosis is abnormal.
8.
Which intervention is appropriate for a client with placenta previa?
A. Vaginal examinations
B. Bed rest and pelvic rest
C. Oxytocin induction
D. Fundal massage
✅ Correct Answer: B
Rationale:
Placenta previa requires pelvic rest and avoidance of vaginal exams to prevent
hemorrhage.
9.
A postpartum client is at increased risk for thromboembolism due to which factor?
A. Increased estrogen
B. Decreased blood volume
C. Vasodilation
D. Increased platelet destruction
PEDIATRICS EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+
LATEST
1. A 28-year-old client at 36 weeks’ gestation presents with severe headache,
visual disturbances, and epigastric pain. BP is 168/110 mmHg. What is the nurse’s
priority action?
A. Administer magnesium sulfate
B. Place the client in Trendelenburg position
C. Encourage oral fluids
D. Obtain a urine specimen
✅ Correct Answer: A
Rationale:
These findings indicate severe preeclampsia. Magnesium sulfate is the priority
intervention to prevent seizures. Other actions are secondary once seizure
prophylaxis is initiated.
2. Which assessment finding in a postpartum client requires immediate
intervention?
A. Lochia rubra saturating one pad in 1 hour
B. Fundus firm and midline
C. BP 118/74 mmHg
D. Mild perineal edema
✅ Correct Answer: A
Rationale:
Saturating a pad in 1 hour indicates postpartum hemorrhage and requires
immediate evaluation and intervention.
,3.
A client in active labor suddenly reports sharp abdominal pain and vaginal
bleeding. The fetal heart rate shows late decelerations. What condition does the
nurse suspect?
A. Placenta previa
B. Uterine rupture
C. Abruptio placentae
D. Cord prolapse
✅ Correct Answer: C
Rationale:
Abruptio placentae presents with painful bleeding, uterine tenderness, and fetal
distress. Placenta previa bleeding is painless.
4.
The nurse is caring for a newborn of a diabetic mother. Which complication is the
infant at highest risk for?
A. Hyperglycemia
B. Hypocalcemia
C. Hypoglycemia
D. Hyperbilirubinemia
✅ Correct Answer: C
Rationale:
Infants of diabetic mothers produce excess insulin, placing them at high risk for
hypoglycemia after birth.
,5.
Which statement by a pregnant client indicates understanding of iron
supplementation?
A. “I will take it with milk to avoid stomach upset.”
B. “I should expect black stools.”
C. “I can stop if I feel constipated.”
D. “It works best when taken with calcium.”
✅ Correct Answer: B
Rationale:
Black stools are a normal side effect of iron supplementation. Milk and calcium
reduce absorption.
6.
A client receiving oxytocin develops uterine tachysystole. What is the nurse’s first
action?
A. Increase IV fluids
B. Stop oxytocin infusion
C. Administer terbutaline
D. Apply oxygen
✅ Correct Answer: B
Rationale:
The priority intervention for uterine tachysystole is to stop oxytocin
immediately to reduce uterine stimulation.
, 7.
Which finding indicates a normal newborn transition?
A. Central cyanosis lasting 10 minutes
B. Acrocyanosis
C. Heart rate of 90 bpm
D. Respiratory rate of 70/min
✅ Correct Answer: B
Rationale:
Acrocyanosis (blue hands and feet) is normal during newborn transition. Central
cyanosis is abnormal.
8.
Which intervention is appropriate for a client with placenta previa?
A. Vaginal examinations
B. Bed rest and pelvic rest
C. Oxytocin induction
D. Fundal massage
✅ Correct Answer: B
Rationale:
Placenta previa requires pelvic rest and avoidance of vaginal exams to prevent
hemorrhage.
9.
A postpartum client is at increased risk for thromboembolism due to which factor?
A. Increased estrogen
B. Decreased blood volume
C. Vasodilation
D. Increased platelet destruction
