HESI MATERNITY OB LATEST III ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ At 28 weeks gestation, what should the fundal height measure
approximately?
Answer: 28 cm
◉ Which device should be used to auscultate the fetal heart rate at
11 weeks gestation?
Answer: Doppler ultrasound
◉ What is the most appropriate diagnosis for a patient at 32 weeks
gestation with a blood pressure of 148/92 mmHg and no protein in
urine?
Answer: Gestational hypertension
◉ What finding confirms severe features of preeclampsia in a
patient at 34 weeks gestation?
Answer: Blood pressure ≥160/110 mmHg, thrombocytopenia
<100,000, and elevated liver enzymes
,◉ Which task is most appropriate to delegate to an experienced LPN
on the antepartum unit?
Answer: Reinforcing prenatal vitamin teaching and obtaining a fetal
heart rate using Doppler on a stable patient
◉ What laboratory screening tests are standard for all pregnant
patients during the initial prenatal visit?
Answer: Complete blood count, blood type with Rh factor, antibody
screen, urinalysis, rubella titer, hepatitis B surface antigen, HIV, and
syphilis screening
◉ What is the priority nursing action for a patient at 30 weeks
gestation with sudden, painless, bright red vaginal bleeding?
Answer: Monitor maternal-fetal status, establish IV access, and
prepare for possible cesarean birth; do NOT perform a digital
vaginal examination
◉ What is the priority action for a patient at 35 weeks gestation
with painful vaginal bleeding and a nonreassuring fetal heart rate?
Answer: Prepare for immediate delivery based on maternal-fetal
status
◉ How should a fetal heart rate tracing with a baseline of 135 bpm,
moderate variability, and no decelerations be classified?
Answer: Category I (Normal)
, ◉ What defines Category I fetal tracings?
Answer: Normal baseline (110-160 bpm), moderate variability, and
absence of late or variable decelerations.
◉ What type of deceleration begins at the onset of a contraction and
returns to baseline by the end?
Answer: Early deceleration.
◉ What is the priority nursing intervention for a patient with
recurrent late decelerations?
Answer: Reposition the patient, administer oxygen, increase IV
fluids, notify the provider, and prepare for possible delivery.
◉ What should a nurse do for a fetal heart rate tracing with absent
variability and recurrent late decelerations?
Answer: Prepare for immediate delivery.
◉ What is the priority action for a patient with severe preeclampsia
and nonreassuring fetal status?
Answer: Administer a magnesium sulfate loading dose, control blood
pressure, notify the provider, prepare for emergent delivery, and
maintain continuous monitoring.
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
◉ At 28 weeks gestation, what should the fundal height measure
approximately?
Answer: 28 cm
◉ Which device should be used to auscultate the fetal heart rate at
11 weeks gestation?
Answer: Doppler ultrasound
◉ What is the most appropriate diagnosis for a patient at 32 weeks
gestation with a blood pressure of 148/92 mmHg and no protein in
urine?
Answer: Gestational hypertension
◉ What finding confirms severe features of preeclampsia in a
patient at 34 weeks gestation?
Answer: Blood pressure ≥160/110 mmHg, thrombocytopenia
<100,000, and elevated liver enzymes
,◉ Which task is most appropriate to delegate to an experienced LPN
on the antepartum unit?
Answer: Reinforcing prenatal vitamin teaching and obtaining a fetal
heart rate using Doppler on a stable patient
◉ What laboratory screening tests are standard for all pregnant
patients during the initial prenatal visit?
Answer: Complete blood count, blood type with Rh factor, antibody
screen, urinalysis, rubella titer, hepatitis B surface antigen, HIV, and
syphilis screening
◉ What is the priority nursing action for a patient at 30 weeks
gestation with sudden, painless, bright red vaginal bleeding?
Answer: Monitor maternal-fetal status, establish IV access, and
prepare for possible cesarean birth; do NOT perform a digital
vaginal examination
◉ What is the priority action for a patient at 35 weeks gestation
with painful vaginal bleeding and a nonreassuring fetal heart rate?
Answer: Prepare for immediate delivery based on maternal-fetal
status
◉ How should a fetal heart rate tracing with a baseline of 135 bpm,
moderate variability, and no decelerations be classified?
Answer: Category I (Normal)
, ◉ What defines Category I fetal tracings?
Answer: Normal baseline (110-160 bpm), moderate variability, and
absence of late or variable decelerations.
◉ What type of deceleration begins at the onset of a contraction and
returns to baseline by the end?
Answer: Early deceleration.
◉ What is the priority nursing intervention for a patient with
recurrent late decelerations?
Answer: Reposition the patient, administer oxygen, increase IV
fluids, notify the provider, and prepare for possible delivery.
◉ What should a nurse do for a fetal heart rate tracing with absent
variability and recurrent late decelerations?
Answer: Prepare for immediate delivery.
◉ What is the priority action for a patient with severe preeclampsia
and nonreassuring fetal status?
Answer: Administer a magnesium sulfate loading dose, control blood
pressure, notify the provider, prepare for emergent delivery, and
maintain continuous monitoring.
