HESI OB MATERNITY EXAMPREP REVIEW
SHEET WITH TESTED QUESTIONS AND
COMPLETE SOLUTIONS
●● A newborn infant is brought to the nursery from the birthing suite.
The nurse notices that the infant 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
Answer: C. Check the infant's oxygen saturation rate
When possible, the nurse should first obtain measurable objective data;
an oxygen saturation rate 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
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 for 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
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 separation, 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 pattern 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
Answer: A. Transition labor with contractions every 2 minutes, lasting
90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin infusion
should be discontinued because placental perfusion is impeded
●● 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, in the newborn, an accumulation of blood
, between the periosteum and skull which does not cross 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 complications
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
Answer: A. a cephalhematoma, 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 hours 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 should 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
Answer: A. Yellowish tinge to the skin
SHEET WITH TESTED QUESTIONS AND
COMPLETE SOLUTIONS
●● A newborn infant is brought to the nursery from the birthing suite.
The nurse notices that the infant 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
Answer: C. Check the infant's oxygen saturation rate
When possible, the nurse should first obtain measurable objective data;
an oxygen saturation rate 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
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 for 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
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 separation, 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 pattern 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
Answer: A. Transition labor with contractions every 2 minutes, lasting
90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin infusion
should be discontinued because placental perfusion is impeded
●● 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, in the newborn, an accumulation of blood
, between the periosteum and skull which does not cross 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 complications
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
Answer: A. a cephalhematoma, 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 hours 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 should 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
Answer: A. Yellowish tinge to the skin
