HESI Maternity Questions And Answers 2026, OB HESI
practice 2026
Terms in this set (234)
,A 41-week multigravida is receiving D. Increase the rate of the oxytocin infusion.
oxytocin to augment labor.
Contractions are firm and occurring The goal of labor augmentation is to produce firm
every 5 minutes, with a 30- to 40- contractions that occur every 2 to 3 minutes, with a
second duration. The fetal heart rate duration of 60 to 70 seconds, and without evidence
increases with each contraction and of fetal stress. FHR accelerations are a normal
returns to baseline after the response to contractions, so the oxytocin (Pitocin)
contraction. What is the next nursing infusion should be increased per protocol to
action? stimulate the frequency and intensity of
contractions.
A. Place a wedge under the client's left Options A and C are indicated for fetal stress. A
side. sterile vaginal examination places the client at risk
B. Determine cervical dilation and for infection and should be performed when the
effacement. client exhibits signs of progressing labor, which is
C. Administer 10 L of oxygen via not indicated at this time.
facemask.
D. Increase the rate of the oxytocin
infusion.
The nurse is teaching a prenatal class A, B, C, D
about the structure of the pelvis and
is using a model of a pelvis in the A gynecoid shape pelvis is the most favorable for
presentation. Which statements will birthing. The remaining statements are true.
the nurse include in the teaching
plan? (Select all that apply.)
A. "The baby has to pass through the
true pelvis."
B."The pelvis consists of three
distinct features."
C. "The true pelvis is below the pelvic
brim."
D."The ischial spines determine how
low the baby is located."
E. "The shape of the pelvis does not
impact the labor process."
A 38-week primigravida works as an C. Move about every hour.
office assistant and sits at a computer 8
hours each day. She tells the nurse that Pooling of blood in the lower extremities results from
her feet have begun to swell. Which the enlarged uterus exerting pressure on the pelvic
instruction will aid in the prevention of veins. Moving about every hour will relieve pressure
pooling of blood in the lower on the pelvic veins and increase venous return.
extremities? Option A would increase venous return from
varicose veins in the lower extremities but would be
A. Wear support stockings. of little help with swelling. Option B might be helpful
B. Reduce salt in the diet. with generalized edema but is not specific for
C. Move about every hour. edematous lower extremities. Option D does not
D. Avoid constrictive clothing. address venous return, and there is no indication in
the question that constrictive clothing is a problem.
,In developing a teaching plan for D. The anterior fontanel closes at 12 to 18 months and
expectant parents, the nurse decides the posterior fontanel by the end of the second month.
to include information about when
the parents can expect the infant's In the normal infant, the anterior fontanel closes at 12
fontanels to close. Which statement is to 18 months of age and the posterior fontanel closes
accurate regarding the timing of by the end of the second month. These growth and
closure of an infant's fontanels that development milestones are frequently included in
should be included in this teaching questions on the licensure examination. Options A, B,
plan? and C are incorrect.
A. The anterior fontanel closes at 2 to
4 months and the posterior fontanel
by the end of the first week.
B. The anterior fontanel closes at 5 to
7 months and the posterior fontanel
by the end of the second week.
C. The anterior fontanel closes at 8 to
11 months and the posterior fontanel
by the end of the first month.
D. The anterior fontanel closes at 12
to 18 months and the posterior
fontanel by the end of the second
month.
The laboring client at term states to the B. Place the client in knee-chest position.
nurse, "I think my water just broke." The
nurse observes a shiny, gelatinous, This client is showing signs of an obstetric
rope-like structure protruding from the emergency of a prolapsed umbilical cord.
client's vaginal area. What is the next Compression of the cord can lead to fetal anoxia.
nursing action? Placing the client in knee-chest position reduces the
weight of the presenting part off of the cord. The
A. Call for help. nurse will need to complete the remaining options,
B. Place the client in knee-chest position. but oxygenation of the fetus takes priority.
C. Increase the mainline IV fluids.
D. Reassure the client.
Twenty-four hours after admission to A. Cephalohematoma, which is caused by forceps
the newborn nursery, the nurse trauma
assesses a full-term infant who has
developed localized swelling on the Cephalohematoma, a slight abnormal variation of the
right side of the head. In a newborn, newborn, usually arises within the first 24 hours after
what is the most likely cause of this delivery. Trauma from delivery causes capillary
accumulation of blood between the bleeding between the periosteum and skull. Option C
periosteum and skull that does not is a cranial distortion lasting 5 to 7 days, caused by
cross the suture line? pressure on the cranium during vaginal delivery, and
is a common variation of the newborn. Options B and
A. Cephalohematoma, which is D both involve intracranial bleeding and could not be
caused by forceps trauma detected by physical assessment alone.
B. Subarachnoid hematoma, which
requires immediate drainage
C. Molding, which is caused by
pressure during labor
D. Subdural hematoma, which can
result in lifelong damage
, The postpartum client is preparing for
discharge. She states to the nurse, "I A, B, D
have not had a bowel movement
yet." What are the nurse's For post-partum constipation, drink at least 2000 mL
recommendations for this client? of water every day. Eating foods high in fiber will
(Select all that apply.) help with constipation. Ambulation also helps with
constipation.
A. "Drink no less than 5, 8-ounce Increasing the frequency of breastfeeding helps with
glasses of water or non-caffeine uterine involution, but not with constipation.
beverages per day." Frequent use of narcotic pain medication can be
B."Make sure you eat 4 to 5 servings constipating.
if high fiber foods a day, like broccoli
and pears."
C. "Increase the frequency of breast-
feeding to no less than every two
hours."
D."Since it is nice outside, take a 15-
minute walk two to three times a
day."
E. "Take your narcotic pain
medications as prescribed, every 3
to 4 hours."
The nurse is reviewing fetal circulation
C, D, E
with a nursing student. The nurse
concludes the student understands
The umbilical cord contains one vein and 2 arteries.
the teaching when which statements
Umbilical venous blood has the highest level of
are made? (Select all that apply.)
oxygenation. The remaining statements are true.
A. The umbilical cord contains two
veins and one artery.
B.Umbilical arterial blood has the
highest oxygenation.
C. Fetal oxygenation occurs
through the placenta.
D. The foramen ovale is
open in the fetal state.
E. Blood flows from the placenta to
the fetal heart.
The nurse is preparing an infusion of F.One or three mL syringe
oxytocin to induce labor for a newly
admitted client. The order reads, place
30 units of oxytocin in 500 mL of
normal saline and start at 1 mL/hour.
Increase by 1 mL every 30 minutes
until contractions are every 3 to 4
minutes. Oxytoxin is packaged in a
glass vial that reads, 1 mL contains 10
units. What supplies will the nurse
need to gather to start the infusion?
(Select all that apply.)
A. 1000 mL bag of normal saline
B. Three vials of oxytocin
C. 22 gauge IV catheter
D.Alcohol wipe
E. IV start kit
practice 2026
Terms in this set (234)
,A 41-week multigravida is receiving D. Increase the rate of the oxytocin infusion.
oxytocin to augment labor.
Contractions are firm and occurring The goal of labor augmentation is to produce firm
every 5 minutes, with a 30- to 40- contractions that occur every 2 to 3 minutes, with a
second duration. The fetal heart rate duration of 60 to 70 seconds, and without evidence
increases with each contraction and of fetal stress. FHR accelerations are a normal
returns to baseline after the response to contractions, so the oxytocin (Pitocin)
contraction. What is the next nursing infusion should be increased per protocol to
action? stimulate the frequency and intensity of
contractions.
A. Place a wedge under the client's left Options A and C are indicated for fetal stress. A
side. sterile vaginal examination places the client at risk
B. Determine cervical dilation and for infection and should be performed when the
effacement. client exhibits signs of progressing labor, which is
C. Administer 10 L of oxygen via not indicated at this time.
facemask.
D. Increase the rate of the oxytocin
infusion.
The nurse is teaching a prenatal class A, B, C, D
about the structure of the pelvis and
is using a model of a pelvis in the A gynecoid shape pelvis is the most favorable for
presentation. Which statements will birthing. The remaining statements are true.
the nurse include in the teaching
plan? (Select all that apply.)
A. "The baby has to pass through the
true pelvis."
B."The pelvis consists of three
distinct features."
C. "The true pelvis is below the pelvic
brim."
D."The ischial spines determine how
low the baby is located."
E. "The shape of the pelvis does not
impact the labor process."
A 38-week primigravida works as an C. Move about every hour.
office assistant and sits at a computer 8
hours each day. She tells the nurse that Pooling of blood in the lower extremities results from
her feet have begun to swell. Which the enlarged uterus exerting pressure on the pelvic
instruction will aid in the prevention of veins. Moving about every hour will relieve pressure
pooling of blood in the lower on the pelvic veins and increase venous return.
extremities? Option A would increase venous return from
varicose veins in the lower extremities but would be
A. Wear support stockings. of little help with swelling. Option B might be helpful
B. Reduce salt in the diet. with generalized edema but is not specific for
C. Move about every hour. edematous lower extremities. Option D does not
D. Avoid constrictive clothing. address venous return, and there is no indication in
the question that constrictive clothing is a problem.
,In developing a teaching plan for D. The anterior fontanel closes at 12 to 18 months and
expectant parents, the nurse decides the posterior fontanel by the end of the second month.
to include information about when
the parents can expect the infant's In the normal infant, the anterior fontanel closes at 12
fontanels to close. Which statement is to 18 months of age and the posterior fontanel closes
accurate regarding the timing of by the end of the second month. These growth and
closure of an infant's fontanels that development milestones are frequently included in
should be included in this teaching questions on the licensure examination. Options A, B,
plan? and C are incorrect.
A. The anterior fontanel closes at 2 to
4 months and the posterior fontanel
by the end of the first week.
B. The anterior fontanel closes at 5 to
7 months and the posterior fontanel
by the end of the second week.
C. The anterior fontanel closes at 8 to
11 months and the posterior fontanel
by the end of the first month.
D. The anterior fontanel closes at 12
to 18 months and the posterior
fontanel by the end of the second
month.
The laboring client at term states to the B. Place the client in knee-chest position.
nurse, "I think my water just broke." The
nurse observes a shiny, gelatinous, This client is showing signs of an obstetric
rope-like structure protruding from the emergency of a prolapsed umbilical cord.
client's vaginal area. What is the next Compression of the cord can lead to fetal anoxia.
nursing action? Placing the client in knee-chest position reduces the
weight of the presenting part off of the cord. The
A. Call for help. nurse will need to complete the remaining options,
B. Place the client in knee-chest position. but oxygenation of the fetus takes priority.
C. Increase the mainline IV fluids.
D. Reassure the client.
Twenty-four hours after admission to A. Cephalohematoma, which is caused by forceps
the newborn nursery, the nurse trauma
assesses a full-term infant who has
developed localized swelling on the Cephalohematoma, a slight abnormal variation of the
right side of the head. In a newborn, newborn, usually arises within the first 24 hours after
what is the most likely cause of this delivery. Trauma from delivery causes capillary
accumulation of blood between the bleeding between the periosteum and skull. Option C
periosteum and skull that does not is a cranial distortion lasting 5 to 7 days, caused by
cross the suture line? pressure on the cranium during vaginal delivery, and
is a common variation of the newborn. Options B and
A. Cephalohematoma, which is D both involve intracranial bleeding and could not be
caused by forceps trauma detected by physical assessment alone.
B. Subarachnoid hematoma, which
requires immediate drainage
C. Molding, which is caused by
pressure during labor
D. Subdural hematoma, which can
result in lifelong damage
, The postpartum client is preparing for
discharge. She states to the nurse, "I A, B, D
have not had a bowel movement
yet." What are the nurse's For post-partum constipation, drink at least 2000 mL
recommendations for this client? of water every day. Eating foods high in fiber will
(Select all that apply.) help with constipation. Ambulation also helps with
constipation.
A. "Drink no less than 5, 8-ounce Increasing the frequency of breastfeeding helps with
glasses of water or non-caffeine uterine involution, but not with constipation.
beverages per day." Frequent use of narcotic pain medication can be
B."Make sure you eat 4 to 5 servings constipating.
if high fiber foods a day, like broccoli
and pears."
C. "Increase the frequency of breast-
feeding to no less than every two
hours."
D."Since it is nice outside, take a 15-
minute walk two to three times a
day."
E. "Take your narcotic pain
medications as prescribed, every 3
to 4 hours."
The nurse is reviewing fetal circulation
C, D, E
with a nursing student. The nurse
concludes the student understands
The umbilical cord contains one vein and 2 arteries.
the teaching when which statements
Umbilical venous blood has the highest level of
are made? (Select all that apply.)
oxygenation. The remaining statements are true.
A. The umbilical cord contains two
veins and one artery.
B.Umbilical arterial blood has the
highest oxygenation.
C. Fetal oxygenation occurs
through the placenta.
D. The foramen ovale is
open in the fetal state.
E. Blood flows from the placenta to
the fetal heart.
The nurse is preparing an infusion of F.One or three mL syringe
oxytocin to induce labor for a newly
admitted client. The order reads, place
30 units of oxytocin in 500 mL of
normal saline and start at 1 mL/hour.
Increase by 1 mL every 30 minutes
until contractions are every 3 to 4
minutes. Oxytoxin is packaged in a
glass vial that reads, 1 mL contains 10
units. What supplies will the nurse
need to gather to start the infusion?
(Select all that apply.)
A. 1000 mL bag of normal saline
B. Three vials of oxytocin
C. 22 gauge IV catheter
D.Alcohol wipe
E. IV start kit
