HESI OB MATERNITY 2024 TEST BANK EXIT EXAM
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
A client at 37 weeks gestation presents C. Encourage direct contact with the
to labor and delivery with contractions infant.
every two minutes the nurse observes D. Assess the blood pressure for
several shallow small vesicles on her hypertension. - ------CORRECT
pubis labia and perineum. the nurse ANSWER -----Observe for signs of
should recognize the clients is uterine hemorrhage.
prohibiting symptoms of which
condition? At 0600 while admitting a woman for a
1. German measles scheduled repeat cesarean section (C-
2. herpes simplex virus Section), the client tells the nurse that
3. syphilis she drank a cup a coffee at 0400
4. genital warts - ------CORRECT because she wanted to avoid getting a
ANSWER -----herpes simplex virus headache. Which action should the
nurse take first?
A client who had her first baby three A. Ensure preoperative lab results are
months ago and is breastfeeding her available.
infant tells the nurse that she is currently B. Inform the anesthesia care provider.
using the same diaphragm that she C. Start prescribed IV with Lactated
used before becoming pregnant. Which Ringer's.
information should the nurse provide this D. Contact the client's obstetrician. - -----
client? -CORRECT ANSWER -----Inform the
A. After ceasing breastfeeding, the anesthesia care provider
diaphragm should be resized.
B. Avoid intercourse during ovulation The nurse is caring for a postpartum
until the size of the diaphragm has been client who is exhibiting symptoms of a
evaluated. spinal headache 24 hours following
C. If no more than 20 pounds was delivery of a normal newborn. Prior to
gained during pregnancy, the diaphragm the anesthesiologist arrival on the unit,
is safe to use. which action should the nurse perform?
D.Use an alternate form of contraceptive A. Cleanse the spinal injection site.
until a new diaphragm is obtained. - ----- B. Place procedure equipment at
-CORRECT ANSWER -----Use an bedside.
alternate form of contraceptive until a C. Apply an abdominal binder.
new diaphragm is obtained. D. Insert an indwelling Foley catheter. - -
-----CORRECT ANSWER -----Place
A 30- year-old primigravida delivers a 9- procedure equipment at bedside
pound infant vaginally after a 30- hour
labor. What is the priority nursing action The nurse is caring for a newborn who is
for this client? 18 inches long, weighs 4 pounds, 14
A. Gently massage the fundus every 4 ounces, has a head circumference of 13
hours. inches, and a chest circumference of 10
B. Observe for signs of uterine inches. Based on these physical
hemorrhage. findings, assessment for which condition
has the highest priority?
, HESI OB MATERNITY 2024 TEST BANK EXIT EXAM
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
A. Hyperbilirubinemia A primigravida arrives at the observation
B. Polycythemia unit of the maternity unit because she
C. Hyperthermia thinks she is in labor. The nurse applies
D. Hypoglycemia - ------CORRECT the external fetal heart monitor and
ANSWER -----Hypoglycemia determines that the fetal heart rate is
140 beats/minute and contractions are
The nurse is caring for a 35-week occurring irregularly every 10-15
gestation infant delivered by cesarean minutes. Which assessment finding
section 2 hours ago. The nurse confirms to the nurse that the client is
observes the infant's respiratory rate is not in labor at this time?
72 breaths/minute with nasal flaring, A. Contractions decrease with walking.
grunting, and retractions. The nurse B. 2+ pitting edema in lower extremities.
should recognize these findings indicate C. Cervical dilations is 1cm.
which complication? D. Membranes are intact. - ------
A. Persistent pulmonary hypertension of CORRECT ANSWER -----Contractions
the newborn. decrease with walking
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome. A primigravida client with gestational
D. Bronchopulmonary dysplasia. - ------ hypertension and a Bishop score of 3 is
CORRECT ANSWER -----Transient scheduled for induction of labor. The
tachypnea of the newborn nurse administers misoprostol at 0700,
then observes regular contractions with
A primipara client at 42 weeks gestation cervical changes at 0900. Which action
is admitted for induction. within one hour should the nurse take?
after initiating an oxytocin infusion, her A. Administer misoprostol every 2hrs.
cervix is 100% effaced and 6 cm dilated, B. Ambulate the client after
contractions are occurring every 1 administration of misoprostol.
minute with a 75 second duration. when C. Start oxytocin infusion immediately.
nurse stops the oxytocin and starts D. Begin oxytocin 4hrs after misoprostol
oxygen. After 30 minutes of uterine rest, is given. - ------CORRECT ANSWER ----
the contractions are occurring every 5 -Begin oxytocin 4hrs after misoprostol is
minutes with 20 second duration. Which given
intervention should the nurse
implement? The nurse is caring for a client whose
A. Notify nursery about the client's fetus died in utero at 32 weeks
response. gestation. After the fetus is delivered
B. Check for clonus in both feet. vaginally, the nurse implements routine
C. Stop oxygen per cannula. fetal demise protocol and identification
D. Restart oxytocin infusion rate per procedures. Which action is important
protocol. - ------CORRECT ANSWER ---- for the nurse to take?
-Restart oxytocin infusion rate per A. Explain reasons consent for an infant
protocol autopsy is needed.
B. Encourage the mother to hold and
spend time with her baby.
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
A client at 37 weeks gestation presents C. Encourage direct contact with the
to labor and delivery with contractions infant.
every two minutes the nurse observes D. Assess the blood pressure for
several shallow small vesicles on her hypertension. - ------CORRECT
pubis labia and perineum. the nurse ANSWER -----Observe for signs of
should recognize the clients is uterine hemorrhage.
prohibiting symptoms of which
condition? At 0600 while admitting a woman for a
1. German measles scheduled repeat cesarean section (C-
2. herpes simplex virus Section), the client tells the nurse that
3. syphilis she drank a cup a coffee at 0400
4. genital warts - ------CORRECT because she wanted to avoid getting a
ANSWER -----herpes simplex virus headache. Which action should the
nurse take first?
A client who had her first baby three A. Ensure preoperative lab results are
months ago and is breastfeeding her available.
infant tells the nurse that she is currently B. Inform the anesthesia care provider.
using the same diaphragm that she C. Start prescribed IV with Lactated
used before becoming pregnant. Which Ringer's.
information should the nurse provide this D. Contact the client's obstetrician. - -----
client? -CORRECT ANSWER -----Inform the
A. After ceasing breastfeeding, the anesthesia care provider
diaphragm should be resized.
B. Avoid intercourse during ovulation The nurse is caring for a postpartum
until the size of the diaphragm has been client who is exhibiting symptoms of a
evaluated. spinal headache 24 hours following
C. If no more than 20 pounds was delivery of a normal newborn. Prior to
gained during pregnancy, the diaphragm the anesthesiologist arrival on the unit,
is safe to use. which action should the nurse perform?
D.Use an alternate form of contraceptive A. Cleanse the spinal injection site.
until a new diaphragm is obtained. - ----- B. Place procedure equipment at
-CORRECT ANSWER -----Use an bedside.
alternate form of contraceptive until a C. Apply an abdominal binder.
new diaphragm is obtained. D. Insert an indwelling Foley catheter. - -
-----CORRECT ANSWER -----Place
A 30- year-old primigravida delivers a 9- procedure equipment at bedside
pound infant vaginally after a 30- hour
labor. What is the priority nursing action The nurse is caring for a newborn who is
for this client? 18 inches long, weighs 4 pounds, 14
A. Gently massage the fundus every 4 ounces, has a head circumference of 13
hours. inches, and a chest circumference of 10
B. Observe for signs of uterine inches. Based on these physical
hemorrhage. findings, assessment for which condition
has the highest priority?
, HESI OB MATERNITY 2024 TEST BANK EXIT EXAM
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
A. Hyperbilirubinemia A primigravida arrives at the observation
B. Polycythemia unit of the maternity unit because she
C. Hyperthermia thinks she is in labor. The nurse applies
D. Hypoglycemia - ------CORRECT the external fetal heart monitor and
ANSWER -----Hypoglycemia determines that the fetal heart rate is
140 beats/minute and contractions are
The nurse is caring for a 35-week occurring irregularly every 10-15
gestation infant delivered by cesarean minutes. Which assessment finding
section 2 hours ago. The nurse confirms to the nurse that the client is
observes the infant's respiratory rate is not in labor at this time?
72 breaths/minute with nasal flaring, A. Contractions decrease with walking.
grunting, and retractions. The nurse B. 2+ pitting edema in lower extremities.
should recognize these findings indicate C. Cervical dilations is 1cm.
which complication? D. Membranes are intact. - ------
A. Persistent pulmonary hypertension of CORRECT ANSWER -----Contractions
the newborn. decrease with walking
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome. A primigravida client with gestational
D. Bronchopulmonary dysplasia. - ------ hypertension and a Bishop score of 3 is
CORRECT ANSWER -----Transient scheduled for induction of labor. The
tachypnea of the newborn nurse administers misoprostol at 0700,
then observes regular contractions with
A primipara client at 42 weeks gestation cervical changes at 0900. Which action
is admitted for induction. within one hour should the nurse take?
after initiating an oxytocin infusion, her A. Administer misoprostol every 2hrs.
cervix is 100% effaced and 6 cm dilated, B. Ambulate the client after
contractions are occurring every 1 administration of misoprostol.
minute with a 75 second duration. when C. Start oxytocin infusion immediately.
nurse stops the oxytocin and starts D. Begin oxytocin 4hrs after misoprostol
oxygen. After 30 minutes of uterine rest, is given. - ------CORRECT ANSWER ----
the contractions are occurring every 5 -Begin oxytocin 4hrs after misoprostol is
minutes with 20 second duration. Which given
intervention should the nurse
implement? The nurse is caring for a client whose
A. Notify nursery about the client's fetus died in utero at 32 weeks
response. gestation. After the fetus is delivered
B. Check for clonus in both feet. vaginally, the nurse implements routine
C. Stop oxygen per cannula. fetal demise protocol and identification
D. Restart oxytocin infusion rate per procedures. Which action is important
protocol. - ------CORRECT ANSWER ---- for the nurse to take?
-Restart oxytocin infusion rate per A. Explain reasons consent for an infant
protocol autopsy is needed.
B. Encourage the mother to hold and
spend time with her baby.
