2024 HESI MATERNITY OB EXAM VERSION 2 WITH DETAILED ANSWERS | 100% GUARANTEED SCORES

Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 2/23 complaints of pain what is the most likely cause of these client's bleeding. A Abruptio Placenta B. Placenta Previa C. Normal bloody show indicting induction of labor D. A ruptured blood vessel in the vaginal vault. - ANSWER-B. Placenta Previa 3. A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours. Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. which assessment warrants immediate intervention by the nurse? A. Fetal Heart rate 60 beats per minute B. Ruptured amniotic membrane C. onset of uterine contractions D. leaking amniotic fluid. - ANSWER-A. Fetal Heart rate 60 beats per minute 4. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutesthe nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition? A Genital Warts Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 3/23 B. Syphilis C. Herpes Simplex Virus D. German Measles - ANSWER-C. Herpes Simplex Virus 5. The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor which maternity prescription is most important in preventing this fetus from developing respiratory distress syndrome. A. Ampicillin 1 gram IV push q8h B. Betamethasone 12 mg deep IM C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3 D. Butorphanol tartrate 1mg IV push q2h PRN. - ANSWER-B. Betamethasone 12 mg deep IM 6. A 16 year old gravida 1 para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? A Allow liberal family visitation B. Keep an airway at the bedside C. Assess temperature every hour Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 4/23 D. Monitor blood pressure, pulse, and respiration every 4 hours. - ANSWER-B. Keep an airway at the bedside 7. At 12 hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra lochia. which action should nurse take? A Check the suprapubic area for distention. B. Inform the client to take a warm sitz bath C. Inspect clients perineal and rectal areas D. Apply a fresh pad and check in 1 hour. - ANSWER-C. Inspect clients perineal and rectal areas 8. If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma ina motor vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider? A Fetal heart rate at 162 beats /minute B. Mild contractions every 10 minutes. C. Trace of protein in the urine D. Positive fetal hemoglobin testing - ANSWER-B. Mild contractions every 10 minutes. Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 5/23 9. In The Ballard Gestational Age Assessment Tool, the nurse determines that a 15- month-old infant as a gestational age of 42 weeks. Based on this finding which intervention is most important for the nurse to implement. A Provide blow by oxygen B. Provide a capillary blood glucose C. draw arterial blood gases D. Apply a pulse oximeter to the foot. - ANSWER-B. Provide a capillary blood glucose 10. A new mother who is a lacto-ovo vegetarian plans to breast feed her infant. which information should the nurse provide prior to discharge. A Continue prenatal vitamins with B12 While breastfeeding B. Avoid using Lanolin-based nipple cream or ointment. C. Offer iron fortified supplemental formula daily. D. Weigh the baby weekly to evaluate the newborns growth. - ANSWER-A. Continue prenatal vitamins with B12 While breastfeeding 11. What should be the primary focus of nursing care in the transitional phase of Labor for a client who anticipates an unmedicated delivery? A Assessing the strength of uterine contractions Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 6/23 B. Re-evaluate the need for medication C. Remind her to push 3 times with each contraction. D. Assessing her to maintain control. - ANSWER-A. Assessing the strength of uterine contractions 12. A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously for clients with preeclampsia. The IV bag contains magnesium sulfate 20 grams how much in ml/Hr. should a nurse program the infusion pump enter numerical value only. - ANSWER-if the IV bag is 1000 ml the answer is 100 ml per hour 13. *A client at 38 weeks gestation is admitted to labor and delivery with a complaint of contraction 5 minutes apart while the client is in the bathroom changing into a hospital gown the nurse hears the noise of a baby what should the nurse take first? A Push the call light for help B. Inspect the clients perineum C. Notify a health care provider D. Turn on the infant warmer - ANSWER-A. Push the call light for help 14. The nurse is caring for a multiparous client who is 8 centimeters dilated 100% effaced and the fetal head is at 0 station. The clients is shivering and states extreme Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 7/23 discomfort with the urge to bear down. which intervention should the nurse implement? A Administer IV pain medication B. Perform a vaginal exam C. Reposition to side lying D. Encourage pushing with each contraction - ANSWER-D. Encourage pushing with each contraction 15. Following a traumatic delivery an infant receives an initial Apgar score of 3. which intervention is most important for the nurse to implement? A. Page the pediatrician STAT B. Continue resuscitative efforts C. Repeat the Apgar assessment in 5 minutes D. Inform the parents of the infant's condition. - ANSWER-B. Continue resuscitative efforts 16. A 3-hour old male infants' hands and feet are cyanotic, and has an axillary temperature of 96.5 degrees Fahrenheit 35.8 degrees centigrade a respiratory rate of 40 breaths per minute and a heartrate of 165 beats per minute what nursing action should nurse implement. Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 8/23 A Administer oxygen by mouth at 2L/min B. Gradually warm the infant under a radiant heat source. C. Notify the pediatrician of the infant's vital signs D. Perform a heel-stick to maintain blood glucose level - ANSWER-B. Gradually warm the infant under a radiant heat source. 17. A newborn nursery protocol includes a prescription for ophthalmic erythromycin 5%ointment to both eyes upon a newborn admission. What action should the nurse take to ensure adequate installation of the client? A Instill a thin ribbon into each lower conjunctival sac B. Occlude the inner canthus after retracting the eyelids C. Mummy wrap the infant before instilling the ointment D. Stabilize the instilling hand on the neonate's head - ANSWER-A. Instill a thin ribbon into each lower conjunctival sac 18. The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first? A Turn off the oxytocin infusion B. Assess cervical dilation C. Change the client's position Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 9/23 D. Administer oxygen via facemask - ANSWER-C. Change the client's position 19. The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pounds 10 ounces infant which information should the nurse try to provide the client about those finding? A The uterus should be firm to prevent an intrauterine infection B. Both the lower uterine segment and the fundus must be massaged C. A firm uterus prevents the endometrial lining from being sloughed D. Clots may form inside a boggy uterus and needs to be expelled - ANSWER-B. Both the lower uterine segment and the fundus must be massaged 20. A newborn assessment reveals spina bifida occulta. Which maternity factors should nurse identify as having the greatest impact on the development of this newborn complication. A Short interval pregnancy B. Folic acid deficiency C. Preeclampsia D. Tobacco use - ANSWER-B. Folic acid deficiency Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 10/23 21. A primigravida client in labor is receiving oxytocin 4 mu/minute to help promote an effective contraction pattern. The available solution is lactated ringer's 1,000 ml with oxytocin 20 units. The nurse should program the machine to deliver how many ML per hour. - ANSWER-Answer: 12 ml per hour will give 4 mu per minute. Dose/Available stock x Quantity (4mu/20,000 mu) x1000 ml=0.2 ml x 60 min = 12 ml A client who delivered a healthy newborn an hour ago asked the nurse when can she go home. Whichinformation is most important for the nurse to provide the client. A After the baby no longer demonstrates acrocyanosis. B. After the vitamin K injection is given to the baby. C. When ambulating to avoid does not cause dizziness. D. When there is no significant vaginal bleeding. - ANSWER-D. When there is no significant vaginal bleeding. A 17 year old client gave birth 12 hours ago she