OB/Maternity HESI Assignment exam
with answers
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action
should the nurse implement next? ✔️✔️A. Determine the firmness of the fundus
When assessing the integument of a 24 hour old newborn, the nurse notes a pink papular rash
with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next? ✔️✔️C. Document the finding as erythema toxicum
The nurse is teaching a primigravida at 10 weeks gestation about the need to increase her intake
of folic acid. Which explanation should the nurse provide that supports preventative perinatal
care ✔️✔️C. Adequate folic acid during embryogenesis reduces the incidence of neural tube
defects
The nurse tells a client in her first trimester that she should increase her daily intake of calcium
to 1200 mg during pregnancy. The client responds, "I don't like milk." What dietary adjustments
should the nurse recommend? ✔️✔️B. Eat more green, leafy vegetables
A client at 35 weeks gestation visits the clinic for a prenatal check up. Which complaint by the
client warrants further assessment by the nurse? ✔️✔️A. Periodic abdominal pain
,A client at 28 weeks gestation is concerned about her weight gain of 17 pounds. What
information should the nurse provide this client? ✔️✔️D. The weight gain is acceptable for
the number of weeks pregnant
A multigravida client at 35 weeks gestation is diagnosed with pregnancy induced hypertension.
Which symptom should the nurse instruct the client to report immediately? ✔️✔️C. Blurred
vision
A 36 week gestation client with pregnancy induced hypertension is receiving an IV infusion of
magnesium sulfate. Which assessment finding should the nurse report to the healthcare provider?
✔️✔️D. Respiratory rate of 11 breaths/minute
Which procedure evaluates the effect of fetal movement on fetal heart activity? ✔️✔️D. Non-
stress test (NST)
The nurse notes a pattern of the fetal of the fetal heart rate decreasing after each contraction.
What action should the nurse implement? ✔️✔️A. Give 10 liters of oxygen via face mask
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse
determines the uterus is boggy and is displaced above and to the right of the umbilicus. Which
action should the nurse implement? ✔️✔️D. Notify the healthcare provider
, A newborn infant who is 24 hours old is on a 4 hour feeding schedule of formula. To meet daily
caloric need, how many ounces are recommended at each feeding? ✔️✔️D. 3.5 ounces
A client delivers twins, one is stillborn and the other is recovering in intensive care nursery. As
the nurse provides assistance to the bathroom, the client softly crying, states, "I wish my baby
could have lived." Which response is best for the nurse to give? ✔️✔️C. "I am sorry for your
loss. Do you want to talk about it?"
A client who is at 24 weeks gestation presents to the emergency department holding her arm and
complaining of pain. The client reports she fell down the stairs. Which observation should alert
the nurse to a possible battering situation? ✔️✔️C. Other parts of her body have injuries that
are in different stages of healing
What assessment finding should the nurse report to the healthcare provider that is consistent with
concealed hemorrhage in an abruptio placenta? ✔️✔️B. Hard, board like abdomen
Which action is most important for the nurse to implement for a client at 36 weeks gestation with
vaginal bleeding? ✔️✔️C. Determine fetal heart rate and maternal vital signs
A multiparous client is bearing down with contractions and crying out, "The baby is coming!"
Which immediate action should the nurse implement? ✔️✔️B. Visualize the perineum for
bulging
with answers
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action
should the nurse implement next? ✔️✔️A. Determine the firmness of the fundus
When assessing the integument of a 24 hour old newborn, the nurse notes a pink papular rash
with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next? ✔️✔️C. Document the finding as erythema toxicum
The nurse is teaching a primigravida at 10 weeks gestation about the need to increase her intake
of folic acid. Which explanation should the nurse provide that supports preventative perinatal
care ✔️✔️C. Adequate folic acid during embryogenesis reduces the incidence of neural tube
defects
The nurse tells a client in her first trimester that she should increase her daily intake of calcium
to 1200 mg during pregnancy. The client responds, "I don't like milk." What dietary adjustments
should the nurse recommend? ✔️✔️B. Eat more green, leafy vegetables
A client at 35 weeks gestation visits the clinic for a prenatal check up. Which complaint by the
client warrants further assessment by the nurse? ✔️✔️A. Periodic abdominal pain
,A client at 28 weeks gestation is concerned about her weight gain of 17 pounds. What
information should the nurse provide this client? ✔️✔️D. The weight gain is acceptable for
the number of weeks pregnant
A multigravida client at 35 weeks gestation is diagnosed with pregnancy induced hypertension.
Which symptom should the nurse instruct the client to report immediately? ✔️✔️C. Blurred
vision
A 36 week gestation client with pregnancy induced hypertension is receiving an IV infusion of
magnesium sulfate. Which assessment finding should the nurse report to the healthcare provider?
✔️✔️D. Respiratory rate of 11 breaths/minute
Which procedure evaluates the effect of fetal movement on fetal heart activity? ✔️✔️D. Non-
stress test (NST)
The nurse notes a pattern of the fetal of the fetal heart rate decreasing after each contraction.
What action should the nurse implement? ✔️✔️A. Give 10 liters of oxygen via face mask
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse
determines the uterus is boggy and is displaced above and to the right of the umbilicus. Which
action should the nurse implement? ✔️✔️D. Notify the healthcare provider
, A newborn infant who is 24 hours old is on a 4 hour feeding schedule of formula. To meet daily
caloric need, how many ounces are recommended at each feeding? ✔️✔️D. 3.5 ounces
A client delivers twins, one is stillborn and the other is recovering in intensive care nursery. As
the nurse provides assistance to the bathroom, the client softly crying, states, "I wish my baby
could have lived." Which response is best for the nurse to give? ✔️✔️C. "I am sorry for your
loss. Do you want to talk about it?"
A client who is at 24 weeks gestation presents to the emergency department holding her arm and
complaining of pain. The client reports she fell down the stairs. Which observation should alert
the nurse to a possible battering situation? ✔️✔️C. Other parts of her body have injuries that
are in different stages of healing
What assessment finding should the nurse report to the healthcare provider that is consistent with
concealed hemorrhage in an abruptio placenta? ✔️✔️B. Hard, board like abdomen
Which action is most important for the nurse to implement for a client at 36 weeks gestation with
vaginal bleeding? ✔️✔️C. Determine fetal heart rate and maternal vital signs
A multiparous client is bearing down with contractions and crying out, "The baby is coming!"
Which immediate action should the nurse implement? ✔️✔️B. Visualize the perineum for
bulging
