HESI OBSTETRICS MATERNITY
PRACTICE EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications - CORRECT ANSWER-a. Lying prone with a pillow on
the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
A multigravida client arrives at the labor and delivery unit and tells the nurse that
her bag of water has broken. The nurse identifies the presence of meconium fluid
on the perineum and determines the fetal heart rate is between 140 to 150
beats/minute. What action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment - CORRECT ANSWER-a. Complete a sterile
vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to
determine the presence of a prolapsed cord.
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
,When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant - CORRECT ANSWER-a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid
decrease in placental hormones after delivery and include mood swings (A),
tearfulness (C), feeling low, emotional, and fatigued.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest - CORRECT ANSWER-c. Obtain a specimen for
urine analysis
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
, Obtaining a urine analysis (C) should be done first because preterm clients with
uterine irritability and contractions are often suffering from a urinary tract
infection, and this should be ruled out first.
A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart - CORRECT ANSWER-b. Extend the leg and
dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the
client is capable) (B), and putting the heel of the foot on the floor is the best
means of relieving leg cramps.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension - CORRECT ANSWER-a. Edema, basilar
rales, and an irregular pulse
Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation
and require immediate intervention.
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
PRACTICE EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications - CORRECT ANSWER-a. Lying prone with a pillow on
the abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
A multigravida client arrives at the labor and delivery unit and tells the nurse that
her bag of water has broken. The nurse identifies the presence of meconium fluid
on the perineum and determines the fetal heart rate is between 140 to 150
beats/minute. What action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment - CORRECT ANSWER-a. Complete a sterile
vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes to
determine the presence of a prolapsed cord.
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
,When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant - CORRECT ANSWER-a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid
decrease in placental hormones after delivery and include mood swings (A),
tearfulness (C), feeling low, emotional, and fatigued.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest - CORRECT ANSWER-c. Obtain a specimen for
urine analysis
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
, Obtaining a urine analysis (C) should be done first because preterm clients with
uterine irritability and contractions are often suffering from a urinary tract
infection, and this should be ruled out first.
A client in active labor complains of cramps in her leg. What intervention should
the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart - CORRECT ANSWER-b. Extend the leg and
dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the
client is capable) (B), and putting the heel of the foot on the floor is the best
means of relieving leg cramps.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension - CORRECT ANSWER-a. Edema, basilar
rales, and an irregular pulse
Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation
and require immediate intervention.
HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
