2024 HESI MATERNITY OB EXAM VERSION 1
1. 1. A client at 37 weeks gestation presents to labor 2. herpes simplex
and delivery with contractions every two minutes the virus
nurse observes several shallow small vesicles on her
pubis labia and perineum.the nurse should recognize
the clients is prohibiting symptoms of which condi-
tion?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
2. A client who had her first baby three months ago and Use alternative
is breastfeeding her infant tells the nurse that she is form of birth con-
currently using the same diaphragm that she used trol until new di-
before becoming pregnant. Which information should aphragm can be
the nurse provide this client? obtained.
3. A 30- year-old primigravida delivers a 9-pound infant Massage the fun-
vaginally after a 30- hour labor. What is the priority dus Q 4 hours
nursing action for this client?
4. At 0600 while admitting a woman for a scheduled Inform the anes-
repeat cesarean section (CSection), the client tells the thesia care
nurse that she drank a cup a coffee at 0400 because provider
she wanted to avoid getting a headache. Which action
should the nurse take first?
5. The nurse is caring for a postpartum client who is Place procedure
exhibiting symptoms of a equipment at bed-
spinal headache 24 hours following delivery of a nor- side
mal newborn. Prior to the anesthesiologist arrival on
the unit, which action should the nurse perform?
6. The nurse is caring for a newborn who is 18 inches Hypoglycemia
long, weighs 4 pounds, 14 ounces, has ahead circum-
ference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment
for which condition has the highest priority?
1/7
, 2024 HESI MATERNITY OB EXAM VERSION 1
7. the nurse is caring for a 35 week gestation infant transient tachyp-
delivered by cesarean section 2 hours ago.the nurse nea of the new-
observes the infants respiratory rate is 72 breaths born
minute with nasal flaring, grunting, and retractions.
the nurse should recognize these finding indicate
which complication?
8. A primipara client at 42 weeks gestation is admitted Restart the oxy-
for induction. within one hour after initiating an oxy- tocin per oxytocin
tocin infusion, her cervix is 100% effaced and 6 cm protocol
dilated, contractions are occuring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
and starts oxygen. after 30 minutes of uterine rest,
the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse
implement?
9. A primigravida arrives at the observation unit of the Contractions stop
maternity unit because she thinks she is in labor. when the client is
the nurse applies the external fetal heart monitor and walking
determines she is not in labor. What makes the nurse
realize she is not in labor?
10. A primigravida client with gestational hypertension Administer oxy-
and bishop score of 3 is tocin 4 hours later
scheduled for induction of labor. the nurse adminis-
ters misoprostol at 0700 then observes regular con-
tractions with cervical changes at 0900 which action
should the nurse take?
11. A multigravida client in labor is receiving oxytocin To calculate the
Pitocin 4mu/minute to help promote an effective con- infusion rate in
traction pattern. The available solution is Lactated mL/hr, we need
Ringers 1,000 ml with Pitocin 20 units. The nurse to determine how
should program the infusion pump to deliver how many milliliters
many ml/hr? contain the de-
sired dose of oxy-
tocin (Pitocin).
1. Available con-
centration: 20
2/7
1. 1. A client at 37 weeks gestation presents to labor 2. herpes simplex
and delivery with contractions every two minutes the virus
nurse observes several shallow small vesicles on her
pubis labia and perineum.the nurse should recognize
the clients is prohibiting symptoms of which condi-
tion?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
2. A client who had her first baby three months ago and Use alternative
is breastfeeding her infant tells the nurse that she is form of birth con-
currently using the same diaphragm that she used trol until new di-
before becoming pregnant. Which information should aphragm can be
the nurse provide this client? obtained.
3. A 30- year-old primigravida delivers a 9-pound infant Massage the fun-
vaginally after a 30- hour labor. What is the priority dus Q 4 hours
nursing action for this client?
4. At 0600 while admitting a woman for a scheduled Inform the anes-
repeat cesarean section (CSection), the client tells the thesia care
nurse that she drank a cup a coffee at 0400 because provider
she wanted to avoid getting a headache. Which action
should the nurse take first?
5. The nurse is caring for a postpartum client who is Place procedure
exhibiting symptoms of a equipment at bed-
spinal headache 24 hours following delivery of a nor- side
mal newborn. Prior to the anesthesiologist arrival on
the unit, which action should the nurse perform?
6. The nurse is caring for a newborn who is 18 inches Hypoglycemia
long, weighs 4 pounds, 14 ounces, has ahead circum-
ference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment
for which condition has the highest priority?
1/7
, 2024 HESI MATERNITY OB EXAM VERSION 1
7. the nurse is caring for a 35 week gestation infant transient tachyp-
delivered by cesarean section 2 hours ago.the nurse nea of the new-
observes the infants respiratory rate is 72 breaths born
minute with nasal flaring, grunting, and retractions.
the nurse should recognize these finding indicate
which complication?
8. A primipara client at 42 weeks gestation is admitted Restart the oxy-
for induction. within one hour after initiating an oxy- tocin per oxytocin
tocin infusion, her cervix is 100% effaced and 6 cm protocol
dilated, contractions are occuring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
and starts oxygen. after 30 minutes of uterine rest,
the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse
implement?
9. A primigravida arrives at the observation unit of the Contractions stop
maternity unit because she thinks she is in labor. when the client is
the nurse applies the external fetal heart monitor and walking
determines she is not in labor. What makes the nurse
realize she is not in labor?
10. A primigravida client with gestational hypertension Administer oxy-
and bishop score of 3 is tocin 4 hours later
scheduled for induction of labor. the nurse adminis-
ters misoprostol at 0700 then observes regular con-
tractions with cervical changes at 0900 which action
should the nurse take?
11. A multigravida client in labor is receiving oxytocin To calculate the
Pitocin 4mu/minute to help promote an effective con- infusion rate in
traction pattern. The available solution is Lactated mL/hr, we need
Ringers 1,000 ml with Pitocin 20 units. The nurse to determine how
should program the infusion pump to deliver how many milliliters
many ml/hr? contain the de-
sired dose of oxy-
tocin (Pitocin).
1. Available con-
centration: 20
2/7
