RN HESI Maternity OB Exam 2024/2025
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A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia.
She is not presently convulsing. Which intervention should the nurse plan to include in this client's
nursing care plan? - Correct Answers-Monitor Blood pressure, pulse, and respirations q4h.
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent
urinary retention. The home health nurse notes that the child has developed episodes of sneezing,
urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - Correct Answers-C. Change to latex-free
gloves when handling infant
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml
with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse
program the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75 - Correct Answers-D. 75
A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red
vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate FHR) is 90 beats/minute,
and the maternal heart rate is 120 beats/minute. What action should the nurse implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - Correct Answers-B. Notify the
healthcare provider from the client's bedside
A 38 week primigravida is admitted to labor and delivery after a non-reactive result on a non-stress test
(NST) .The nurse begins contraction stress test (CST) with an oxytocin ( Pitocin ) infusion. Which
finding is most important for the nurse to report to the health care provider ?
,A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations - Correct Answers-D. A pattern of late fetal decelerations
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress test (NST). The nurse
begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - Correct Answers-D. A pattern of fetal late decelerations.
A 4-day postpartum client calls the clinic and reports that her nipples are so sore that she does not know if
she can continue to breastfeed her infant. What instruction is best for the nurse to provide? - Correct
Answers-Apply hot packs just before each feeding.
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention
should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - Correct Answers-D. remove restraints
one at a time to provide ROM exercises
A 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile vomiting. Which
assessment finding indicates to the nurse that the infant is becoming dehydrated?
A. Weak cry without any tears
B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - Correct Answers-A. Weak cry without any tears
A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine
(t4) and high levels of thyroid stimulating hormone (TSH)/ What is the best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
, C. The thyroid gland does not produce normal levels of thyroxine for several weeks after birth
D. The TSH is high because of the low production of T4 by the thyroid. - Correct Answers-D. The
TSH is high because of the low production of T4 by the thyroid.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A. Breastfeed the infant, ensuring that both breasts are completely emptied.
B. Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. -
Correct Answers-A. Breastfeed the infant, ensuring that both breasts are completely emptied.
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a motor
vehicle collision. While stabilizing the patient , the nurse obtains fetal monitor reading. Which action
should the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - Correct Answers-D. Contact
the healthcare provider after initiating oxygen per face mask
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home
health nurse has taught her how to take her own blood pressure and gave her parameters to judge a
significant increase in blood pressure. When the client calls the clinic complaining of indigestion, which
instruction should the nurse provide?
A. Lie on your left side and call 911 for emergency assistance.
B. Take an antacid and call back if the pain has not subsided.
C. Take your blood pressure now and if it is seriously elevated, go to the hospital.
D. See your health care provider to obtain a prescription for a histamine blocking agent. - Correct
Answers-C. Take your blood pressure now and if it is seriously elevated, go to the hospital.
A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2F, with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. - Correct Answers-B. Chorioamnionitis
Update Questions and Verified Answers
Graded 100% Perfect Score Key Download
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia.
She is not presently convulsing. Which intervention should the nurse plan to include in this client's
nursing care plan? - Correct Answers-Monitor Blood pressure, pulse, and respirations q4h.
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent
urinary retention. The home health nurse notes that the child has developed episodes of sneezing,
urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - Correct Answers-C. Change to latex-free
gloves when handling infant
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml
with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse
program the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75 - Correct Answers-D. 75
A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red
vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate FHR) is 90 beats/minute,
and the maternal heart rate is 120 beats/minute. What action should the nurse implement first?
A. Alert the neonatal team and prepare for neonatal resuscitation
B. Notify the healthcare provider from the client's bedside
C. Obtain written consent for an emergency cesarean section
D. Draw a blood sample for stat hemoglobin and hematocrit - Correct Answers-B. Notify the
healthcare provider from the client's bedside
A 38 week primigravida is admitted to labor and delivery after a non-reactive result on a non-stress test
(NST) .The nurse begins contraction stress test (CST) with an oxytocin ( Pitocin ) infusion. Which
finding is most important for the nurse to report to the health care provider ?
,A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations - Correct Answers-D. A pattern of late fetal decelerations
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress test (NST). The nurse
begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most
important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - Correct Answers-D. A pattern of fetal late decelerations.
A 4-day postpartum client calls the clinic and reports that her nipples are so sore that she does not know if
she can continue to breastfeed her infant. What instruction is best for the nurse to provide? - Correct
Answers-Apply hot packs just before each feeding.
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention
should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - Correct Answers-D. remove restraints
one at a time to provide ROM exercises
A 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile vomiting. Which
assessment finding indicates to the nurse that the infant is becoming dehydrated?
A. Weak cry without any tears
B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - Correct Answers-A. Weak cry without any tears
A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine
(t4) and high levels of thyroid stimulating hormone (TSH)/ What is the best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
, C. The thyroid gland does not produce normal levels of thyroxine for several weeks after birth
D. The TSH is high because of the low production of T4 by the thyroid. - Correct Answers-D. The
TSH is high because of the low production of T4 by the thyroid.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A. Breastfeed the infant, ensuring that both breasts are completely emptied.
B. Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. -
Correct Answers-A. Breastfeed the infant, ensuring that both breasts are completely emptied.
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a motor
vehicle collision. While stabilizing the patient , the nurse obtains fetal monitor reading. Which action
should the nurse take if the fetus is tachycardic is on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - Correct Answers-D. Contact
the healthcare provider after initiating oxygen per face mask
A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home
health nurse has taught her how to take her own blood pressure and gave her parameters to judge a
significant increase in blood pressure. When the client calls the clinic complaining of indigestion, which
instruction should the nurse provide?
A. Lie on your left side and call 911 for emergency assistance.
B. Take an antacid and call back if the pain has not subsided.
C. Take your blood pressure now and if it is seriously elevated, go to the hospital.
D. See your health care provider to obtain a prescription for a histamine blocking agent. - Correct
Answers-C. Take your blood pressure now and if it is seriously elevated, go to the hospital.
A client at 35-weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2F, with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. - Correct Answers-B. Chorioamnionitis
