HESI OB MATERNITY EXAM QUESTIONS WITH CORRECT ANSWER
LATEST 2024/2025/GRADED A+
1. A client at 37 weeks gestation presents to labor 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 an alternate
is breastfeeding her infant tells the nurse that she is form of contracep-
currently using the same diaphragm that she used tive until a new
before becoming pregnant. Which information should diaphragm is ob-
the nurse provide this client? tained.
A. After ceasing breastfeeding, the diaphragm should
be resized.
B. Avoid intercourse during ovulation until the size of
the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during preg-
nancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new
diaphragm is obtained.
3. A 30- year-old primigravida delivers a 9-pound infant Observe for signs
vaginally after a 30- hour labor. What is the priority of uterine hemor-
nursing action for this client? rhage.
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
4. At 0600 while admitting a woman for a scheduled re- Inform the anes-
peat cesarean section (C-Section), 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?
A. Ensure preoperative lab results are available.
, HESI OB MATERNITY
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
5. The nurse is caring for a postpartum client who is ex- Place procedure
hibiting symptoms of a spinal headache 24 hours fol- equipment at bed-
lowing delivery of a normal newborn. Prior to the anes- side
thesiologist arrival on the unit, which action should
the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.
6. The nurse is caring for a newborn who is 18 inches Hypoglycemia
long, weighs 4 pounds, 14 ounces, has a head 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?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia
7. The nurse is caring for a 35-week gestation in- Transient tachyp-
fant delivered by cesarean section 2 hours ago. The nea of the new-
nurse observes the infant's respiratory rate is 72 born
breaths/minute with nasal flaring, grunting, and re-
tractions. The nurse should recognize these findings
indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
8. A primipara client at 42 weeks gestation is admitted Restart oxytocin
for induction. within one hour after initiating an oxy- infusion rate per
tocin infusion, her cervix is 100% effaced and 6 cm di- protocol
lated, contractions are occurring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
, HESI OB MATERNITY
and starts oxygen. After 30 minutes of uterine rest, the
contractions are occurring every 5 minutes with 20
second duration. Which intervention should the nurse
implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
9. A primigravida arrives at the observation unit of the Contractions de-
maternity unit because she thinks she is in labor. crease with walk-
The nurse applies the external fetal heart monitor and ing
determines that the fetal heart rate is 140 beats/minute
and contractions are occurring irregularly every 10-15
minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact.
10. A primigravida client with gestational hypertension Begin oxytocin
and a Bishop score of 3 is scheduled for induction of 4hrs after miso-
labor. The nurse administers misoprostol at 0700, then prostol is given
observes regular contractions with cervical changes
at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of miso-
prostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given.
11. The nurse is caring for a client whose fetus died in Encourage the
utero at 32 weeks gestation. After the fetus is de- mother to hold and
livered vaginally, the nurse implements routine fetal spend time with
demise protocol and identification procedures. Which her baby
action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is
needed.
LATEST 2024/2025/GRADED A+
1. A client at 37 weeks gestation presents to labor 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 an alternate
is breastfeeding her infant tells the nurse that she is form of contracep-
currently using the same diaphragm that she used tive until a new
before becoming pregnant. Which information should diaphragm is ob-
the nurse provide this client? tained.
A. After ceasing breastfeeding, the diaphragm should
be resized.
B. Avoid intercourse during ovulation until the size of
the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during preg-
nancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new
diaphragm is obtained.
3. A 30- year-old primigravida delivers a 9-pound infant Observe for signs
vaginally after a 30- hour labor. What is the priority of uterine hemor-
nursing action for this client? rhage.
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
4. At 0600 while admitting a woman for a scheduled re- Inform the anes-
peat cesarean section (C-Section), 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?
A. Ensure preoperative lab results are available.
, HESI OB MATERNITY
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
5. The nurse is caring for a postpartum client who is ex- Place procedure
hibiting symptoms of a spinal headache 24 hours fol- equipment at bed-
lowing delivery of a normal newborn. Prior to the anes- side
thesiologist arrival on the unit, which action should
the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.
6. The nurse is caring for a newborn who is 18 inches Hypoglycemia
long, weighs 4 pounds, 14 ounces, has a head 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?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia
7. The nurse is caring for a 35-week gestation in- Transient tachyp-
fant delivered by cesarean section 2 hours ago. The nea of the new-
nurse observes the infant's respiratory rate is 72 born
breaths/minute with nasal flaring, grunting, and re-
tractions. The nurse should recognize these findings
indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
8. A primipara client at 42 weeks gestation is admitted Restart oxytocin
for induction. within one hour after initiating an oxy- infusion rate per
tocin infusion, her cervix is 100% effaced and 6 cm di- protocol
lated, contractions are occurring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
, HESI OB MATERNITY
and starts oxygen. After 30 minutes of uterine rest, the
contractions are occurring every 5 minutes with 20
second duration. Which intervention should the nurse
implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
9. A primigravida arrives at the observation unit of the Contractions de-
maternity unit because she thinks she is in labor. crease with walk-
The nurse applies the external fetal heart monitor and ing
determines that the fetal heart rate is 140 beats/minute
and contractions are occurring irregularly every 10-15
minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact.
10. A primigravida client with gestational hypertension Begin oxytocin
and a Bishop score of 3 is scheduled for induction of 4hrs after miso-
labor. The nurse administers misoprostol at 0700, then prostol is given
observes regular contractions with cervical changes
at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of miso-
prostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given.
11. The nurse is caring for a client whose fetus died in Encourage the
utero at 32 weeks gestation. After the fetus is de- mother to hold and
livered vaginally, the nurse implements routine fetal spend time with
demise protocol and identification procedures. Which her baby
action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is
needed.
