1|Page
2024 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
The nurse is measuring the frontal occipital circumference (FOC)
of a 3-month-old infant, notes that the FOC has increased 5
inches since birth and the child's head appears large in relation to
body size. Which action is most important for the nurse to take
next? - ANSWER-c. Palpate the anterior fontanel for tension and
bulging
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? - ANSWER-c. Monitor blood
pressure, pulse, and respirations q4h
During a well-child visit for their child, one of the parent who has
an autosomal dominant disorder tells the nurse, "We don't plan on
having any more children, since the next child is likely to inherit
this disorder". How should the nurse respond - ANSWER-d.
Confirm that there is a 50% chance of their future children
inheriting the disorder.
,2|Page
The nurse is caring for a one-year-old child following surgical
correction of hypospadias. The nursing action has the highest
priority? - ANSWER-( A) Monitor urinary output
Patient with Duchenne Disease. The nurse has to explain to the
mother that - ANSWER-This condition is inherited in an X-linked
recessive chromosome pattern.
Primipara patient. What is the pet to share time a, home that is
not recommended? - ANSWER-a. CAT
The nurse is preparing a 10-year-old with a lacerated forehead for
suturing. Both parents and 12 year old sibling at the child's
bedside. Which instruction best supports family? - ANSWER-d.
Please decide who will stay when the healthcare provider begins
suturing
The parents of a 3 year-old boy who has Duchenne muscular
dystrophy (DMD) ask "how can our son have this disease? We
are wondering if we should have any more children" What
information should the nurse provide these parents? - ANSWER-
,3|Page
This is an inherited X-linked recessive disorder, which primarily
affects male children in the
family.
A 4 month old girl is brought to the clinic by her mother because
she has had a cold for 2 or 3 days and woke up this morning with
a hacking cough and difficulty breathing. Which additional
assessment finding should alert the nurse that the child is in acute
respiratory distress? - ANSWER-d. Flaring of the nares
A two year old child with a heart failure (HF) is admitted for
replacement of a graft for coarctation of the aorta. Prior to
administering the next dose of digoxin (Lanoxin) the nurse obtains
an apical heart rate of 128 bpm. What action should the nurse
implement? - ANSWER-b. Administer the schedule dose
Which nursing intervention is most important to include in the plan
of care for a child with acute glomerulonephritis? - ANSWER-
Weigh child daily
, 4|Page
A 7 year old child is admitted to the hospital with acute
glomerulonephritis (AGN). When obtaining the nursing history
which finding should the nurse expect to obtain? - ANSWER-A
recent strep throat infection
A child with leukemia is admitted for Chemotherapy and the
nursing diagnosis "altered nutrition, less those body requirements
related to anorexia, nausea and vomiting" is identified. Which
intervention the nurse included in this child plan of care? -
ANSWER-a. Allow the child to eat any food desired and tolerated.
A client delivers a viable infant, but begins to have excessive
uncontrolled vaginal bleeding after the IV Pitocin is infused. When
notifying the healthcare provider of the condition, what information
is most important for the nurse to provide? - ANSWER-a.
Maternal blood pressure
A new mother is having trouble breast feeding her newborn son.
He is making frantic rooting motions and will not grasp the nipple.
What intervention would be most helpful to this mother? -
ANSWER-Ask the mother to stop feeding, confront the infant, and
then assist the mother to help
2024 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+
The nurse is measuring the frontal occipital circumference (FOC)
of a 3-month-old infant, notes that the FOC has increased 5
inches since birth and the child's head appears large in relation to
body size. Which action is most important for the nurse to take
next? - ANSWER-c. Palpate the anterior fontanel for tension and
bulging
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? - ANSWER-c. Monitor blood
pressure, pulse, and respirations q4h
During a well-child visit for their child, one of the parent who has
an autosomal dominant disorder tells the nurse, "We don't plan on
having any more children, since the next child is likely to inherit
this disorder". How should the nurse respond - ANSWER-d.
Confirm that there is a 50% chance of their future children
inheriting the disorder.
,2|Page
The nurse is caring for a one-year-old child following surgical
correction of hypospadias. The nursing action has the highest
priority? - ANSWER-( A) Monitor urinary output
Patient with Duchenne Disease. The nurse has to explain to the
mother that - ANSWER-This condition is inherited in an X-linked
recessive chromosome pattern.
Primipara patient. What is the pet to share time a, home that is
not recommended? - ANSWER-a. CAT
The nurse is preparing a 10-year-old with a lacerated forehead for
suturing. Both parents and 12 year old sibling at the child's
bedside. Which instruction best supports family? - ANSWER-d.
Please decide who will stay when the healthcare provider begins
suturing
The parents of a 3 year-old boy who has Duchenne muscular
dystrophy (DMD) ask "how can our son have this disease? We
are wondering if we should have any more children" What
information should the nurse provide these parents? - ANSWER-
,3|Page
This is an inherited X-linked recessive disorder, which primarily
affects male children in the
family.
A 4 month old girl is brought to the clinic by her mother because
she has had a cold for 2 or 3 days and woke up this morning with
a hacking cough and difficulty breathing. Which additional
assessment finding should alert the nurse that the child is in acute
respiratory distress? - ANSWER-d. Flaring of the nares
A two year old child with a heart failure (HF) is admitted for
replacement of a graft for coarctation of the aorta. Prior to
administering the next dose of digoxin (Lanoxin) the nurse obtains
an apical heart rate of 128 bpm. What action should the nurse
implement? - ANSWER-b. Administer the schedule dose
Which nursing intervention is most important to include in the plan
of care for a child with acute glomerulonephritis? - ANSWER-
Weigh child daily
, 4|Page
A 7 year old child is admitted to the hospital with acute
glomerulonephritis (AGN). When obtaining the nursing history
which finding should the nurse expect to obtain? - ANSWER-A
recent strep throat infection
A child with leukemia is admitted for Chemotherapy and the
nursing diagnosis "altered nutrition, less those body requirements
related to anorexia, nausea and vomiting" is identified. Which
intervention the nurse included in this child plan of care? -
ANSWER-a. Allow the child to eat any food desired and tolerated.
A client delivers a viable infant, but begins to have excessive
uncontrolled vaginal bleeding after the IV Pitocin is infused. When
notifying the healthcare provider of the condition, what information
is most important for the nurse to provide? - ANSWER-a.
Maternal blood pressure
A new mother is having trouble breast feeding her newborn son.
He is making frantic rooting motions and will not grasp the nipple.
What intervention would be most helpful to this mother? -
ANSWER-Ask the mother to stop feeding, confront the infant, and
then assist the mother to help
