HESI MATERNITY OB 2024/2025 EXAM QUESTIONS
(VERSION 2) WITH VERIFIED ANSWERS.
1) The nurse notes on the fetal monitor that a laboring client has a variable deceleration.
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Which action should the nurse implement first?
_ _ _ _ _ _ _
A. Turn off the oxytocin infusion _ _ _ _ _
B. Assess cervical dilation _ _ _
C. Change the client's position _ _ _ _
D. Administer oxygen via facemask -- Correct Answer ✔✔ C. Change the
_ _ _ _ _ _ _ _ _ _ _ _
client's position _
2) A 17 year old client gave birth 12 hours ago she states that she doesn't know how to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
care for her baby. To promote parent infant attachment behaviors which
_ _ _ _ _ _ _ _ _ _
intervention should the nurse implement. _ _ _ _
A. Ask if she has help to care for the baby at home.
_ _ _ _ _ _ _ _ _ _ _ _
B. Provide a video on newborn safety and care.
_ _ _ _ _ _ _ _
C. Explored the basis of fears with the client.
_ _ _ _ _ _ _ _
D. Encourage rooming in while in the hospital. -- Correct Answer ✔✔ D.
_ _ _ _ _ _ _ _ _ _ _ _ _
Encourage rooming in while in the hospital. _ _ _ _ _ _
3) A pregnant client mentions in a history that she changes cats litter box daily. Which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
test should the nurse anticipate the health care provider to prescribe?
_ _ _ _ _ _ _ _ _ _
A. Biophysical profile. _ _
B. Fern test. _ _
C. Amniocentesis. _
D. Torch screening. -- Correct Answer ✔✔ D. Torch screening.
_ _ _ _ _ _ _ _ _
4) The nurse places one hand above the symphysis while massaging the fundus of a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pounds
_ _ _ _ _ _ _ _ _ _ _ _ _
, _10 ounces infant which information should the nurse try to provide the client about
_ _ _ _ _ _ _ _ _ _ _ _ _ _
those finding? _
A. The uterus should be firm to prevent an intrauterine infection
_ _ _ _ _ _ _ _ _ _
B. Both the lower uterine segment and the fundus must be massaged
_ _ _ _ _ _ _ _ _ _ _
C. A firm uterus prevents the endometrial lining from being sloughed
_ _ _ _ _ _ _ _ _ _
D. Clots may form inside a boggy uterus and needs to be expelled --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ B. Both the lower uterine segment and the fundus _ _ _ _ _ _ _ _ _ _ _ _
must be massaged _ _
5) A newborn assessment reveals spina bifida occulta. Which maternity factors
_ _ _ _ _ _ _ _ _
should nurse identify as having the greatest impact on the development of this
_ _ _ _ _ _ _ _ _ _ _ _ _
newborn complication. _
A. Short interval pregnancy _ _ _
B. Folic acid deficiency _ _ _
C. Preeclampsia _
D. Tobacco use -- Correct Answer ✔✔ B. Folic acid deficiency
_ _ _ _ _ _ _ _ _ _
6) A new mother who is a lacto-ovo vegetarian plans to breast feed her infant. which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
information should the nurse provide prior to discharge.
_ _ _ _ _ _ _
A Continue prenatal vitamins with B12 While breastfeeding
_ _ _ _ _ _ _
B. Avoid using Lanolin-based nipple cream or ointment.
_ _ _ _ _ _ _
C. Offer iron fortified supplemental formula daily.
_ _ _ _ _ _
D. Weigh the baby weekly to evaluate the newborns growth. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ A. Continue prenatal vitamins with B12 While breastfeeding _ _ _ _ _ _ _ _ _
7) What should be the primary focus of nursing care in the transitional phase of Labor
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
for a client who anticipates an unmedicated delivery?
_ _ _ _ _ _ _
A Assessing the strength of uterine contractions
_ _ _ _ _ _
B. Re-evaluate the need for medication
_ _ _ _ _
C. Remind her to push 3 times with each contraction.
_ _ _ _ _ _ _ _ _
D. Assessing her to maintain control. -- Correct Answer ✔✔ A. Assessing
_ _ _ _ _ _ _ _ _ _ _ _
the strength of uterine contractions _ _ _ _
8) A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per
_ _ _ _ _ _ _ _ _ _ _ _ _
hour intravenously for clients with preeclampsia. The IV bag contains magnesium
_ _ _ _ _ _ _ _ _ _ _
sulfate 20 grams how much in ml/Hr. should a nurse program the infusion pump enter
_ _ _ _ _ _ _ _ _ _ _ _ _ _
(VERSION 2) WITH VERIFIED ANSWERS.
1) The nurse notes on the fetal monitor that a laboring client has a variable deceleration.
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Which action should the nurse implement first?
_ _ _ _ _ _ _
A. Turn off the oxytocin infusion _ _ _ _ _
B. Assess cervical dilation _ _ _
C. Change the client's position _ _ _ _
D. Administer oxygen via facemask -- Correct Answer ✔✔ C. Change the
_ _ _ _ _ _ _ _ _ _ _ _
client's position _
2) A 17 year old client gave birth 12 hours ago she states that she doesn't know how to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
care for her baby. To promote parent infant attachment behaviors which
_ _ _ _ _ _ _ _ _ _
intervention should the nurse implement. _ _ _ _
A. Ask if she has help to care for the baby at home.
_ _ _ _ _ _ _ _ _ _ _ _
B. Provide a video on newborn safety and care.
_ _ _ _ _ _ _ _
C. Explored the basis of fears with the client.
_ _ _ _ _ _ _ _
D. Encourage rooming in while in the hospital. -- Correct Answer ✔✔ D.
_ _ _ _ _ _ _ _ _ _ _ _ _
Encourage rooming in while in the hospital. _ _ _ _ _ _
3) A pregnant client mentions in a history that she changes cats litter box daily. Which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
test should the nurse anticipate the health care provider to prescribe?
_ _ _ _ _ _ _ _ _ _
A. Biophysical profile. _ _
B. Fern test. _ _
C. Amniocentesis. _
D. Torch screening. -- Correct Answer ✔✔ D. Torch screening.
_ _ _ _ _ _ _ _ _
4) The nurse places one hand above the symphysis while massaging the fundus of a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pounds
_ _ _ _ _ _ _ _ _ _ _ _ _
, _10 ounces infant which information should the nurse try to provide the client about
_ _ _ _ _ _ _ _ _ _ _ _ _ _
those finding? _
A. The uterus should be firm to prevent an intrauterine infection
_ _ _ _ _ _ _ _ _ _
B. Both the lower uterine segment and the fundus must be massaged
_ _ _ _ _ _ _ _ _ _ _
C. A firm uterus prevents the endometrial lining from being sloughed
_ _ _ _ _ _ _ _ _ _
D. Clots may form inside a boggy uterus and needs to be expelled --
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ B. Both the lower uterine segment and the fundus _ _ _ _ _ _ _ _ _ _ _ _
must be massaged _ _
5) A newborn assessment reveals spina bifida occulta. Which maternity factors
_ _ _ _ _ _ _ _ _
should nurse identify as having the greatest impact on the development of this
_ _ _ _ _ _ _ _ _ _ _ _ _
newborn complication. _
A. Short interval pregnancy _ _ _
B. Folic acid deficiency _ _ _
C. Preeclampsia _
D. Tobacco use -- Correct Answer ✔✔ B. Folic acid deficiency
_ _ _ _ _ _ _ _ _ _
6) A new mother who is a lacto-ovo vegetarian plans to breast feed her infant. which
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
information should the nurse provide prior to discharge.
_ _ _ _ _ _ _
A Continue prenatal vitamins with B12 While breastfeeding
_ _ _ _ _ _ _
B. Avoid using Lanolin-based nipple cream or ointment.
_ _ _ _ _ _ _
C. Offer iron fortified supplemental formula daily.
_ _ _ _ _ _
D. Weigh the baby weekly to evaluate the newborns growth. -- Correct
_ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ A. Continue prenatal vitamins with B12 While breastfeeding _ _ _ _ _ _ _ _ _
7) What should be the primary focus of nursing care in the transitional phase of Labor
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
for a client who anticipates an unmedicated delivery?
_ _ _ _ _ _ _
A Assessing the strength of uterine contractions
_ _ _ _ _ _
B. Re-evaluate the need for medication
_ _ _ _ _
C. Remind her to push 3 times with each contraction.
_ _ _ _ _ _ _ _ _
D. Assessing her to maintain control. -- Correct Answer ✔✔ A. Assessing
_ _ _ _ _ _ _ _ _ _ _ _
the strength of uterine contractions _ _ _ _
8) A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per
_ _ _ _ _ _ _ _ _ _ _ _ _
hour intravenously for clients with preeclampsia. The IV bag contains magnesium
_ _ _ _ _ _ _ _ _ _ _
sulfate 20 grams how much in ml/Hr. should a nurse program the infusion pump enter
_ _ _ _ _ _ _ _ _ _ _ _ _ _
