OB-MATERNITY HESI ASSIGNMENT
EXAM QUESTIONS AND ANSWERS
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this
information, what action should the nurse implement? - ANSWER-D. Document the
findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture.
What action should the nurse implement first? - ANSWER-B. Assess the fetal heart
rate and pattern
Which action should the nurse implement caring for a newborn immediately after
birth? - ANSWER-A. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4
hours ago, the nurse notes the client's perineal pad is completely saturated within 15
minutes. What action should the nurse implement next? - ANSWER-A. Perform
fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply) - ANSWER-B. Chest
breathing with nasal flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy? - ANSWER-B. Place an eyeshield over the eyes
Which finding indicates to the nurse that a 4 day old infant is receiving adequate
breast milk? - ANSWER-B. Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most important
for the client to understand? - ANSWER-D. Report uterine cramping or low backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a complaint
of bright red, painless vaginal bleeding. For which diagnostic procedure should the
nurse prepare the client? - ANSWER-C. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-gestational
diabetes. What is the most important factor affecting this client's pregnancy
outcome? - ANSWER-C. Degree of glycemic control during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer? - ANSWER-A.
Oxytocin (Pitocin)
, The nurse is assisting with the insertion of a pulmonary artery catheter (PAC) for a
client at 32 weeks gestation who has severe preeclampsia with pulmonary edema.
What action should the nurse implement? - ANSWER-C. Monitor for premature
ventricular contractions
A client at 28 weeks gestation experiences blunt abdominal trauma. Which
parameter should the nurse assess first for signs of internal hemorrhage? -
ANSWER-C. Changes in fetal heart rate patterns
A multigravida client at 40+ weeks gestation is induced using oxytocin (Pitocin). An
intrauterine pressure catheter (IUPC) is in place when the client's membranes
rupture after 5 hours of active labor. Which finding would require the nurse to take
action? - ANSWER-B. Intensity of contractions is 130 mmHg
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has
broken. While inspecting the client's perineum, the nurse notes the umbilical cord
protruding from the vagina. What action should the nurse implement? - ANSWER-C.
Place the client in the knee-chest position
The nurse is caring for a client whose labor is being augmented with oxytocin
(Pitocin). Which finding indicates that the nurse should discontinue the oxytocin
infusion? - ANSWER-D. The fetal heart rate is 180 bpm without variability
The nurse on the postpartum unit receives report for 4 clients during change of shift.
Which client should the nurse assess for risk of postpartum hemorrhage? -
ANSWER-C. A multiparous client receiving magnesium sulfate during induction for
severe preeclampsia
What nursing action should be included in the plan of care for a newborn
experiencing symptoms of drug withdrawal? - ANSWER-D. Swaddle the infant
snugly and hold tightly
The father of a newborn tells the nurse, "My son just died." how should the nurse
respond? - ANSWER-A. "I am sorry for your loss."
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery.
After obtaining the infant's weight at 4550 grams (9 pounds, 6 ounces), what is the
priority nursing action? - ANSWER-C. Obtain serum glucose levels frequently while
observing closely for signs of hypoglycemia
An infant who weighs 3.8 kg is delivered vaginally at 39 weeks gestation with a
nuchal cord after a 30 minute second stage. The nurse identifies petechiae over the
face and upper back of the newborn. What information should the nurse provide? -
ANSWER-D. The pinpoint spots are benign and disappear within 48 hours
Which finding for a client in labor at 41 weeks gestation requires additional
assessment by the nurse? - ANSWER-D. One fetal movement noted in an hour
EXAM QUESTIONS AND ANSWERS
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this
information, what action should the nurse implement? - ANSWER-D. Document the
findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture.
What action should the nurse implement first? - ANSWER-B. Assess the fetal heart
rate and pattern
Which action should the nurse implement caring for a newborn immediately after
birth? - ANSWER-A. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4
hours ago, the nurse notes the client's perineal pad is completely saturated within 15
minutes. What action should the nurse implement next? - ANSWER-A. Perform
fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply) - ANSWER-B. Chest
breathing with nasal flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy? - ANSWER-B. Place an eyeshield over the eyes
Which finding indicates to the nurse that a 4 day old infant is receiving adequate
breast milk? - ANSWER-B. Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most important
for the client to understand? - ANSWER-D. Report uterine cramping or low backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a complaint
of bright red, painless vaginal bleeding. For which diagnostic procedure should the
nurse prepare the client? - ANSWER-C. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-gestational
diabetes. What is the most important factor affecting this client's pregnancy
outcome? - ANSWER-C. Degree of glycemic control during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer? - ANSWER-A.
Oxytocin (Pitocin)
, The nurse is assisting with the insertion of a pulmonary artery catheter (PAC) for a
client at 32 weeks gestation who has severe preeclampsia with pulmonary edema.
What action should the nurse implement? - ANSWER-C. Monitor for premature
ventricular contractions
A client at 28 weeks gestation experiences blunt abdominal trauma. Which
parameter should the nurse assess first for signs of internal hemorrhage? -
ANSWER-C. Changes in fetal heart rate patterns
A multigravida client at 40+ weeks gestation is induced using oxytocin (Pitocin). An
intrauterine pressure catheter (IUPC) is in place when the client's membranes
rupture after 5 hours of active labor. Which finding would require the nurse to take
action? - ANSWER-B. Intensity of contractions is 130 mmHg
A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has
broken. While inspecting the client's perineum, the nurse notes the umbilical cord
protruding from the vagina. What action should the nurse implement? - ANSWER-C.
Place the client in the knee-chest position
The nurse is caring for a client whose labor is being augmented with oxytocin
(Pitocin). Which finding indicates that the nurse should discontinue the oxytocin
infusion? - ANSWER-D. The fetal heart rate is 180 bpm without variability
The nurse on the postpartum unit receives report for 4 clients during change of shift.
Which client should the nurse assess for risk of postpartum hemorrhage? -
ANSWER-C. A multiparous client receiving magnesium sulfate during induction for
severe preeclampsia
What nursing action should be included in the plan of care for a newborn
experiencing symptoms of drug withdrawal? - ANSWER-D. Swaddle the infant
snugly and hold tightly
The father of a newborn tells the nurse, "My son just died." how should the nurse
respond? - ANSWER-A. "I am sorry for your loss."
A macrosomic infant is in stable condition after a difficult forceps-assisted delivery.
After obtaining the infant's weight at 4550 grams (9 pounds, 6 ounces), what is the
priority nursing action? - ANSWER-C. Obtain serum glucose levels frequently while
observing closely for signs of hypoglycemia
An infant who weighs 3.8 kg is delivered vaginally at 39 weeks gestation with a
nuchal cord after a 30 minute second stage. The nurse identifies petechiae over the
face and upper back of the newborn. What information should the nurse provide? -
ANSWER-D. The pinpoint spots are benign and disappear within 48 hours
Which finding for a client in labor at 41 weeks gestation requires additional
assessment by the nurse? - ANSWER-D. One fetal movement noted in an hour
