OB-MATERNITY HESI ASSIGNMENT
EXAM QUESTIONS AND ANSWERS
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
A primigravida at 12 weeks gestation who just moved to the United States indicates
she has not received any immunizations. Which Immunizations should the nurse
administer at this time? (Select all that apply) - ANSWER-A. Tetanus
C. Diphtheria
E. Hepatitis B
A gravid client develops maternal hypotension following regional anesthesia. What
interventions should the nurse implement? (Select all that apply) - ANSWER-A.
Administer oxygen
B. Increase IV fluids
E. Place the client in a lateral position
F. Monitor fetal status
A client at 29 weeks gestation with possible placental insufficiency is being prepared
for prenatal testing. Information about which diagnostic study should the nurse
provide information to the client? - ANSWER-B. Ultrasonography
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide? - ANSWER-C. A large body
surface area favors heat loss to the environment
, The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take? - ANSWER-B. Observe the mother for other
attachment behaviors
The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic
infant. How should the nurse document this finding? - ANSWER-B. Mongolian spots
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention
should the nurse implement? - ANSWER-B. Monitor temperature
A neonate who is receiving an exchange transfusion for hemolytic disease develops
respiratory distress, tahcycardia, and a cutaneous rash. What nursing intervention
should be implemented first? - ANSWER-B. Stop the transfusion
The nurse assesses a high risk neonate under a radiant warmer who has an
umbilical catheter and identifies that the neonate's feet are blanched. What nursing
action should be implemented? - ANSWER-D. Report findings to the healthcare
provider
What nursing action should be implemented when intermittently gavage-feeding a
preterm infant? - ANSWER-A. Allow formula to flow by gravity
Which nonpharmacologic interventions should the nurse implement to provide the
most effective response in decreasing procedural pain in a neonate? - ANSWER-D.
Oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who
was delivered at 37 weeks gestation. What nursing action should be implemented
first? - ANSWER-D. Evaluate the newborn's color and respirations
What action should the nurse implement with the family when an infant is born with
anencephaly? - ANSWER-B. Prepare the family to explore ways to cope with the
imminent death of the infant
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. What action should the nurse implement at
this time? - ANSWER-C. Observe interactions of family members with the newborn
and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what is the most accurate summary of her history? - ANSWER-B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will remain
after pregnancy? - ANSWER-D. Striae gravidarum
EXAM QUESTIONS AND ANSWERS
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
A primigravida at 12 weeks gestation who just moved to the United States indicates
she has not received any immunizations. Which Immunizations should the nurse
administer at this time? (Select all that apply) - ANSWER-A. Tetanus
C. Diphtheria
E. Hepatitis B
A gravid client develops maternal hypotension following regional anesthesia. What
interventions should the nurse implement? (Select all that apply) - ANSWER-A.
Administer oxygen
B. Increase IV fluids
E. Place the client in a lateral position
F. Monitor fetal status
A client at 29 weeks gestation with possible placental insufficiency is being prepared
for prenatal testing. Information about which diagnostic study should the nurse
provide information to the client? - ANSWER-B. Ultrasonography
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide? - ANSWER-C. A large body
surface area favors heat loss to the environment
, The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take? - ANSWER-B. Observe the mother for other
attachment behaviors
The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic
infant. How should the nurse document this finding? - ANSWER-B. Mongolian spots
An infant with hyperbilirubinaemia is receiving phototherapy. What intervention
should the nurse implement? - ANSWER-B. Monitor temperature
A neonate who is receiving an exchange transfusion for hemolytic disease develops
respiratory distress, tahcycardia, and a cutaneous rash. What nursing intervention
should be implemented first? - ANSWER-B. Stop the transfusion
The nurse assesses a high risk neonate under a radiant warmer who has an
umbilical catheter and identifies that the neonate's feet are blanched. What nursing
action should be implemented? - ANSWER-D. Report findings to the healthcare
provider
What nursing action should be implemented when intermittently gavage-feeding a
preterm infant? - ANSWER-A. Allow formula to flow by gravity
Which nonpharmacologic interventions should the nurse implement to provide the
most effective response in decreasing procedural pain in a neonate? - ANSWER-D.
Oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who
was delivered at 37 weeks gestation. What nursing action should be implemented
first? - ANSWER-D. Evaluate the newborn's color and respirations
What action should the nurse implement with the family when an infant is born with
anencephaly? - ANSWER-B. Prepare the family to explore ways to cope with the
imminent death of the infant
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. What action should the nurse implement at
this time? - ANSWER-C. Observe interactions of family members with the newborn
and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what is the most accurate summary of her history? - ANSWER-B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will remain
after pregnancy? - ANSWER-D. Striae gravidarum
