2025/2026 HESI MATERNITY OB EXAM
VERSION 1
1. A client at 37 weeks gestation provides to labor and transport with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum.The nurse must understand the clients is prohibiting signs and symptoms of which
situation?
1. German measles
2. Herpes simplex virus
3. Syphilis
four. Genital warts
2. Herpes simplex virus
A customer who had her first infant 3 months in the past and is breastfeeding her toddler
tells the nurse that she is presently the use of the identical diaphragm that she used before
turning into pregnant. Which statistics should the nurse offer this purchaser?
Use opportunity shape of start control till new diaphragm can be received.
A 30- year-vintage primigravida supplies a nine-pound toddler vaginally after a 30- hour
labor. What is the priority nursing movement for this customer?
Massage the fundus Q four hours
At 0600 while admitting a woman for a scheduled repeat cesarean segment (CSection), the
client tells the nurse that she drank a cup a coffee at 0400 because she desired to keep
away from getting a headache. Which motion must the nurse take first?
Inform the anesthesia care provider
We have an professional-written technique to this trouble!
The nurse is worrying for a postpartum purchaser who is showing symptoms of a
spinal headache 24 hours following transport of a ordinary newborn. Prior to the
anesthesiologist arrival at the unit, which motion should the nurse carry out?
Place manner gadget at bedside
The nurse is being concerned for a newborn who is 18 inches long, weighs four pounds, 14
oz, has beforehand circumference of thirteen inches, and a chest circumference of 10
inches. Based on these physical findings, evaluation for which condition has the highest
priority?
Hypoglycemia
, the nurse is being concerned for a 35 week gestation toddler added with the aid of cesarean
phase 2 hours ago.The nurse observes the infants breathing rate is seventy two breaths
minute with nasal flaring, grunting, and retractions. The nurse ought to recognize those
locating indicate which difficulty?
Transient tachypnea of the new child
A primipara customer at 42 weeks gestation is admitted for induction. Inside one hour after
initiating an oxytocin infusion, her cervix is a hundred% effaced and six cm dilated,
contractions are occuring each 1 minute with a 75 2d period. Whilst nurse stops the oxytocin
and starts oxygen. After half-hour of uterine relaxation, the contractions are occuring each 5
mins with 20 2nd duration. Which intervention ought to the nurse enforce?
Restart the oxytocin in line with oxytocin protocol
A primigravida arrives on the observation unit of the maternity unit because she thinks she is
in exertions. The nurse applies the external fetal coronary heart screen and determines she
is not in labor. What makes the nurse recognise she isn't in labor?
Contractions prevent when the customer is walking
A primigravida consumer with gestational hypertension and bishop rating of 3 is
scheduled for induction of exertions. The nurse administers misoprostol at 0700 then
observes everyday contractions with cervical modifications at 0900 which movement should
the nurse take?
Administer oxytocin four hours later
A multigravida customer in exertions is receiving oxytocin Pitocin 4mu/minute to help sell an
powerful contraction sample. The available solution is Lactated Ringers 1,000 ml with Pitocin
20 gadgets. The nurse ought to program the infusion pump to supply how many ml/hr?
To calculate the infusion price in mL/hr, we want to decide what number of milliliters include
the desired dose of oxytocin (Pitocin).
1. Available concentration: 20 devices of Pitocin in 1,000 mL of Lactated Ringer's.
2. Desired dose: four milliunits (mu) according to minute.
Steps to Calculate:
Convert 4 mu/min to units in step with hour:
four mu/min×60 mins=240 mu/hr4 mu/min instances 60 minutes = 240
mu/hrfour mu/min×60 minutes=240 mu/hr
VERSION 1
1. A client at 37 weeks gestation provides to labor and transport with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum.The nurse must understand the clients is prohibiting signs and symptoms of which
situation?
1. German measles
2. Herpes simplex virus
3. Syphilis
four. Genital warts
2. Herpes simplex virus
A customer who had her first infant 3 months in the past and is breastfeeding her toddler
tells the nurse that she is presently the use of the identical diaphragm that she used before
turning into pregnant. Which statistics should the nurse offer this purchaser?
Use opportunity shape of start control till new diaphragm can be received.
A 30- year-vintage primigravida supplies a nine-pound toddler vaginally after a 30- hour
labor. What is the priority nursing movement for this customer?
Massage the fundus Q four hours
At 0600 while admitting a woman for a scheduled repeat cesarean segment (CSection), the
client tells the nurse that she drank a cup a coffee at 0400 because she desired to keep
away from getting a headache. Which motion must the nurse take first?
Inform the anesthesia care provider
We have an professional-written technique to this trouble!
The nurse is worrying for a postpartum purchaser who is showing symptoms of a
spinal headache 24 hours following transport of a ordinary newborn. Prior to the
anesthesiologist arrival at the unit, which motion should the nurse carry out?
Place manner gadget at bedside
The nurse is being concerned for a newborn who is 18 inches long, weighs four pounds, 14
oz, has beforehand circumference of thirteen inches, and a chest circumference of 10
inches. Based on these physical findings, evaluation for which condition has the highest
priority?
Hypoglycemia
, the nurse is being concerned for a 35 week gestation toddler added with the aid of cesarean
phase 2 hours ago.The nurse observes the infants breathing rate is seventy two breaths
minute with nasal flaring, grunting, and retractions. The nurse ought to recognize those
locating indicate which difficulty?
Transient tachypnea of the new child
A primipara customer at 42 weeks gestation is admitted for induction. Inside one hour after
initiating an oxytocin infusion, her cervix is a hundred% effaced and six cm dilated,
contractions are occuring each 1 minute with a 75 2d period. Whilst nurse stops the oxytocin
and starts oxygen. After half-hour of uterine relaxation, the contractions are occuring each 5
mins with 20 2nd duration. Which intervention ought to the nurse enforce?
Restart the oxytocin in line with oxytocin protocol
A primigravida arrives on the observation unit of the maternity unit because she thinks she is
in exertions. The nurse applies the external fetal coronary heart screen and determines she
is not in labor. What makes the nurse recognise she isn't in labor?
Contractions prevent when the customer is walking
A primigravida consumer with gestational hypertension and bishop rating of 3 is
scheduled for induction of exertions. The nurse administers misoprostol at 0700 then
observes everyday contractions with cervical modifications at 0900 which movement should
the nurse take?
Administer oxytocin four hours later
A multigravida customer in exertions is receiving oxytocin Pitocin 4mu/minute to help sell an
powerful contraction sample. The available solution is Lactated Ringers 1,000 ml with Pitocin
20 gadgets. The nurse ought to program the infusion pump to supply how many ml/hr?
To calculate the infusion price in mL/hr, we want to decide what number of milliliters include
the desired dose of oxytocin (Pitocin).
1. Available concentration: 20 devices of Pitocin in 1,000 mL of Lactated Ringer's.
2. Desired dose: four milliunits (mu) according to minute.
Steps to Calculate:
Convert 4 mu/min to units in step with hour:
four mu/min×60 mins=240 mu/hr4 mu/min instances 60 minutes = 240
mu/hrfour mu/min×60 minutes=240 mu/hr
