1
HESI MATERNITY OB EXAM COVERING
2024-2025 ALL QUESTIONS AND
ANSWERS
On admission to the prenatal clinic, a 23 year old woman tells the nurse that her
last menstrual period began on February 15 that previously her periods were
regular. Her pregnancy test is positive. This client's expected date of delivery
a. November 22
b. November 8
c. December 22
d. October 22 ✔- a. November 22
An off-duty finds a woman in a supermarket parking lot delivering an infant while
her husband is screaming for someone to help his wife. Which intervention has
the highest priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm ✔- c. put the newborn to
breast
During a prenatal visit, the nurse discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
,2
c. lower birth weights
d. lower APGAR scores ✔- c. lower birth weights
A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the
nurse is best?
a. this is not an unusual shaped head especially for a first baby
,3
b. that is normal the head will return to a round shape within 7 to 10 days
c. it may look funny to you but newborn babies are often born with heads like your
baby's
d. your pelvis was too small so the baby's head had to adjust to the birth canal
✔- b. that is normal the head will return to a round shape within 7 to 10 days
After each feeding, a 3 day old newborn is spitting up large amounts of newborn
formula, a nonfat cow's milk formula. The pediatric healthcare provider changes
the neonates's formula to Similac. What information should the nurse provide to
the mother about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed with diarrhea
b. The new formula is a coconut milk formula used with babies with impaired fat
absorption
c. the new formula is a casein protein source that is low in phenylalanine
d. similac is a soy based formula that contains sucrose ✔- d. similac is a
soy based formula that contains sucrose
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy ✔- b. it is
difficult to consume 18 mg of additional iron by diet alone
When explaining postpartum blues to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply)
a. panic attacks
, 4
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant ✔- b, d
HESI MATERNITY OB EXAM COVERING
2024-2025 ALL QUESTIONS AND
ANSWERS
On admission to the prenatal clinic, a 23 year old woman tells the nurse that her
last menstrual period began on February 15 that previously her periods were
regular. Her pregnancy test is positive. This client's expected date of delivery
a. November 22
b. November 8
c. December 22
d. October 22 ✔- a. November 22
An off-duty finds a woman in a supermarket parking lot delivering an infant while
her husband is screaming for someone to help his wife. Which intervention has
the highest priority?
a. provide as much privacy as possible for the woman
b. use a thread to tie off the umbilical cord
c. put the newborn to breast
d. reassure the husband and try to keep him calm ✔- c. put the newborn to
breast
During a prenatal visit, the nurse discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
,2
c. lower birth weights
d. lower APGAR scores ✔- c. lower birth weights
A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the
nurse is best?
a. this is not an unusual shaped head especially for a first baby
,3
b. that is normal the head will return to a round shape within 7 to 10 days
c. it may look funny to you but newborn babies are often born with heads like your
baby's
d. your pelvis was too small so the baby's head had to adjust to the birth canal
✔- b. that is normal the head will return to a round shape within 7 to 10 days
After each feeding, a 3 day old newborn is spitting up large amounts of newborn
formula, a nonfat cow's milk formula. The pediatric healthcare provider changes
the neonates's formula to Similac. What information should the nurse provide to
the mother about the newly prescribed formula?
a. Enfamil formula is demineralized whey formula that is needed with diarrhea
b. The new formula is a coconut milk formula used with babies with impaired fat
absorption
c. the new formula is a casein protein source that is low in phenylalanine
d. similac is a soy based formula that contains sucrose ✔- d. similac is a
soy based formula that contains sucrose
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy ✔- b. it is
difficult to consume 18 mg of additional iron by diet alone
When explaining postpartum blues to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (select all that apply)
a. panic attacks
, 4
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant ✔- b, d
