OB HESI MATERNITY EXAM WITH VERIFIED
QUESTIONS AND ANSWERS
A newborn infant is jaundiced due to Rh incompatibility. Which finding is most important
for the nurse to report to the healthcare provider?
Bruising.
Oral intake.
Hemoglobin.
Bilirubin. - Bilirubin.
The nurse is planning for the care of a 30-year-old primigravida with pre-gestational
diabetes. Which is the most important factor affecting this client's pregnancy outcome?
Mother's age.
Amount of insulin required prenatally.
Degree of glycemic control during pregnancy.
Number of years since diabetes was diagnosed. - Degree of glycemic control during
pregnancy.
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin for epilepsy, has a history of irregular periods, is under stress at work, and
has not been sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
Having an irregular menstrual cycle.
Using an anticonvulsant for epilepsy.
Taking the pregnancy test too early.
Being under too much stress at work. - Using an anticonvulsant for epilepsy.
A client in active labor at 39 weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
,After reviewing the fetal monitor strip for fetal distress, which action should the nurse
implement?
Escort the client to the bathroom.
Offer the client a bed pan.
Perform a nitrazine test.
Clean the perineal area. - Perform a nitrazine test.
While monitoring a client in active labor, the nurse observes a pattern of 15-beat
increases in the fetal heart rate that lasts 15 to 20 seconds and returns to baseline.
Which information should the nurse report during shift change?
Fetal well-being with labor progression.
Signs of uteroplacental insufficiency.
Episodes of fetal head compression.
Occurrences of cord compression. - Fetal well-being with labor progression.
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?
Pruritus.
Chloasma.
Vascular spiders.
Striae gravidarum. - Striae gravidarum.
The nurse tells a client in her first trimester that she should increase her daily intake of
calcium to 1,200 mg during pregnancy. The client responds, "I don't like milk." Which
dietary adjustments should the nurse recommend?
Increase organ meats in the diet.
Eat more green, leafy vegetables.
Add molasses and whole-grain bread to the diet.
Choose more fresh citrus and other fruits daily. - Eat more green, leafy vegetables.
A primigravida at 12 weeks gestation tells the nurse that she does not like dairy
products. Which food should the nurse recommend to increase the client's calcium
intake?
Canned clams.
Fresh apricots.
Canned sardines.
Spaghetti with meat sauce. - Canned sardines.
, The nurse on the postpartum unit receives reports for 4 clients during the change of
shift. Which client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered an 8-pound 2-ounce infant after an 8 hour labor. A
multiparous client receiving magnesium sulfate during induction for severe
preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress. - A
multiparous client receiving magnesium sulfate during induction for severe
preeclampsia.
The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature of 95.1°F (35.06° C), heart rate of 136 beats/minute, and a
respiratory rate of 48 breaths/minute. Based on these findings, which action should the
nurse take first?
Check the infant's arterial blood gases.
Notify the pediatrician of the infant's vital signs.
Assess the infant's blood glucose level.
Encourage the infant to take the breast or sugar water. - Assess the infant's blood
glucose level.
The nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics.
The infant expels a bloody stool. Which nursing action should the nurse implement?
Institute contact precautions.
Obtain a rectal temperature.
Assess for abdominal distention.
Decrease the amount of feeding. - Assess for abdominal distention.
A multiparous client has been in labor for 8 hours when her membranes rupture. Which
action should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Assess the fetal heart rate and pattern.
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. Which action should the nurse implement first?
QUESTIONS AND ANSWERS
A newborn infant is jaundiced due to Rh incompatibility. Which finding is most important
for the nurse to report to the healthcare provider?
Bruising.
Oral intake.
Hemoglobin.
Bilirubin. - Bilirubin.
The nurse is planning for the care of a 30-year-old primigravida with pre-gestational
diabetes. Which is the most important factor affecting this client's pregnancy outcome?
Mother's age.
Amount of insulin required prenatally.
Degree of glycemic control during pregnancy.
Number of years since diabetes was diagnosed. - Degree of glycemic control during
pregnancy.
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin for epilepsy, has a history of irregular periods, is under stress at work, and
has not been sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results?
Having an irregular menstrual cycle.
Using an anticonvulsant for epilepsy.
Taking the pregnancy test too early.
Being under too much stress at work. - Using an anticonvulsant for epilepsy.
A client in active labor at 39 weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
,After reviewing the fetal monitor strip for fetal distress, which action should the nurse
implement?
Escort the client to the bathroom.
Offer the client a bed pan.
Perform a nitrazine test.
Clean the perineal area. - Perform a nitrazine test.
While monitoring a client in active labor, the nurse observes a pattern of 15-beat
increases in the fetal heart rate that lasts 15 to 20 seconds and returns to baseline.
Which information should the nurse report during shift change?
Fetal well-being with labor progression.
Signs of uteroplacental insufficiency.
Episodes of fetal head compression.
Occurrences of cord compression. - Fetal well-being with labor progression.
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?
Pruritus.
Chloasma.
Vascular spiders.
Striae gravidarum. - Striae gravidarum.
The nurse tells a client in her first trimester that she should increase her daily intake of
calcium to 1,200 mg during pregnancy. The client responds, "I don't like milk." Which
dietary adjustments should the nurse recommend?
Increase organ meats in the diet.
Eat more green, leafy vegetables.
Add molasses and whole-grain bread to the diet.
Choose more fresh citrus and other fruits daily. - Eat more green, leafy vegetables.
A primigravida at 12 weeks gestation tells the nurse that she does not like dairy
products. Which food should the nurse recommend to increase the client's calcium
intake?
Canned clams.
Fresh apricots.
Canned sardines.
Spaghetti with meat sauce. - Canned sardines.
, The nurse on the postpartum unit receives reports for 4 clients during the change of
shift. Which client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered an 8-pound 2-ounce infant after an 8 hour labor. A
multiparous client receiving magnesium sulfate during induction for severe
preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress. - A
multiparous client receiving magnesium sulfate during induction for severe
preeclampsia.
The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature of 95.1°F (35.06° C), heart rate of 136 beats/minute, and a
respiratory rate of 48 breaths/minute. Based on these findings, which action should the
nurse take first?
Check the infant's arterial blood gases.
Notify the pediatrician of the infant's vital signs.
Assess the infant's blood glucose level.
Encourage the infant to take the breast or sugar water. - Assess the infant's blood
glucose level.
The nurse is preparing to gavage feed a preterm infant who is receiving IV antibiotics.
The infant expels a bloody stool. Which nursing action should the nurse implement?
Institute contact precautions.
Obtain a rectal temperature.
Assess for abdominal distention.
Decrease the amount of feeding. - Assess for abdominal distention.
A multiparous client has been in labor for 8 hours when her membranes rupture. Which
action should the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider. - Assess the fetal heart rate and pattern.
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. Which action should the nurse implement first?
