HESI MATERNITY OB. HESI MATERNITY EXAM
STUDY GUIDE EXAM. GRADED A+, LATEST
2025/2026 UPDATE.
1 A client at 30 weeks gestation reports that she has not felt the baby move in
the last 24 hours. Concerned she arrives in a panic at the obstetric clinic where
she is immediately sent to the hospital. which assessment warrants immediate
intervention by the nurse.
A Fetal Heart rate 60 beats per minute
B Ruptured amniotic membrane
C onset of uterine contractions
D leaking amniotic fluid.
2 A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes the nurse observes several shallow small
vesicles on her pubis labia and perineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
A Genital Warts
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B Syphilis
C Herpes Simplex Virus
D German Measles
3 The nurse is planning care for a client at 30 weeks gestation who is
experiencing preterm labor which maternity description is most important in
preventing this fetus from developing respiratory distress syndrome.
A Ampicillin 1 gram IV push q8h
B Betamethasone 12 mg deep IM
C Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D Butorphanol tartrate 1mg IV push q2h PRN.
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4 A 16 year old gravida 1 para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She's not presently convulsing. Which
intervention should the nurse plan to include in this client's nursing care plan?
A Allow liberal family visitation
B Keep an airway at the bedside
C Assess temperature every hour
D Monitor blood pressure, pulse, and respiration every 4 hours.
5 At 12 hours after the birth of a healthy infant the mother complains of
feeling constant vaginal pressure. The nurse determines the fundus is firm and
at midline with moderate rubra lochia. which action should nurse take?
A Check the suprapubic area for distention.
B Inform the client to take a warm sitz bath
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C Inspect clients perineal and rectal areas
D Apply a fresh pad and check in 1 hour.
6 If primigravida at 36 weeks gestation who is RH negative experienced
abdominal trauma in a motor vehicle collision. Which assessment finding is most
important for the nurse to report to the health care provider?
A Fetal heart rate at 162 beats /minute
B Mild contractions every 10 minutes.
C Trace of protein in the urine
D. Positive fetal hemoglobin testing