2023 HESI MATERNITY OB EXAM VERSION 1,2 & 3
LATEST EACH VERSION CONTAINS 55
QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
1. A client at 37 weeks gestation presents to labor and delivery with contractionsevery two minutes
the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse
should recognize the clients is prohibitingsymptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
4. A client who had her first baby three months ago and is breastfeeding her infanttells the nurse that she
is currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
Use alternative form of birth control until new diaphragm can beobtained.
,7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the
priority nursing action for this client?
Massage the fundus Q 4 hours
9. At 0600 while admitting a woman for a scheduled repeat cesarean section (C- Section), the client tells
the nurse that she drank a cup a coffee at 0400 because shewanted to avoid getting a headache. Which
action should the nurse take first?
Inform the anesthesia care provider
,10. The nurse is caring for a postpartum client who is exhibiting symptoms of aspinal headache 24
hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which
action should the nurse perform?
- Place procedure equipment at bedside
11. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
Hypoglycemia
13. the nurse is caring for a 35 week gestation infant delivered by cesarean section2 hours ago. the
nurse observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and
retractions. the nurse should recognize these finding indicate which complication?
- B – transient tachypnea of the newborn
14. A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating
an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occuring every 1
minute with a 75 second duration. whennurse stops the oxytocin and starts oxygen. after 30 minutes of
uterine rest, the contractions are occuring every 5 minutes with 20 second duration. which intervention
should the nurse implement?
Restart the oxytocin per oxytocin protocol
, 15. A primigravida arrives at the observation unit of the maternity unit because shethinks she is in labor.
the nurse applies the external fetal heart monitor and determines she is not in labor. What makes the
nurse realize she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and bishop score of 3 is scheduled for
induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions with
cervical changes at 0900 which action shouldthe nurse take?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to helppromote an effective
contraction pattern. The available solution is Lactated Ringers1,000 ml with Pitocin 20 units. The nurse
should program the infusion pump to deliver how many ml/hr?
12
18. The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine demise protocoland identification procedures. What
action is most important for the nurse to take?
Encourage the mother to hold and spend time with her baby
19. Following a minor vehicle collision, a client 36 weeks gestation is brought tothe emergency
center. She is lying supine on a backboard , is awake , denies any complaints. Her blood pressure is
80/50 mm Hg and heart rate is 130 beats per min. What action should the nurse implement first?
Turn the board sideways to displace the uterus lateral
20. A new mother asks the nurse about an area of swelling on her baby's head nearthe posterior fontanel
that lies across the suture line. How should the nurse respond?
LATEST EACH VERSION CONTAINS 55
QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+
1. A client at 37 weeks gestation presents to labor and delivery with contractionsevery two minutes
the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse
should recognize the clients is prohibitingsymptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
4. A client who had her first baby three months ago and is breastfeeding her infanttells the nurse that she
is currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
Use alternative form of birth control until new diaphragm can beobtained.
,7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the
priority nursing action for this client?
Massage the fundus Q 4 hours
9. At 0600 while admitting a woman for a scheduled repeat cesarean section (C- Section), the client tells
the nurse that she drank a cup a coffee at 0400 because shewanted to avoid getting a headache. Which
action should the nurse take first?
Inform the anesthesia care provider
,10. The nurse is caring for a postpartum client who is exhibiting symptoms of aspinal headache 24
hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which
action should the nurse perform?
- Place procedure equipment at bedside
11. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
Hypoglycemia
13. the nurse is caring for a 35 week gestation infant delivered by cesarean section2 hours ago. the
nurse observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and
retractions. the nurse should recognize these finding indicate which complication?
- B – transient tachypnea of the newborn
14. A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating
an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occuring every 1
minute with a 75 second duration. whennurse stops the oxytocin and starts oxygen. after 30 minutes of
uterine rest, the contractions are occuring every 5 minutes with 20 second duration. which intervention
should the nurse implement?
Restart the oxytocin per oxytocin protocol
, 15. A primigravida arrives at the observation unit of the maternity unit because shethinks she is in labor.
the nurse applies the external fetal heart monitor and determines she is not in labor. What makes the
nurse realize she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and bishop score of 3 is scheduled for
induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions with
cervical changes at 0900 which action shouldthe nurse take?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to helppromote an effective
contraction pattern. The available solution is Lactated Ringers1,000 ml with Pitocin 20 units. The nurse
should program the infusion pump to deliver how many ml/hr?
12
18. The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine demise protocoland identification procedures. What
action is most important for the nurse to take?
Encourage the mother to hold and spend time with her baby
19. Following a minor vehicle collision, a client 36 weeks gestation is brought tothe emergency
center. She is lying supine on a backboard , is awake , denies any complaints. Her blood pressure is
80/50 mm Hg and heart rate is 130 beats per min. What action should the nurse implement first?
Turn the board sideways to displace the uterus lateral
20. A new mother asks the nurse about an area of swelling on her baby's head nearthe posterior fontanel
that lies across the suture line. How should the nurse respond?
