OB/Maternity HESI Assignment exam [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE
EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
A client who had her first baby three months ago and is breastfeeding her infant tells the
nurse that she is currently using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this client? - CORRECT
ANSWER
A. After ceasing breastfeeding, the diaphragm should be resized. - CORRECT
ANSWER
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated. - CORRECT ANSWER
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to
use. - CORRECT ANSWER
D.Use an alternate form of contraceptive until a new diaphragm is obtained. -
CORRECT ANSWER Use an alternate form of contraceptive until a new diaphragm is
obtained. - CORRECT ANSWER
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? - CORRECT ANSWER
A. Gently massage the fundus every 4 hours. - CORRECT ANSWER
B. Observe for signs of uterine hemorrhage. - CORRECT ANSWER
C. Encourage direct contact with the infant. - CORRECT ANSWER
D. Assess the blood pressure for hypertension. - CORRECT ANSWER Observe for
signs of uterine hemorrhage. - CORRECT ANSWER
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 she wanted to
avoid getting a headache. Which action should the nurse take first? - CORRECT
ANSWER
A. Ensure preoperative lab results are available. - CORRECT ANSWER
B. Inform the anesthesia care provider. - CORRECT ANSWER
,C. Start prescribed IV with Lactated Ringer's. - CORRECT ANSWER
D. Contact the client's obstetrician. - CORRECT ANSWER Inform the anesthesia care
provider - CORRECT ANSWER
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform? - CORRECT ANSWER
A. Cleanse the spinal injection site. - CORRECT ANSWER
B. Place procedure equipment at bedside. - CORRECT ANSWER
C. Apply an abdominal binder. - CORRECT ANSWER
D. Insert an indwelling Foley catheter. - CORRECT ANSWER Place procedure
equipment at bedside - CORRECT ANSWER
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces,
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? -
CORRECT ANSWER
A. Hyperbilirubinemia - CORRECT ANSWER
B. Polycythemia - CORRECT ANSWER
C. Hyperthermia - CORRECT ANSWER
D. Hypoglycemia - CORRECT ANSWER Hypoglycemia - CORRECT ANSWER
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with
nasal flaring, grunting, and retractions. The nurse should recognize these findings
indicate which complication? - CORRECT ANSWER
A. Persistent pulmonary hypertension of the newborn. - CORRECT ANSWER
B. Transient tachypnea of the newborn. - CORRECT ANSWER
C. Meconium aspiration syndrome. - CORRECT ANSWER
D. Bronchopulmonary dysplasia. - CORRECT ANSWER Transient tachypnea of the
newborn - CORRECT ANSWER
,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 occurring every 1 minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. Which intervention should the nurse implement? -
CORRECT ANSWER
A. Notify nursery about the client's response. - CORRECT ANSWER
B. Check for clonus in both feet. - CORRECT ANSWER
C. Stop oxygen per cannula. - CORRECT ANSWER
D. Restart oxytocin infusion rate per protocol. - CORRECT ANSWER Restart oxytocin
infusion rate per protocol - CORRECT ANSWER
A primigravida arrives at the observation unit of the maternity unit because she thinks
she is in labor. The nurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every
10-15 minutes. Which assessment finding confirms to the nurse that the client is not in
labor at this time? - CORRECT ANSWER
A. Contractions decrease with walking. - CORRECT ANSWER
B. 2+ pitting edema in lower extremities. - CORRECT ANSWER
C. Cervical dilations is 1cm. - CORRECT ANSWER
D. Membranes are intact. - CORRECT ANSWER Contractions decrease with walking -
CORRECT ANSWER
A primigravida client with gestational hypertension and a 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 should the nurse take? -
CORRECT ANSWER
A. Administer misoprostol every 2hrs. - CORRECT ANSWER
B. Ambulate the client after administration of misoprostol. - CORRECT ANSWER
C. Start oxytocin infusion immediately. - CORRECT ANSWER
D. Begin oxytocin 4hrs after misoprostol is given. - CORRECT ANSWER Begin oxytocin
4hrs after misoprostol is given - CORRECT ANSWER
, 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 fetal demise protocol and
identification procedures. Which action is important for the nurse to take? - CORRECT
ANSWER
A. Explain reasons consent for an infant autopsy is needed. - CORRECT ANSWER
B. Encourage the mother to hold and spend time with her baby. - CORRECT ANSWER
C. Determine if the mother desires a visit from her clergy. - CORRECT ANSWER
D. Create a memory box of baby's footprints and photographs. - CORRECT ANSWER
Encourage the mother to hold and spend time with her baby - CORRECT ANSWER
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to
the emergency center. She is lying supine on a backboard, is awake, and denies any
complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action
should the nurse implement first? - CORRECT ANSWER
A. Palpate the abdomen for contractions. - CORRECT ANSWER
B. Tilt the backboard sideways to displace the uterus laterally. - CORRECT ANSWER
C. Obtain a blood sample for complete blood count. - CORRECT ANSWER
D. Infuse 1,000 mL normal saline using a large bare IV. - CORRECT ANSWER Tilt the
backboard sideways to displace the uterus laterally - CORRECT ANSWER
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
CORRECT ANSWER
A. "That is called caput succedaneum. It will have to be drained." - CORRECT
ANSWER
B. "That is called caput succedaneum. It will absorb and cause no problems." -
CORRECT ANSWER
C. "That is called a cephalhematoma. It will cause no problems." - CORRECT
ANSWER
D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." -
CORRECT ANSWER That is called caput succedaneum. It will absorb and cause no
problems - CORRECT ANSWER
VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE
EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
A client who had her first baby three months ago and is breastfeeding her infant tells the
nurse that she is currently using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this client? - CORRECT
ANSWER
A. After ceasing breastfeeding, the diaphragm should be resized. - CORRECT
ANSWER
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated. - CORRECT ANSWER
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to
use. - CORRECT ANSWER
D.Use an alternate form of contraceptive until a new diaphragm is obtained. -
CORRECT ANSWER Use an alternate form of contraceptive until a new diaphragm is
obtained. - CORRECT ANSWER
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? - CORRECT ANSWER
A. Gently massage the fundus every 4 hours. - CORRECT ANSWER
B. Observe for signs of uterine hemorrhage. - CORRECT ANSWER
C. Encourage direct contact with the infant. - CORRECT ANSWER
D. Assess the blood pressure for hypertension. - CORRECT ANSWER Observe for
signs of uterine hemorrhage. - CORRECT ANSWER
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 she wanted to
avoid getting a headache. Which action should the nurse take first? - CORRECT
ANSWER
A. Ensure preoperative lab results are available. - CORRECT ANSWER
B. Inform the anesthesia care provider. - CORRECT ANSWER
,C. Start prescribed IV with Lactated Ringer's. - CORRECT ANSWER
D. Contact the client's obstetrician. - CORRECT ANSWER Inform the anesthesia care
provider - CORRECT ANSWER
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform? - CORRECT ANSWER
A. Cleanse the spinal injection site. - CORRECT ANSWER
B. Place procedure equipment at bedside. - CORRECT ANSWER
C. Apply an abdominal binder. - CORRECT ANSWER
D. Insert an indwelling Foley catheter. - CORRECT ANSWER Place procedure
equipment at bedside - CORRECT ANSWER
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces,
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? -
CORRECT ANSWER
A. Hyperbilirubinemia - CORRECT ANSWER
B. Polycythemia - CORRECT ANSWER
C. Hyperthermia - CORRECT ANSWER
D. Hypoglycemia - CORRECT ANSWER Hypoglycemia - CORRECT ANSWER
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with
nasal flaring, grunting, and retractions. The nurse should recognize these findings
indicate which complication? - CORRECT ANSWER
A. Persistent pulmonary hypertension of the newborn. - CORRECT ANSWER
B. Transient tachypnea of the newborn. - CORRECT ANSWER
C. Meconium aspiration syndrome. - CORRECT ANSWER
D. Bronchopulmonary dysplasia. - CORRECT ANSWER Transient tachypnea of the
newborn - CORRECT ANSWER
,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 occurring every 1 minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. Which intervention should the nurse implement? -
CORRECT ANSWER
A. Notify nursery about the client's response. - CORRECT ANSWER
B. Check for clonus in both feet. - CORRECT ANSWER
C. Stop oxygen per cannula. - CORRECT ANSWER
D. Restart oxytocin infusion rate per protocol. - CORRECT ANSWER Restart oxytocin
infusion rate per protocol - CORRECT ANSWER
A primigravida arrives at the observation unit of the maternity unit because she thinks
she is in labor. The nurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every
10-15 minutes. Which assessment finding confirms to the nurse that the client is not in
labor at this time? - CORRECT ANSWER
A. Contractions decrease with walking. - CORRECT ANSWER
B. 2+ pitting edema in lower extremities. - CORRECT ANSWER
C. Cervical dilations is 1cm. - CORRECT ANSWER
D. Membranes are intact. - CORRECT ANSWER Contractions decrease with walking -
CORRECT ANSWER
A primigravida client with gestational hypertension and a 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 should the nurse take? -
CORRECT ANSWER
A. Administer misoprostol every 2hrs. - CORRECT ANSWER
B. Ambulate the client after administration of misoprostol. - CORRECT ANSWER
C. Start oxytocin infusion immediately. - CORRECT ANSWER
D. Begin oxytocin 4hrs after misoprostol is given. - CORRECT ANSWER Begin oxytocin
4hrs after misoprostol is given - CORRECT ANSWER
, 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 fetal demise protocol and
identification procedures. Which action is important for the nurse to take? - CORRECT
ANSWER
A. Explain reasons consent for an infant autopsy is needed. - CORRECT ANSWER
B. Encourage the mother to hold and spend time with her baby. - CORRECT ANSWER
C. Determine if the mother desires a visit from her clergy. - CORRECT ANSWER
D. Create a memory box of baby's footprints and photographs. - CORRECT ANSWER
Encourage the mother to hold and spend time with her baby - CORRECT ANSWER
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to
the emergency center. She is lying supine on a backboard, is awake, and denies any
complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action
should the nurse implement first? - CORRECT ANSWER
A. Palpate the abdomen for contractions. - CORRECT ANSWER
B. Tilt the backboard sideways to displace the uterus laterally. - CORRECT ANSWER
C. Obtain a blood sample for complete blood count. - CORRECT ANSWER
D. Infuse 1,000 mL normal saline using a large bare IV. - CORRECT ANSWER Tilt the
backboard sideways to displace the uterus laterally - CORRECT ANSWER
A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond? -
CORRECT ANSWER
A. "That is called caput succedaneum. It will have to be drained." - CORRECT
ANSWER
B. "That is called caput succedaneum. It will absorb and cause no problems." -
CORRECT ANSWER
C. "That is called a cephalhematoma. It will cause no problems." - CORRECT
ANSWER
D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." -
CORRECT ANSWER That is called caput succedaneum. It will absorb and cause no
problems - CORRECT ANSWER
