HESI OB/MATERNITY Practice Quiz Questions
with Detailed Verified Answers
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample
and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. Ans: c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation Ans: a. a
home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS
is:
a. shortness of breath
,b. joint pain
c. a persistent cold
d. organmegaly Ans: c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action should the nurse
take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural Ans: c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the
second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month Ans: d. anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
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,a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute Ans: a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl Ans: c. changes in apical rate
from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 Ans: b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of
transition using the Dubowitz scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40 weeks. Which findings should the nurse
identify to determine if the neonate is SGA? (Select all that apply.)
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, a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position Ans: a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers Ans: c. monitor for bleeding from IV sites
Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous respirations and the nurse assess an apical heart
rate of 80 bpm and respirations 20. What action should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level Ans: a. initiate positive pressure ventilation
© Get it right 2025 Getaway - Stuvia US All rights reserved
with Detailed Verified Answers
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample
and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp
abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart
rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. Ans: c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation Ans: a. a
home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with AIDS
is:
a. shortness of breath
,b. joint pain
c. a persistent cold
d. organmegaly Ans: c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring
client's blood pressure drops from 120/80 to 90/60. What action should the nurse
take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural Ans: c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the
second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month Ans: d. anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is
most significant in planning this client's care?
© Get it right 2025 Getaway - Stuvia US All rights reserved
,a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute Ans: a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl Ans: c. changes in apical rate
from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was
August 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 Ans: b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of
transition using the Dubowitz scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40 weeks. Which findings should the nurse
identify to determine if the neonate is SGA? (Select all that apply.)
© Get it right 2025 Getaway - Stuvia US All rights reserved
, a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position Ans: a, b, c
The nurse assess a client admitted to the labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers Ans: c. monitor for bleeding from IV sites
Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous respirations and the nurse assess an apical heart
rate of 80 bpm and respirations 20. What action should the nurse perform next?
a. initiate positive pressure ventilation
b. intervene after one minute APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level Ans: a. initiate positive pressure ventilation
© Get it right 2025 Getaway - Stuvia US All rights reserved
