HESI OB MATERNITY VERSION ONE FINAL
CERTIFICATION REVIEW 2026 DETAILED
SOLUTIONS GUARANTEED A+
⩥ When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend these
classes? Answer: 30 weeks gestation
⩥ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the teaching
plan? Answer: Mood swings.
Tearfulness.
⩥ A 35-year-old primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data would indicate to the nurse that the client is
experiencing magnesium sulfate toxicity? Answer: Urine output 90mL /
4 hours
⩥ The nurse assesses a client admitted to the labor and delivery unit and
obtains the following data: dark red vaginal bleeding, uterus slightly
tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1
cm dilated and uneffaced. Based on these assessment findings, what
,intervention should the nurse implement? Answer: C. monitor bleeding
from IV sites.
⩥ A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
Which assessment finding would provide the nurse the earliest
indication that the client is experiencing primary side effects of
terbutaline sulfate? Answer: Tachycardia and a feeling of nervousness.
⩥ A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response is
based on what knowledge? Answer: It is difficult to consume 18 mg of
additional iron by diet alone.
⩥ The nurse is teaching care of the newborn to a group of prospective
parents and describes the need for administering antibiotic ointment into
the eyes of the newborn. Which infectious organism will this treatment
prevent from harming the infant? Answer: Gonorrhea.
⩥ A client is admitted with the diagnosis of total placenta previa. Which
finding is most important for the nurse to report to the healthcare
provider immediately? Answer: Onset of uterine contractions.
⩥ One hour after giving birth to an 8-pound infant, a client's lochia rubra
has increased from small to large and her fundus is boggy despite
, massage. The client's pulse is 84 beats/minute and blood pressure is
156/96. The healthcare provider prescribes Methergine 0.2 mg IM X 1.
What action should the nurse take immediately? Answer: Call the
healthcare provider to question the prescription
⩥ The nurse is preparing a client with a term pregnancy who is in active
labor for an amniotomy. What equipment should the nurse have
available at the client's bedside? Answer: A sterile glove.
An amnihook.
Lubricant.
⩥ A 28-year-old G1 P0 client who is currently 32 weeks pregnant is
started on IV magnesium sulfate after being diagnosed with severe
preeclampsia. After determining the serum magnesium level to be 15
mEq/L, the nurse should expect which of the following manifestations in
the client? Answer: Respiratory distress.
⩥ A healthcare provider informs the charge nurse of a labor and delivery
unit that a client is coming to the unit with suspected abruptio placentae.
What findings should the charge nurse expect the client to demonstrate?
Answer: Dark, red vaginal bleeding.A rigid abdomen
⩥ Immediately after birth a newborn infant is suctioned, dried, and
placed under a radiant warmer. The infant has spontaneous respirations
and the nurse assesses an apical heart rate of 80 beats/minute and
CERTIFICATION REVIEW 2026 DETAILED
SOLUTIONS GUARANTEED A+
⩥ When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend these
classes? Answer: 30 weeks gestation
⩥ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the teaching
plan? Answer: Mood swings.
Tearfulness.
⩥ A 35-year-old primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data would indicate to the nurse that the client is
experiencing magnesium sulfate toxicity? Answer: Urine output 90mL /
4 hours
⩥ The nurse assesses a client admitted to the labor and delivery unit and
obtains the following data: dark red vaginal bleeding, uterus slightly
tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1
cm dilated and uneffaced. Based on these assessment findings, what
,intervention should the nurse implement? Answer: C. monitor bleeding
from IV sites.
⩥ A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
Which assessment finding would provide the nurse the earliest
indication that the client is experiencing primary side effects of
terbutaline sulfate? Answer: Tachycardia and a feeling of nervousness.
⩥ A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response is
based on what knowledge? Answer: It is difficult to consume 18 mg of
additional iron by diet alone.
⩥ The nurse is teaching care of the newborn to a group of prospective
parents and describes the need for administering antibiotic ointment into
the eyes of the newborn. Which infectious organism will this treatment
prevent from harming the infant? Answer: Gonorrhea.
⩥ A client is admitted with the diagnosis of total placenta previa. Which
finding is most important for the nurse to report to the healthcare
provider immediately? Answer: Onset of uterine contractions.
⩥ One hour after giving birth to an 8-pound infant, a client's lochia rubra
has increased from small to large and her fundus is boggy despite
, massage. The client's pulse is 84 beats/minute and blood pressure is
156/96. The healthcare provider prescribes Methergine 0.2 mg IM X 1.
What action should the nurse take immediately? Answer: Call the
healthcare provider to question the prescription
⩥ The nurse is preparing a client with a term pregnancy who is in active
labor for an amniotomy. What equipment should the nurse have
available at the client's bedside? Answer: A sterile glove.
An amnihook.
Lubricant.
⩥ A 28-year-old G1 P0 client who is currently 32 weeks pregnant is
started on IV magnesium sulfate after being diagnosed with severe
preeclampsia. After determining the serum magnesium level to be 15
mEq/L, the nurse should expect which of the following manifestations in
the client? Answer: Respiratory distress.
⩥ A healthcare provider informs the charge nurse of a labor and delivery
unit that a client is coming to the unit with suspected abruptio placentae.
What findings should the charge nurse expect the client to demonstrate?
Answer: Dark, red vaginal bleeding.A rigid abdomen
⩥ Immediately after birth a newborn infant is suctioned, dried, and
placed under a radiant warmer. The infant has spontaneous respirations
and the nurse assesses an apical heart rate of 80 beats/minute and
