1
, HESI RN OB/Maternity Exams | Complete Bundle
Package (Pdf)
Question 1
A nurse is assessing a client at 10 weeks gestation. Which
finding requires immediate follow-up?
A) Nausea with vomiting once daily
B) Breast tenderness and urinary frequency
C) Unilateral lower quadrant abdominal pain
D) Fatigue and increased appetite
Correct Answer: C
Rationale: Unilateral lower quadrant pain may indicate
ectopic pregnancy, especially before 12 weeks. Nausea,
breast tenderness, urinary frequency, and fatigue are
common first-trimester symptoms.
Question 2
A client at 32 weeks gestation reports sudden, painless
vaginal bleeding. The nurse should first suspect:
2
,A) Placenta previa
B) Abruptio placentae
C) Labor
D) Cervical insufficiency
Correct Answer: A
Rationale: Painless bleeding in the third trimester is classic
for placenta previa. Abruptio placentae typically
presents with painful bleeding. Labor would show
contractions and cervical change.
Question 3
A nurse is teaching a primigravida about signs of true
labor. Which statement indicates understanding?
A) "Pain will be felt only in my lower back"
B) "Walking will make the contractions stop"
C) "Contractions will occur at regular intervals and
increase in intensity"
D) "My cervix will not change if it is true labor"
3
, Correct Answer: C
Rationale: True labor contractions are regular, increase in
frequency and intensity, and cause cervical change. False
labor contractions often stop with walking.
Question 4
A client with gestational diabetes at 36 weeks has an
amniotic fluid index (AFI) of 24 cm. The nurse understands
this indicates:
A) Oligohydramnios
B) Polyhydramnios
C) Normal fluid level
D) Rupture of membranes
Correct Answer: B
Rationale: Normal AFI is 5–25 cm, but >24 cm is
borderline polyhydramnios, often associated with
gestational diabetes due to fetal polyuria from
hyperglycemia.
4
, HESI RN OB/Maternity Exams | Complete Bundle
Package (Pdf)
Question 1
A nurse is assessing a client at 10 weeks gestation. Which
finding requires immediate follow-up?
A) Nausea with vomiting once daily
B) Breast tenderness and urinary frequency
C) Unilateral lower quadrant abdominal pain
D) Fatigue and increased appetite
Correct Answer: C
Rationale: Unilateral lower quadrant pain may indicate
ectopic pregnancy, especially before 12 weeks. Nausea,
breast tenderness, urinary frequency, and fatigue are
common first-trimester symptoms.
Question 2
A client at 32 weeks gestation reports sudden, painless
vaginal bleeding. The nurse should first suspect:
2
,A) Placenta previa
B) Abruptio placentae
C) Labor
D) Cervical insufficiency
Correct Answer: A
Rationale: Painless bleeding in the third trimester is classic
for placenta previa. Abruptio placentae typically
presents with painful bleeding. Labor would show
contractions and cervical change.
Question 3
A nurse is teaching a primigravida about signs of true
labor. Which statement indicates understanding?
A) "Pain will be felt only in my lower back"
B) "Walking will make the contractions stop"
C) "Contractions will occur at regular intervals and
increase in intensity"
D) "My cervix will not change if it is true labor"
3
, Correct Answer: C
Rationale: True labor contractions are regular, increase in
frequency and intensity, and cause cervical change. False
labor contractions often stop with walking.
Question 4
A client with gestational diabetes at 36 weeks has an
amniotic fluid index (AFI) of 24 cm. The nurse understands
this indicates:
A) Oligohydramnios
B) Polyhydramnios
C) Normal fluid level
D) Rupture of membranes
Correct Answer: B
Rationale: Normal AFI is 5–25 cm, but >24 cm is
borderline polyhydramnios, often associated with
gestational diabetes due to fetal polyuria from
hyperglycemia.
4
