HESI OB MATERNITY VERSION 1 EXAM
PREP QUESTIONS AND ANSWERS FULL
TEST PAPER ACCURACY CHECKED
◉ The nurse is assessing a 38-week gestation newborn infant
immediately following a vaginal birth. Which assessment finding
best indicates that the infant is transitioning well to extrauterine
life?
Answer: Cries vigorously when stimulated.
◉ A 16-year-old gravida 1, para 0 client has just been admitted to
the hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include
in this client's nursing care plan?
Answer: Monitor Blood pressure, pulse, and respirations q4h.
◉ What goal is most important for the nurse to include in the plan
of care for a client with gestational diabetes?
Answer: Restrict carbohydrate intake.
◉ The nurse is interacting with a female client who is diagnosed
with postpartum depression. Which finding should the nurse
document as an objective signs of depression? (Select all that
apply.)
A. Avoids eye contact.
,B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance.
Answer: A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
◉ The nurse is planning care for a client at 30-weeks gestation
who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x
3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain
Answer: A. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x 3
◉ In preparing a gravid client for a triple screen analysis, which
action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
, C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen.
Answer: A. Prepare to draw blood for analysis.
◉ During a routine first trimester prenatal exam, a pregnant client
tells the nurse that she has noticed an increase in vaginal
discharge that is white, thin, and watery. What action should the
nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam.
Answer: A. Inform her that this is a normal physiological change.
◉ Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her
uterus is firm and her vital signs are within normal limits. The
nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.
Answer: B. Laceration on the cervix
PREP QUESTIONS AND ANSWERS FULL
TEST PAPER ACCURACY CHECKED
◉ The nurse is assessing a 38-week gestation newborn infant
immediately following a vaginal birth. Which assessment finding
best indicates that the infant is transitioning well to extrauterine
life?
Answer: Cries vigorously when stimulated.
◉ A 16-year-old gravida 1, para 0 client has just been admitted to
the hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include
in this client's nursing care plan?
Answer: Monitor Blood pressure, pulse, and respirations q4h.
◉ What goal is most important for the nurse to include in the plan
of care for a client with gestational diabetes?
Answer: Restrict carbohydrate intake.
◉ The nurse is interacting with a female client who is diagnosed
with postpartum depression. Which finding should the nurse
document as an objective signs of depression? (Select all that
apply.)
A. Avoids eye contact.
,B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance.
Answer: A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
◉ The nurse is planning care for a client at 30-weeks gestation
who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x
3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain
Answer: A. Terbutaline (Brethine) 0.25 mg subcutaneously q15
minutes x 3
◉ In preparing a gravid client for a triple screen analysis, which
action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
, C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen.
Answer: A. Prepare to draw blood for analysis.
◉ During a routine first trimester prenatal exam, a pregnant client
tells the nurse that she has noticed an increase in vaginal
discharge that is white, thin, and watery. What action should the
nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam.
Answer: A. Inform her that this is a normal physiological change.
◉ Following a precipitous labor, a postpartum client has a
continuous trickling of bright red blood from her vagina. Her
uterus is firm and her vital signs are within normal limits. The
nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.
Answer: B. Laceration on the cervix
