HESI MATERNITY OB 2024/2025 EXAM QUESTIONS
(VERSION 3) WITH FULLY SOLVED AND UPDATED
ANSWERS.
1) A laboring client's membranes rupture spontaneously. The nurse notices that the
_ _ _ _ _ _ _ _ _ _ _
amniotic fluid is greenish-brown. What intervention should the nurse implement first?
_ _ _ _ _ _ _ _ _ _
a. Turn the client to her left side
_ _ _ _ _ _
b. Contact the healthcare provider _ _ _
c. Assess the fetal heart rate _ _ _ _
d. Check the cervical dilation -- Correct Answer ✔✔ c. Assess the fetal heart
_ _ _ _ _ _ _ _ _ _ _ _ _
rate
2) A postpartum client who is Rh-negative refuses to receive RhoGAM after delivery of
_ _ _ _ _ _ _ _ _ _ _ _ _
an infant who is Rh-positive. Which information should the nurse provide this client?
_ _ _ _ _ _ _ _ _ _ _ _
a. RhoGAM prevents maternal antibody formation for future Rh-positive babies.
_ _ _ _ _ _ _ _
b. RhoGAM is not necessary unless all her pregnancies are Rh-positive.
_ _ _ _ _ _ _ _ _
c. The R-positive factor from the fetus threatens her blood cells.
_ _ _ _ _ _ _ _ _
d. The mother should receive RhoGAM when the baby is Rh-negative. -- Correct
_ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ a. RhoGAM prevents maternal antibody formation for future Rh-
_ _ _ _ _ _ _ _ _ _ _
positive babies. _
3) The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops),
_ _ _ _ _ _ _ _ _ _ _ _
followed by 2 ounces of orange juice. What should the nurse do next?
_ _ _ _ _ _ _ _ _ _ _ _
a. Tell the mother to follow the iron drops with infant formula instead of orange
_ _ _ _ _ _ _ _ _ _ _ _ _ _
juice.
b. Suggest placing the iron drops in the orange juice and then feeding the infant.
_ _ _ _ _ _ _ _ _ _ _ _ _
c. Instruct the mother to feed the infant nothing for 30 minutes after giving the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
iron drops. _
, d. Give the mother positive feedback about the way she administered the
_ _ _ _ _ _ _ _ _ _ _
medication. -- Correct Answer ✔✔ d. Give the mother positive feedback _ _ _ _ _ _ _ _ _ _ _
about the way she administered the medication.
_ _ _ _ _ _
4) A 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile
_ _ _ _ _ _ _ _ _ _ _
vomiting. Which assessment finding indicates to the nurse that the infant is becoming
_ _ _ _ _ _ _ _ _ _ _ _ _
dehydrated?
a. Weak cry without any tears. _ _ _ _
b. Bulging fontanel. _
c. Visible peristaltic wave. _ _
d. Palpable mass in the right upper quadrant. -- Correct Answer ✔✔ a. Weak cry
_ _ _ _ _ _ _ _ _ _ _ _ _
without any tears.
_ _ _
5) A young girl with a fractured radius has a cast applied. As the cast is drying, it is
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
elevated above the level of her heart. Which assessment finding should the nurse
_ _ _ _ _ _ _ _ _ _ _ _ _
report to the healthcare provider immediately?
_ _ _ _ _
a. Itching sensation under the cast. _ _ _ _
b. Swelling of fingers with brisk capillary refill. _ _ _ _ _ _
c. Numbness and inability to move fingers. _ _ _ _ _
d. Visible bruising above the cast -- Correct Answer ✔✔ c. Numbness and
_ _ _ _ _ _ _ _ _ _ _ _
inability to move fingers. _ _ _
6) At 39-weeks gestation, a multigravida is having a nonstress test (NST), the fetal heart
_ _ _ _ _ _ _ _ _ _ _ _ _ _
rate (FHR) has remained non-reactive during 30 minutes of evaluation. Based on this
_ _ _ _ _ _ _ _ _ _ _ _ _
finding, which action should the nurse implement?
_ _ _ _ _ _
a. Initiate an intravenous infusion. _ _ _
b. Observe the FHR pattern for 30 more minutes. _ _ _ _ _ _ _
c. Schedule a biophysical profile. _ _ _
d. Place an acoustic stimulator on the abdomen. -- Correct Answer ✔✔ d. Place
_ _ _ _ _ _ _ _ _ _ _ _ _
an acoustic stimulator on the abdomen.
_ _ _ _ _
7) A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl
_ _ _ _ _ _ _ _ _ _ _ _ _ _
and a hematocrit of 25.1 %. What food should the nurse encourage this client to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
include in her diet? _ _ _
a. Carrots
b. Chicken
, c. Yogurt
d. Cheese -- Correct Answer ✔✔ b. Chicken _ _ _ _ _ _
8) The nurse is preparing to administer methylergonovine maleate (Methergine) to a
_ _ _ _ _ _ _ _ _ _ _
postpartum client. Based on what assessment finding should the nurse withhold the
_ _ _ _ _ _ _ _ _ _ _ _
drug?
a. Respiratory rate of 22 breaths/min _ _ _ _
b. A large amount of lochia rubra_ _ _ _ _
c. Blood pressure 149/90 _ _
d. Positive Homan's sign -- Correct Answer ✔✔ c. Blood pressure 149/90
_ _ _ _ _ _ _ _ _ _
9) . A 5-year-old child is admitted to the pediatric unit with fever and pain secondary to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
a sickle cell crisis. Which intervention should the nurse implement first?
_ _ _ _ _ _ _ _ _ _
a. Obtain a culture of any sputum or wound drainage _ _ _ _ _ _ _ _
b. Initiate normal saline IV at 50 ml/hr. _ _ _ _ _ _
c. Administer a loading dose of penicillin IM _ _ _ _ _ _
d. Administer the initial dose of folic acid PO -- Correct Answer ✔✔ b. Initiate _ _ _ _ _ _ _ _ _ _ _ _ _ _
normal saline IV at 50 ml/hr. _ _ _ _ _
10) A child has been vomiting for 3 days is admitted for correction of fluid and electrolyte
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_imbalances. What acid base imbalance is this child likely to exhibit?
_ _ _ _ _ _ _ _ _ _
a. Respiratory alkalosis _
b. Respiratory acidosis _
c. Metabolic alkalosis _
d. Metabolic acidosis -- Correct Answer ✔✔ c. Metabolic alkalosis _ _ _ _ _ _ _ _
11) A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the
_ _ _ _ _ _ _ _ _ _ _ _ _
parents with the grieving process, which intervention is most important for the nurse
_ _ _ _ _ _ _ _ _ _ _ _ _
to implement? _
a. Provide an opportunity for the parents to hold their infant in privacy.
_ _ _ _ _ _ _ _ _ _ _
b. Assist the couple in completing a request for autopsy. _ _ _ _ _ _ _ _
c. Encourage the couple to seek family counseling within the next few weeks. _ _ _ _ _ _ _ _ _ _ _
d. Explain the possible causes of fetal demise. -- Correct Answer ✔✔ a. Provide
_ _ _ _ _ _ _ _ _ _ _ _ _
an opportunity for the parents to hold their infant in privacy.
_ _ _ _ _ _ _ _ _ _
(VERSION 3) WITH FULLY SOLVED AND UPDATED
ANSWERS.
1) A laboring client's membranes rupture spontaneously. The nurse notices that the
_ _ _ _ _ _ _ _ _ _ _
amniotic fluid is greenish-brown. What intervention should the nurse implement first?
_ _ _ _ _ _ _ _ _ _
a. Turn the client to her left side
_ _ _ _ _ _
b. Contact the healthcare provider _ _ _
c. Assess the fetal heart rate _ _ _ _
d. Check the cervical dilation -- Correct Answer ✔✔ c. Assess the fetal heart
_ _ _ _ _ _ _ _ _ _ _ _ _
rate
2) A postpartum client who is Rh-negative refuses to receive RhoGAM after delivery of
_ _ _ _ _ _ _ _ _ _ _ _ _
an infant who is Rh-positive. Which information should the nurse provide this client?
_ _ _ _ _ _ _ _ _ _ _ _
a. RhoGAM prevents maternal antibody formation for future Rh-positive babies.
_ _ _ _ _ _ _ _
b. RhoGAM is not necessary unless all her pregnancies are Rh-positive.
_ _ _ _ _ _ _ _ _
c. The R-positive factor from the fetus threatens her blood cells.
_ _ _ _ _ _ _ _ _
d. The mother should receive RhoGAM when the baby is Rh-negative. -- Correct
_ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ a. RhoGAM prevents maternal antibody formation for future Rh-
_ _ _ _ _ _ _ _ _ _ _
positive babies. _
3) The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops),
_ _ _ _ _ _ _ _ _ _ _ _
followed by 2 ounces of orange juice. What should the nurse do next?
_ _ _ _ _ _ _ _ _ _ _ _
a. Tell the mother to follow the iron drops with infant formula instead of orange
_ _ _ _ _ _ _ _ _ _ _ _ _ _
juice.
b. Suggest placing the iron drops in the orange juice and then feeding the infant.
_ _ _ _ _ _ _ _ _ _ _ _ _
c. Instruct the mother to feed the infant nothing for 30 minutes after giving the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
iron drops. _
, d. Give the mother positive feedback about the way she administered the
_ _ _ _ _ _ _ _ _ _ _
medication. -- Correct Answer ✔✔ d. Give the mother positive feedback _ _ _ _ _ _ _ _ _ _ _
about the way she administered the medication.
_ _ _ _ _ _
4) A 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile
_ _ _ _ _ _ _ _ _ _ _
vomiting. Which assessment finding indicates to the nurse that the infant is becoming
_ _ _ _ _ _ _ _ _ _ _ _ _
dehydrated?
a. Weak cry without any tears. _ _ _ _
b. Bulging fontanel. _
c. Visible peristaltic wave. _ _
d. Palpable mass in the right upper quadrant. -- Correct Answer ✔✔ a. Weak cry
_ _ _ _ _ _ _ _ _ _ _ _ _
without any tears.
_ _ _
5) A young girl with a fractured radius has a cast applied. As the cast is drying, it is
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
elevated above the level of her heart. Which assessment finding should the nurse
_ _ _ _ _ _ _ _ _ _ _ _ _
report to the healthcare provider immediately?
_ _ _ _ _
a. Itching sensation under the cast. _ _ _ _
b. Swelling of fingers with brisk capillary refill. _ _ _ _ _ _
c. Numbness and inability to move fingers. _ _ _ _ _
d. Visible bruising above the cast -- Correct Answer ✔✔ c. Numbness and
_ _ _ _ _ _ _ _ _ _ _ _
inability to move fingers. _ _ _
6) At 39-weeks gestation, a multigravida is having a nonstress test (NST), the fetal heart
_ _ _ _ _ _ _ _ _ _ _ _ _ _
rate (FHR) has remained non-reactive during 30 minutes of evaluation. Based on this
_ _ _ _ _ _ _ _ _ _ _ _ _
finding, which action should the nurse implement?
_ _ _ _ _ _
a. Initiate an intravenous infusion. _ _ _
b. Observe the FHR pattern for 30 more minutes. _ _ _ _ _ _ _
c. Schedule a biophysical profile. _ _ _
d. Place an acoustic stimulator on the abdomen. -- Correct Answer ✔✔ d. Place
_ _ _ _ _ _ _ _ _ _ _ _ _
an acoustic stimulator on the abdomen.
_ _ _ _ _
7) A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl
_ _ _ _ _ _ _ _ _ _ _ _ _ _
and a hematocrit of 25.1 %. What food should the nurse encourage this client to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
include in her diet? _ _ _
a. Carrots
b. Chicken
, c. Yogurt
d. Cheese -- Correct Answer ✔✔ b. Chicken _ _ _ _ _ _
8) The nurse is preparing to administer methylergonovine maleate (Methergine) to a
_ _ _ _ _ _ _ _ _ _ _
postpartum client. Based on what assessment finding should the nurse withhold the
_ _ _ _ _ _ _ _ _ _ _ _
drug?
a. Respiratory rate of 22 breaths/min _ _ _ _
b. A large amount of lochia rubra_ _ _ _ _
c. Blood pressure 149/90 _ _
d. Positive Homan's sign -- Correct Answer ✔✔ c. Blood pressure 149/90
_ _ _ _ _ _ _ _ _ _
9) . A 5-year-old child is admitted to the pediatric unit with fever and pain secondary to
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
a sickle cell crisis. Which intervention should the nurse implement first?
_ _ _ _ _ _ _ _ _ _
a. Obtain a culture of any sputum or wound drainage _ _ _ _ _ _ _ _
b. Initiate normal saline IV at 50 ml/hr. _ _ _ _ _ _
c. Administer a loading dose of penicillin IM _ _ _ _ _ _
d. Administer the initial dose of folic acid PO -- Correct Answer ✔✔ b. Initiate _ _ _ _ _ _ _ _ _ _ _ _ _ _
normal saline IV at 50 ml/hr. _ _ _ _ _
10) A child has been vomiting for 3 days is admitted for correction of fluid and electrolyte
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_imbalances. What acid base imbalance is this child likely to exhibit?
_ _ _ _ _ _ _ _ _ _
a. Respiratory alkalosis _
b. Respiratory acidosis _
c. Metabolic alkalosis _
d. Metabolic acidosis -- Correct Answer ✔✔ c. Metabolic alkalosis _ _ _ _ _ _ _ _
11) A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the
_ _ _ _ _ _ _ _ _ _ _ _ _
parents with the grieving process, which intervention is most important for the nurse
_ _ _ _ _ _ _ _ _ _ _ _ _
to implement? _
a. Provide an opportunity for the parents to hold their infant in privacy.
_ _ _ _ _ _ _ _ _ _ _
b. Assist the couple in completing a request for autopsy. _ _ _ _ _ _ _ _
c. Encourage the couple to seek family counseling within the next few weeks. _ _ _ _ _ _ _ _ _ _ _
d. Explain the possible causes of fetal demise. -- Correct Answer ✔✔ a. Provide
_ _ _ _ _ _ _ _ _ _ _ _ _
an opportunity for the parents to hold their infant in privacy.
_ _ _ _ _ _ _ _ _ _
