HESI MATERNITY OB 2024/2025 EXAM QUESTIONS
(VERSION 1) WITH 100% CORRECTLY SOLVED
ANSWERS.
1) At 6-weeks gestation, the rubella titer of a client indicates she is non-immune.
_ _ _ _ _ _ _ _ _ _ _ _ _
When is the best time to administer a rubella vaccine to this client? -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Early postpartum, within 72 hours of delivery
_ _ _ _ _ _ _ _
2) A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
diagnosisaf eclampsia. She is not presently convulsing. Which intervention should
_ _ _ _ _ _ _ _ _ _
the nurse plan to include in this client's nursing care plan? -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Keep an airway at the bedside
_ _ _ _ _
3) a pregnant client presents to the antepartal clinic complaining of brownish vaginal
_ _ _ _ _ _ _ _ _ _ _ _
bleeding. The nurse notes a greatly enlarged uterus and is complaining of severe
_ _ _ _ _ _ _ _ _ _ _ _ _
nausea. the client reports that period was about 2 and a half months ago vital signs
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
are temperature 98.7 based on these findings what laboratory value should the
_ _ _ _ _ _ _ _ _ _ _ _
nurse review? -- Correct Answer ✔✔ HcG values
_ _ _ _ _ _ _
4) A women who is 38-weeks gestation is receiving magnesium sulfate for severe
_ _ _ _ _ _ _ _ _ _ _ _
preeclampsia. Which assessment finding warrants immediate intervention from the
_ _ _ _ _ _ _ _
nurse ? -- Correct Answer ✔✔ Sinus Tachycardia
_ _ _ _ _ _ _ _
5) the nurse notes on the fetal monitor that laboring client has a variable
_ _ _ _ _ _ _ _ _ _ _ _ _
deceleration. which action should the nurse implement first? -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _
✔✔ Change the clients position
_ _ _ _
6) A woman who is trying to get pregnant tells the nurse that she was very
_ _ _ _ _ _ _ _ _ _ _ _ _ _
disappointed several months ago when she was informed that her positive _ _ _ _ _ _ _ _ _ _
, pregnancy test was a false positive. Which method of provides the greatest degree
_ _ _ _ _ _ _ _ _ _ _ _
of accuracy? -- Correct Answer ✔✔ Visualization of implantation by vaginal
_ _ _ _ _ _ _ _ _ _ _ _
ultrasound
7) The nurse is planning discharge teaching for 4 mothers. Which postpartum client is
_ _ _ _ _ _ _ _ _ _ _ _
at highest risk for psychological difficulties during the postpartum period? --
_ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ A primiparous woman who has recently immigrated with her
_ _ _ _ _ _ _ _ _ _ _
spouse.
_
8) A client at 37 weeks gestation presents to labor and delivery with contractions
_ _ _ _ _ _ _ _ _ _ _ _ _
every two minutes the nurse observes several shallow small vesicles on her pubis
_ _ _ _ _ _ _ _ _ _ _ _ _
labia and perineum. The nurse should recognize the clients is prohibiting symptoms
_ _ _ _ _ _ _ _ _ _ _
_of which condition?
_ _
1. German measles _
2. herpes simplex virus _ _
3. syphilis
4. genital warts -- Correct Answer ✔✔ 2. herpes simplex virus _ _ _ _ _ _ _ _ _
9) A client who had her first baby three months ago and is breastfeeding her infant
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
tells the nurse that she is currently using the same diaphragm that she used before
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
becoming pregnant. Which information should the nurse provide this client? --
_ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ Use alternative form of birth control until new diaphragm
_ _ _ _ _ _ _ _ _ _ _ _
can be obtained._ _
10) A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour
_ _ _ _ _ _ _ _ _ _ _ _ _
labor. What is the priority nursing action for this client? -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Massage the fundus Q 4 hours _ _ _ _ _
11) At 0600 while admitting a woman for a scheduled repeat cesarean section (C-
_ _ _ _ _ _ _ _ _ _ _ _
section), the client tells the nurse that she drank a cup a coffee at 0400 because
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
she wanted to avoid getting a headache. Which action should the nurse take first? -
_ _ _ _ _ _ _ _ _ _ _ _ _ _
- Correct Answer ✔✔ Inform the anesthesia care provider
_ _ _ _ _ _ _ _
12) The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
headache 24 hours following delivery of a normal newborn. Prior to the
_ _ _ _ _ _ _ _ _ _ _ _
(VERSION 1) WITH 100% CORRECTLY SOLVED
ANSWERS.
1) At 6-weeks gestation, the rubella titer of a client indicates she is non-immune.
_ _ _ _ _ _ _ _ _ _ _ _ _
When is the best time to administer a rubella vaccine to this client? -- Correct
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Answer ✔✔ Early postpartum, within 72 hours of delivery
_ _ _ _ _ _ _ _
2) A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
diagnosisaf eclampsia. She is not presently convulsing. Which intervention should
_ _ _ _ _ _ _ _ _ _
the nurse plan to include in this client's nursing care plan? -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Keep an airway at the bedside
_ _ _ _ _
3) a pregnant client presents to the antepartal clinic complaining of brownish vaginal
_ _ _ _ _ _ _ _ _ _ _ _
bleeding. The nurse notes a greatly enlarged uterus and is complaining of severe
_ _ _ _ _ _ _ _ _ _ _ _ _
nausea. the client reports that period was about 2 and a half months ago vital signs
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
are temperature 98.7 based on these findings what laboratory value should the
_ _ _ _ _ _ _ _ _ _ _ _
nurse review? -- Correct Answer ✔✔ HcG values
_ _ _ _ _ _ _
4) A women who is 38-weeks gestation is receiving magnesium sulfate for severe
_ _ _ _ _ _ _ _ _ _ _ _
preeclampsia. Which assessment finding warrants immediate intervention from the
_ _ _ _ _ _ _ _
nurse ? -- Correct Answer ✔✔ Sinus Tachycardia
_ _ _ _ _ _ _ _
5) the nurse notes on the fetal monitor that laboring client has a variable
_ _ _ _ _ _ _ _ _ _ _ _ _
deceleration. which action should the nurse implement first? -- Correct Answer
_ _ _ _ _ _ _ _ _ _ _
✔✔ Change the clients position
_ _ _ _
6) A woman who is trying to get pregnant tells the nurse that she was very
_ _ _ _ _ _ _ _ _ _ _ _ _ _
disappointed several months ago when she was informed that her positive _ _ _ _ _ _ _ _ _ _
, pregnancy test was a false positive. Which method of provides the greatest degree
_ _ _ _ _ _ _ _ _ _ _ _
of accuracy? -- Correct Answer ✔✔ Visualization of implantation by vaginal
_ _ _ _ _ _ _ _ _ _ _ _
ultrasound
7) The nurse is planning discharge teaching for 4 mothers. Which postpartum client is
_ _ _ _ _ _ _ _ _ _ _ _
at highest risk for psychological difficulties during the postpartum period? --
_ _ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ A primiparous woman who has recently immigrated with her
_ _ _ _ _ _ _ _ _ _ _
spouse.
_
8) A client at 37 weeks gestation presents to labor and delivery with contractions
_ _ _ _ _ _ _ _ _ _ _ _ _
every two minutes the nurse observes several shallow small vesicles on her pubis
_ _ _ _ _ _ _ _ _ _ _ _ _
labia and perineum. The nurse should recognize the clients is prohibiting symptoms
_ _ _ _ _ _ _ _ _ _ _
_of which condition?
_ _
1. German measles _
2. herpes simplex virus _ _
3. syphilis
4. genital warts -- Correct Answer ✔✔ 2. herpes simplex virus _ _ _ _ _ _ _ _ _
9) A client who had her first baby three months ago and is breastfeeding her infant
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
tells the nurse that she is currently using the same diaphragm that she used before
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
becoming pregnant. Which information should the nurse provide this client? --
_ _ _ _ _ _ _ _ _ _ _
Correct Answer ✔✔ Use alternative form of birth control until new diaphragm
_ _ _ _ _ _ _ _ _ _ _ _
can be obtained._ _
10) A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour
_ _ _ _ _ _ _ _ _ _ _ _ _
labor. What is the priority nursing action for this client? -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Massage the fundus Q 4 hours _ _ _ _ _
11) At 0600 while admitting a woman for a scheduled repeat cesarean section (C-
_ _ _ _ _ _ _ _ _ _ _ _
section), the client tells the nurse that she drank a cup a coffee at 0400 because
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
she wanted to avoid getting a headache. Which action should the nurse take first? -
_ _ _ _ _ _ _ _ _ _ _ _ _ _
- Correct Answer ✔✔ Inform the anesthesia care provider
_ _ _ _ _ _ _ _
12) The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
headache 24 hours following delivery of a normal newborn. Prior to the
_ _ _ _ _ _ _ _ _ _ _ _
