LATEST HESI OB MATERNITY Questions
And Answers
AR16RyearRoldRgravidaR1,RparaR0RclientRhasRjustRbeenRadmittedRtoRtheRhospitalRwithRaRdi
agnosisRofReclampsia.RSheRisRnotRpresentlyRconvulsing.RWhichRinterventionRshouldRtheR
nurseRplanRtoRincludeRinRthisRclient'sRnursingRcareRplan?
A.RAssessRtemperatureReveryRhour.
B.RMonitorRbloodRpressure,Rpulse,RandRrespirationsReveryR4Rhours.
C.RKeepRanRairwayRatRtheRbedside.
D.RAllowRfamilyRvisitationR-RCORRECTRRANSWER-KeepRanRairwayRatRtheRbedside
AR17RyearRoldRclientRgaveRbirthR12RhoursRagoRsheRstatesRthatRsheRdoesn'tRknowRhowRto
RcareRforRherRbaby.RToRpromoteRparentRinfantRattachmentRbehaviorsRwhichRinterventionR
shouldRtheRnurseRimplement.
A.RAskRifRsheRhasRhelpRtoRcareRforRtheRbabyRatRhome.
B.RProvideRaRvideoRonRnewbornRsafetyRandRcare.
C.RExploredRtheRbasisRofRfearsRwithRtheRclient.
D.REncourageRroomingRinRwhileRinRtheRhospital.R-RCORRECTRRANSWER-
EncourageRroomingRinRwhileRinRtheRhospital
AR3-
hourRoldRmaleRinfantsRhandsRandRfeetRasRcyanotic,RandRhasRanRaxillaryRtemperatureRofR
96.5RdegreesRFahrenheitR35.8RdegreesRcentigradeRaRrespiratoryRrateRofR40RbreathsRperR
minuteRandRaRheartRrateRofR165RbeatsRperRminuteRwhatRnursingRactionRshouldRnurseRim
plement.
ARAdministerRoxygenRbyRmouthRatR2L/min
BRGraduallyRwarmRtheRinfantRunderRaRradiantRheatRsource.
CRNotifyRtheRpediatricianRofRtheRinfant'sRvitalRsigns
DRPerformRaRheel-stickRtoRmaintainRbloodRglucoseRlevelR-RCORRECTRRANSWER-
GraduallyRwarmRtheRinfantRunderRaRradiantRheatRsource
AR30-Ryear-oldRprimigravidaRdeliversRaR9-poundRinfantRvaginallyRafterRaR30-
RhourRlabor.RWhatRisRtheRpriorityRnursingRactionRforRthisRclient?
A.RGentlyRmassageRtheRfundusReveryR4Rhours.
B.RObserveRforRsignsRofRuterineRhemorrhage.
C.REncourageRdirectRcontactRwithRtheRinfant.
D.RAssessRtheRbloodRpressureRforRhypertension.R-RCORRECTRRANSWER-
ObserveRforRsignsRofRuterineRhemorrhage.
AR38-weekRprimigravidaRisRadmittedRtoRlaborRandRdelivertRafterRaRnon-
reactiveRstressRtestR(NST).RTheRnurseRbeginsRaRcontractionRstressRtestR(CST)RwithRanRo
,xytocinRinfusion.RWhichRfindingRisRmostRimportantRforRtheRnurseRtoRreportRtoRtheRhealthRc
areRprovider.
A.RARpatternRofRfetalRlateRdecelerations.
B.RFetalRheartRrateRaccelerationsRwithRfetalRmovement.
C.RAbsenceRofRuterineRcontractionsRwithinR20Rminutes.
D.RSpontaneousRruptureRofRmembranes.R-RCORRECTRRANSWER-
ARpatternRofRfetalRlateRdecelerations
ARclientRatR30RweeksRgestationRreportsRthatRsheRhasRnotRfeltRtheRbabyRmoveRinRtheRlastR
24Rhours.RConcernedRsheRarrivesRinRaRpanicRatRtheRobstetricRclinicRwhereRsheRisRimmed
iatelyRsentRtoRtheRhospital.RwhichRassessmentRwarrantsRimmediateRinterventionRbyRtheR
nurse.
ARFetalRHeartRrateR60RbeatsRperRminute
BRRupturedRamnioticRmembrane
CRonsetRofRuterineRcontractions
DRleakingRamnioticRfluid.R-RCORRECTRRANSWER-FetalRHeartRrateR60RbeatsRperRminute
ARclientRatR31RweeksRgestationRwithRaRfundalRheightRmeasurementRofR25RcRisRscheduled
RforRaRseriesRofRultrasoundsRtoRbeRperformedReveryRtwoRweeks.RWhichRexplanationRsho
uldRtheRnurseRprovide.
A.RAssessmentRforRcongenitalRanomalies.
B.RRecalculationRofRgestationalRage.
C.REvaluationRofRfetalRgrowth.
D.RDeterminationRofRfetalRpresentation.R-RCORRECTRRANSWER-
EvaluationRofRfetalRgrowth
ARclientRatR34RweeksRgestationRcomesRtoRtheRbirthingRcenterRcomplainingRofRvaginalRble
edingRthatRbeganRoneRhourRago.RTheRnurseRassessmentRrevealsRapproximatelyR30MLRo
fRbrightRredRvaginalRbleeding.RFetalRrateRofR130R-
R140RbeatsRperRminute,RnoRcontractionsRandRnoRcomplaintsRofRpainRwhatRisRtheRmostRlik
elyRcauseRofRtheseRclient'sRbleeding.
ARAbruptioRPlacenta
BRPlacentaRPrevia
CRNormalRbloodyRshowRindictingRinductionRofRlabor
DRARrupturedRbloodRvesselRinRtheRvaginalRvault.R-RCORRECTRRANSWER-
PlacentaRPrevia
ARclientRatR35RweeksRgestationRcomplainsRofRaR"painRwheneverRtheRbabyRmoves".ROnRa
ssessment,RtheRnurseRnotesRtheRclient'sRtemperatureRtoRbeR101.2FRwithRsevereRabdomi
nalRorRuterineRtendernessRonRpalpation.RTheRnurseRknowsRthatRtheseRfindingsRareRindic
ativeRofRwhichRcondition?
A.RRoundRligamentRstrain.
B.RViralRinfection
C.RAbruptioRplacenta
D.RChorioamnionitisR-RCORRECTRRANSWER-Chorioamnionitis
, ARclientRatR37RweeksRgestationRpresentsRtoRlaborRandRdeliveryRwithRcontractionsReveryRt
woRminutesRtheRnurseRobservesRseveralRshallowRsmallRvesiclesRonRherRpubisRlabiaRandR
perineum.RtheRnurseRshouldRrecognizeRtheRclientsRisRprohibitingRsymptomsRofRwhichRco
ndition?
1.RGermanRmeasles
2.RherpesRsimplexRvirusR
3.Rsyphilis
4.RgenitalRwartsR-RCORRECTRRANSWER-herpesRsimplexRvirus
ARclientRatR38RweeksRgestationRisRadmittedRtoRlaborRandRdeliveryRwithRaRcomplaintRofRco
ntractionR5RminutesRapartRwhileRtheRclientRisRinRtheRbathroomRchangingRintoRaRhospitalRg
ownRtheRnurseRhearsRtheRnoiseRofRaRbabyRwhatRshouldRtheRnurseRtakeRfirst?
ARPushRtheRcallRlightRforRhelp
BRInspectRtheRclientsRperineum
CRNotifyRaRhealthRcareRprovider
DRTurnRonRtheRinfantRwarmerR-RCORRECTRRANSWER-InspectRtheRclientsRperineum
ARclientRinRtheRfirstRtrimesterRofRpregnancyRcallsRtheRprenatalRclinicRtoRreportRshe'sRnaus
eated,RandRherRstoolsRareRblackRandRthickRsinceRsheRstartedRtakingRironRsupplementsRla
stRweek.RHowRshouldRtheRnurseRrespond?RselectRallRthatRapplies.
A.RComeRtoRtheRclinicRtoday.
B.RDrinkRaRfullRglassRofRteaRwithReachRironRtablet.
C.RIncreaseRtheRconsumptionRofRmilkRwhileRtakingRiron.
D.RChangesRinRcolorRandRconsistencyRofRstoolRareRnormal.
E.RTakeRironRsupplementRatRbedtime.R-RCORRECTRRANSWER-
ChangesRinRcolorRandRconsistencyRofRstoolRareRnormal
ARclientRtellsRtheRnurseRsheRthinksRshe'sRpregnant.RWhichRsignsRorRsymptomsRprovideRt
heRbestRindicationRthatRtheRclientRisRpregnant.
A.RMorningRsickness.
B.RBreastRtenderness.
C.RAmenorrhea
D.RHegar'sRSignR-RCORRECTRRANSWER-Amenorrhea
ARclientRwhoRdeliveredRaRhealthyRnewbornRanRhourRagoRaskedRtheRnurseRwhenRcanRshe
RgoRhome.RWhichRinformationRisRmostRimportantRforRtheRnurseRtoRprovideRtheRclient.
ARAfterRtheRbabyRnoRlongerRdemonstratesRacrocyanosis.
BRAfterRtheRvitaminRKRinjectionRisRgivenRtoRtheRbaby.
CRWhenRambulatingRtoRavoidRdoesRnotRcauseRdizziness.
DRWhenRthereRisRnoRsignificantRvaginalRbleeding.R-RCORRECTRRANSWER-
WhenRthereRisRnoRsignificantRvaginalRbleeding
ARclientRwhoRhadRherRfirstRbabyRthreeRmonthsRagoRandRisRbreastfeedingRherRinfantRtellsR
theRnurseRthatRsheRisRcurrentlyRusingRtheRsameRdiaphragmRthatRsheRusedRbeforeRbeco
mingRpregnant.RWhichRinformationRshouldRtheRnurseRprovideRthisRclient?
A.RAfterRceasingRbreastfeeding,RtheRdiaphragmRshouldRbeRresized.
And Answers
AR16RyearRoldRgravidaR1,RparaR0RclientRhasRjustRbeenRadmittedRtoRtheRhospitalRwithRaRdi
agnosisRofReclampsia.RSheRisRnotRpresentlyRconvulsing.RWhichRinterventionRshouldRtheR
nurseRplanRtoRincludeRinRthisRclient'sRnursingRcareRplan?
A.RAssessRtemperatureReveryRhour.
B.RMonitorRbloodRpressure,Rpulse,RandRrespirationsReveryR4Rhours.
C.RKeepRanRairwayRatRtheRbedside.
D.RAllowRfamilyRvisitationR-RCORRECTRRANSWER-KeepRanRairwayRatRtheRbedside
AR17RyearRoldRclientRgaveRbirthR12RhoursRagoRsheRstatesRthatRsheRdoesn'tRknowRhowRto
RcareRforRherRbaby.RToRpromoteRparentRinfantRattachmentRbehaviorsRwhichRinterventionR
shouldRtheRnurseRimplement.
A.RAskRifRsheRhasRhelpRtoRcareRforRtheRbabyRatRhome.
B.RProvideRaRvideoRonRnewbornRsafetyRandRcare.
C.RExploredRtheRbasisRofRfearsRwithRtheRclient.
D.REncourageRroomingRinRwhileRinRtheRhospital.R-RCORRECTRRANSWER-
EncourageRroomingRinRwhileRinRtheRhospital
AR3-
hourRoldRmaleRinfantsRhandsRandRfeetRasRcyanotic,RandRhasRanRaxillaryRtemperatureRofR
96.5RdegreesRFahrenheitR35.8RdegreesRcentigradeRaRrespiratoryRrateRofR40RbreathsRperR
minuteRandRaRheartRrateRofR165RbeatsRperRminuteRwhatRnursingRactionRshouldRnurseRim
plement.
ARAdministerRoxygenRbyRmouthRatR2L/min
BRGraduallyRwarmRtheRinfantRunderRaRradiantRheatRsource.
CRNotifyRtheRpediatricianRofRtheRinfant'sRvitalRsigns
DRPerformRaRheel-stickRtoRmaintainRbloodRglucoseRlevelR-RCORRECTRRANSWER-
GraduallyRwarmRtheRinfantRunderRaRradiantRheatRsource
AR30-Ryear-oldRprimigravidaRdeliversRaR9-poundRinfantRvaginallyRafterRaR30-
RhourRlabor.RWhatRisRtheRpriorityRnursingRactionRforRthisRclient?
A.RGentlyRmassageRtheRfundusReveryR4Rhours.
B.RObserveRforRsignsRofRuterineRhemorrhage.
C.REncourageRdirectRcontactRwithRtheRinfant.
D.RAssessRtheRbloodRpressureRforRhypertension.R-RCORRECTRRANSWER-
ObserveRforRsignsRofRuterineRhemorrhage.
AR38-weekRprimigravidaRisRadmittedRtoRlaborRandRdelivertRafterRaRnon-
reactiveRstressRtestR(NST).RTheRnurseRbeginsRaRcontractionRstressRtestR(CST)RwithRanRo
,xytocinRinfusion.RWhichRfindingRisRmostRimportantRforRtheRnurseRtoRreportRtoRtheRhealthRc
areRprovider.
A.RARpatternRofRfetalRlateRdecelerations.
B.RFetalRheartRrateRaccelerationsRwithRfetalRmovement.
C.RAbsenceRofRuterineRcontractionsRwithinR20Rminutes.
D.RSpontaneousRruptureRofRmembranes.R-RCORRECTRRANSWER-
ARpatternRofRfetalRlateRdecelerations
ARclientRatR30RweeksRgestationRreportsRthatRsheRhasRnotRfeltRtheRbabyRmoveRinRtheRlastR
24Rhours.RConcernedRsheRarrivesRinRaRpanicRatRtheRobstetricRclinicRwhereRsheRisRimmed
iatelyRsentRtoRtheRhospital.RwhichRassessmentRwarrantsRimmediateRinterventionRbyRtheR
nurse.
ARFetalRHeartRrateR60RbeatsRperRminute
BRRupturedRamnioticRmembrane
CRonsetRofRuterineRcontractions
DRleakingRamnioticRfluid.R-RCORRECTRRANSWER-FetalRHeartRrateR60RbeatsRperRminute
ARclientRatR31RweeksRgestationRwithRaRfundalRheightRmeasurementRofR25RcRisRscheduled
RforRaRseriesRofRultrasoundsRtoRbeRperformedReveryRtwoRweeks.RWhichRexplanationRsho
uldRtheRnurseRprovide.
A.RAssessmentRforRcongenitalRanomalies.
B.RRecalculationRofRgestationalRage.
C.REvaluationRofRfetalRgrowth.
D.RDeterminationRofRfetalRpresentation.R-RCORRECTRRANSWER-
EvaluationRofRfetalRgrowth
ARclientRatR34RweeksRgestationRcomesRtoRtheRbirthingRcenterRcomplainingRofRvaginalRble
edingRthatRbeganRoneRhourRago.RTheRnurseRassessmentRrevealsRapproximatelyR30MLRo
fRbrightRredRvaginalRbleeding.RFetalRrateRofR130R-
R140RbeatsRperRminute,RnoRcontractionsRandRnoRcomplaintsRofRpainRwhatRisRtheRmostRlik
elyRcauseRofRtheseRclient'sRbleeding.
ARAbruptioRPlacenta
BRPlacentaRPrevia
CRNormalRbloodyRshowRindictingRinductionRofRlabor
DRARrupturedRbloodRvesselRinRtheRvaginalRvault.R-RCORRECTRRANSWER-
PlacentaRPrevia
ARclientRatR35RweeksRgestationRcomplainsRofRaR"painRwheneverRtheRbabyRmoves".ROnRa
ssessment,RtheRnurseRnotesRtheRclient'sRtemperatureRtoRbeR101.2FRwithRsevereRabdomi
nalRorRuterineRtendernessRonRpalpation.RTheRnurseRknowsRthatRtheseRfindingsRareRindic
ativeRofRwhichRcondition?
A.RRoundRligamentRstrain.
B.RViralRinfection
C.RAbruptioRplacenta
D.RChorioamnionitisR-RCORRECTRRANSWER-Chorioamnionitis
, ARclientRatR37RweeksRgestationRpresentsRtoRlaborRandRdeliveryRwithRcontractionsReveryRt
woRminutesRtheRnurseRobservesRseveralRshallowRsmallRvesiclesRonRherRpubisRlabiaRandR
perineum.RtheRnurseRshouldRrecognizeRtheRclientsRisRprohibitingRsymptomsRofRwhichRco
ndition?
1.RGermanRmeasles
2.RherpesRsimplexRvirusR
3.Rsyphilis
4.RgenitalRwartsR-RCORRECTRRANSWER-herpesRsimplexRvirus
ARclientRatR38RweeksRgestationRisRadmittedRtoRlaborRandRdeliveryRwithRaRcomplaintRofRco
ntractionR5RminutesRapartRwhileRtheRclientRisRinRtheRbathroomRchangingRintoRaRhospitalRg
ownRtheRnurseRhearsRtheRnoiseRofRaRbabyRwhatRshouldRtheRnurseRtakeRfirst?
ARPushRtheRcallRlightRforRhelp
BRInspectRtheRclientsRperineum
CRNotifyRaRhealthRcareRprovider
DRTurnRonRtheRinfantRwarmerR-RCORRECTRRANSWER-InspectRtheRclientsRperineum
ARclientRinRtheRfirstRtrimesterRofRpregnancyRcallsRtheRprenatalRclinicRtoRreportRshe'sRnaus
eated,RandRherRstoolsRareRblackRandRthickRsinceRsheRstartedRtakingRironRsupplementsRla
stRweek.RHowRshouldRtheRnurseRrespond?RselectRallRthatRapplies.
A.RComeRtoRtheRclinicRtoday.
B.RDrinkRaRfullRglassRofRteaRwithReachRironRtablet.
C.RIncreaseRtheRconsumptionRofRmilkRwhileRtakingRiron.
D.RChangesRinRcolorRandRconsistencyRofRstoolRareRnormal.
E.RTakeRironRsupplementRatRbedtime.R-RCORRECTRRANSWER-
ChangesRinRcolorRandRconsistencyRofRstoolRareRnormal
ARclientRtellsRtheRnurseRsheRthinksRshe'sRpregnant.RWhichRsignsRorRsymptomsRprovideRt
heRbestRindicationRthatRtheRclientRisRpregnant.
A.RMorningRsickness.
B.RBreastRtenderness.
C.RAmenorrhea
D.RHegar'sRSignR-RCORRECTRRANSWER-Amenorrhea
ARclientRwhoRdeliveredRaRhealthyRnewbornRanRhourRagoRaskedRtheRnurseRwhenRcanRshe
RgoRhome.RWhichRinformationRisRmostRimportantRforRtheRnurseRtoRprovideRtheRclient.
ARAfterRtheRbabyRnoRlongerRdemonstratesRacrocyanosis.
BRAfterRtheRvitaminRKRinjectionRisRgivenRtoRtheRbaby.
CRWhenRambulatingRtoRavoidRdoesRnotRcauseRdizziness.
DRWhenRthereRisRnoRsignificantRvaginalRbleeding.R-RCORRECTRRANSWER-
WhenRthereRisRnoRsignificantRvaginalRbleeding
ARclientRwhoRhadRherRfirstRbabyRthreeRmonthsRagoRandRisRbreastfeedingRherRinfantRtellsR
theRnurseRthatRsheRisRcurrentlyRusingRtheRsameRdiaphragmRthatRsheRusedRbeforeRbeco
mingRpregnant.RWhichRinformationRshouldRtheRnurseRprovideRthisRclient?
A.RAfterRceasingRbreastfeeding,RtheRdiaphragmRshouldRbeRresized.