OB/MATERNITY HESI ASSIGNMENT EXAM NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment
finding requires immediate intervention? - CORRECT ANSWER✅✅✅A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client? -
CORRECT ANSWER✅✅✅D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based
on these findings, which action should the nurse take first? - CORRECT ANSWER✅✅✅C.
Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority
nursing intervention? - CORRECT ANSWER✅✅✅B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the nurse to
use? - CORRECT ANSWER✅✅✅C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells
the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the
nurse to make? - CORRECT ANSWER✅✅✅B. Explore the mother's concerns about the
infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan? - CORRECT ANSWER✅✅✅A. Avoid alcohol
because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage of
labor? - CORRECT ANSWER✅✅✅D. Encourage early initiation of breast of formula
feeding
, A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect (CHD) in
her baby. Which response best explains when a CHD may occur? - CORRECT
ANSWER✅✅✅D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide? -
CORRECT ANSWER✅✅✅B. The fetus in utero is capable of hearing and does respond to
the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and
her baby jumped in response to the noise. What information should the nurse provide? -
CORRECT ANSWER✅✅✅B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is in
early pregnancy. What information supports the explanation that the nurse should provide? -
CORRECT ANSWER✅✅✅C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation? - CORRECT ANSWER✅✅✅A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week
after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for
epilepsy, has a history of irregular periods, is under stress at work, and is not sleeping well. The
client's physical examination and ultrasound do not indicate that she is pregnant. How should the
nurse explain the most likely cause for obtaining false-positive pregnancy test results? -
CORRECT ANSWER✅✅✅B. Using an anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks
gestation? - CORRECT ANSWER✅✅✅A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6 months,
what information should the nurse provide? - CORRECT ANSWER✅✅✅B. Make sure to
include adequate folic acid in the diet
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is
admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment
finding requires immediate intervention? - CORRECT ANSWER✅✅✅A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go to the
bathroom every five minutes." Which explanation should the nurse provide to this client? -
CORRECT ANSWER✅✅✅D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based
on these findings, which action should the nurse take first? - CORRECT ANSWER✅✅✅C.
Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority
nursing intervention? - CORRECT ANSWER✅✅✅B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the nurse to
use? - CORRECT ANSWER✅✅✅C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells
the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the
nurse to make? - CORRECT ANSWER✅✅✅B. Explore the mother's concerns about the
infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan? - CORRECT ANSWER✅✅✅A. Avoid alcohol
because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage of
labor? - CORRECT ANSWER✅✅✅D. Encourage early initiation of breast of formula
feeding
, A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect (CHD) in
her baby. Which response best explains when a CHD may occur? - CORRECT
ANSWER✅✅✅D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide? -
CORRECT ANSWER✅✅✅B. The fetus in utero is capable of hearing and does respond to
the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and
her baby jumped in response to the noise. What information should the nurse provide? -
CORRECT ANSWER✅✅✅B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is in
early pregnancy. What information supports the explanation that the nurse should provide? -
CORRECT ANSWER✅✅✅C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation? - CORRECT ANSWER✅✅✅A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week
after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for
epilepsy, has a history of irregular periods, is under stress at work, and is not sleeping well. The
client's physical examination and ultrasound do not indicate that she is pregnant. How should the
nurse explain the most likely cause for obtaining false-positive pregnancy test results? -
CORRECT ANSWER✅✅✅B. Using an anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks
gestation? - CORRECT ANSWER✅✅✅A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6 months,
what information should the nurse provide? - CORRECT ANSWER✅✅✅B. Make sure to
include adequate folic acid in the diet
