2025 HESI MATERNITY OB EXAM VERSION 1 LATEST EXAM
QUESTIONS AND CORRECT ANSWERS UPDATE ALREADY
GRADED A+.
An infant born breech is at risk for what complication? -CORRECT ANSWER->>Brachial palsy--
which results from the stretching of nerve fibers in the neck, shoulder, and arm where the
shoulder is being pulled away from the neck during a breech delivery.
What are some observations that the newborn is nursing well to breastfeeding? -CORRECT
ANSWER->>-Swallowing is audible
-Mother reports a pulling sensation on her nipple
-The tip of the infant's nose and chin touch the breast
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? -CORRECT ANSWER->>The Pavlik harness keeps the infant in an abducted position
allowing the hips and knees flexed
When should jaundice in a newborn be concerning? -CORRECT ANSWER->>If jaundice is
present less than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? -CORRECT ANSWER->>Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? -CORRECT ANSWER->>Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? -CORRECT ANSWER->>12-18 months
When does the posterior fontanel close? -CORRECT ANSWER->>End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? -CORRECT ANSWER-
>>Prevent opthalmia neonatorum which is an eye infection caused by gonorrhea and
conjunctivitis which is an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should the nurse
do? -CORRECT ANSWER->>Call HCP immediately. Practice of pica will displace nutrients.
Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright red blood
with no uterine contractions, but is not bleeding anymore. What may this possibly be? -
CORRECT ANSWER->>Placenta previazz
Is bleeding a small amount of bright red blood life-threatening to the fetus? -CORRECT
ANSWER->>It is not at risk for hypovolemia or life-threatening.
, What may sudden onset bleeding with present uterine contractions indicate? -CORRECT
ANSWER->>Abruptio placenta
When is child-birth class recommended? -CORRECT ANSWER->>30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to minimize
the swelling? -CORRECT ANSWER->>Move around every hour
What is important to do for an amniotomy? -CORRECT ANSWER->>Monitor FHR before,
during, and after procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? -CORRECT ANSWER->>(artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
How often should maternal blood pressure be done during an amniotomy? -CORRECT
ANSWER->>Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? -CORRECT ANSWER-
>>Maternal temperature is monitored hourly after the membranes are ruptured to detect
development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? -CORRECT ANSWER->>No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling tingling in her
fingers and dizziness. What should the nurse do? -CORRECT ANSWER->>Have the pt breathe
into her cupped hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? -CORRECT ANSWER->>14 days before first day of menstrual
period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -CORRECT
ANSWER->>produce firm contractions that occur every 2 to 3 minutes, with a duration of 60 to
70 seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? -CORRECT
ANSWER->>Yes it is normal for FHR to increase, but this is indicative to increase the pitocin
infusion to stimulate the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? -CORRECT ANSWER->>-Place a
wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? -CORRECT
ANSWER->>Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
QUESTIONS AND CORRECT ANSWERS UPDATE ALREADY
GRADED A+.
An infant born breech is at risk for what complication? -CORRECT ANSWER->>Brachial palsy--
which results from the stretching of nerve fibers in the neck, shoulder, and arm where the
shoulder is being pulled away from the neck during a breech delivery.
What are some observations that the newborn is nursing well to breastfeeding? -CORRECT
ANSWER->>-Swallowing is audible
-Mother reports a pulling sensation on her nipple
-The tip of the infant's nose and chin touch the breast
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? -CORRECT ANSWER->>The Pavlik harness keeps the infant in an abducted position
allowing the hips and knees flexed
When should jaundice in a newborn be concerning? -CORRECT ANSWER->>If jaundice is
present less than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? -CORRECT ANSWER->>Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? -CORRECT ANSWER->>Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? -CORRECT ANSWER->>12-18 months
When does the posterior fontanel close? -CORRECT ANSWER->>End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? -CORRECT ANSWER-
>>Prevent opthalmia neonatorum which is an eye infection caused by gonorrhea and
conjunctivitis which is an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should the nurse
do? -CORRECT ANSWER->>Call HCP immediately. Practice of pica will displace nutrients.
Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright red blood
with no uterine contractions, but is not bleeding anymore. What may this possibly be? -
CORRECT ANSWER->>Placenta previazz
Is bleeding a small amount of bright red blood life-threatening to the fetus? -CORRECT
ANSWER->>It is not at risk for hypovolemia or life-threatening.
, What may sudden onset bleeding with present uterine contractions indicate? -CORRECT
ANSWER->>Abruptio placenta
When is child-birth class recommended? -CORRECT ANSWER->>30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to minimize
the swelling? -CORRECT ANSWER->>Move around every hour
What is important to do for an amniotomy? -CORRECT ANSWER->>Monitor FHR before,
during, and after procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? -CORRECT ANSWER->>(artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
How often should maternal blood pressure be done during an amniotomy? -CORRECT
ANSWER->>Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? -CORRECT ANSWER-
>>Maternal temperature is monitored hourly after the membranes are ruptured to detect
development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? -CORRECT ANSWER->>No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling tingling in her
fingers and dizziness. What should the nurse do? -CORRECT ANSWER->>Have the pt breathe
into her cupped hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? -CORRECT ANSWER->>14 days before first day of menstrual
period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -CORRECT
ANSWER->>produce firm contractions that occur every 2 to 3 minutes, with a duration of 60 to
70 seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? -CORRECT
ANSWER->>Yes it is normal for FHR to increase, but this is indicative to increase the pitocin
infusion to stimulate the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? -CORRECT ANSWER->>-Place a
wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? -CORRECT
ANSWER->>Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
