2025 HESI OB MATERNITY ONLINE
PRACTICE EXAM | ALL QUESTIONS AND
CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST
RELEASED)
1. A 23-12 months-old purchaser who's receiving Medicaid blessings is pregnant together
with her first child. Based on expertise of the statistics related to little one mortality, which
plan need to the nurse enforce with this consumer?
A. Refer the client to a social worker to arrange for domestic care
B. Recommend perinatal care from an obstetrician, not a nurse-midwife
C. Teach the patron why keeping prenatal care appointments is critical
D. Advise the client that neonatal in depth care can be wished - ANSWER-C. Teach the
client why preserving prenatal care appointments is essential
2. A 24-hour-antique new child has a crimson papular rash with vesicles superimposed on
the thorax, again, and abdomen. What motion need to the nurse implement?
A. Notify the healthcare provider
B. Move the newborn to an isolation nursery
C. Document the locating on the little one's document
D. Obtain a lifestyle of the vesicles - ANSWER-C. Document the locating at the
toddler's file
Erythema toxicum (or erthema neonatorum) is a newborn rash this is generally
known as "flea bites," bit is a ordinary locating this is documented; no further
motion is required
3. A 26-year-old, gravida 2, para 1 consumer is admitted to the sanatorium at 28-weeks
gestation in preterm exertions. She is given three doses of terbutaline sulfate (Brethine)
zero.25mg subcutaneously to forestall her hard work contractions. The nurse plans to
monitor for which primary facet effect of terbutaline sulfate?
A. Drowsiness and bradycardia
B. Depressed reflexes and improved respirations
C. Tachycardia and a sense of nervousness
D. A flushed, heat feeling and a dry mouth - ANSWER-C. Tachycardia and a sense of
anxiety
, Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors inside the uterine muscle to forestall contractions. The
beta-adrenergic agonist properties of the drug can also cause tachycardia,
elevated cardiac output, restlessness, headache, and a sense of "anxiousness".
4. A 30-year-old gravida 2, para 1 purchaser is admitted to the hospital at 26-weeks
gestation in preterm labor. She is commenced on an IV answer of terbutaline (Brethine).
Which evaluation is the highest precedence for the nurse to display in the course of the
administration of this drug?
A. Materna blood stress and respirations
B. Maternal and fetal coronary heart rates
C. Hourly urinary output
D. Deep tendon relfexes - ANSWER-B. Maternal and fetal coronary heart costs
Monitoring maternal and fetal coronary heart quotes is most important whilst
terbutaline is being administered. Terbutaline acts as a sympathomimetic agent
that stimulates each beta 1 receptors (inflicting tachycardia, a facet effect of the
drug) and stimulation of beta 2 receptors (causing uterine rest, a preferred effect
of the drug).
5. A 30-yr-old multiparous lady who has a three-year-old boy and a newborn lady tells the
nurse, "My son is so jealous of my daughter, I don't know how I'll ever control each
youngsters after I get domestic." How need to the nurse reply?
A. "Tell the older infant that he's a large boy now and have to love his new sister."
B. "Ask friends and loved ones no longer to carry presents to the older sibling because
you do now not need to break him."
C. "Let the older toddler stay together with his grandparents for the primary six weeks to
permit him to alter to the newborn."
D. "Regression in behaviors within the older toddler is a regular response so he desires
attention at the moment." - ANSWER-D. "Regression in behaviors inside the older
infant is a standard reaction so he wishes attention right now."
6. A 35-yr-old primigravida purchaser with excessive preeclampsia is receiving magnesium
sulfate through continuous IV infusion. Which evaluation statistics suggests to the nurse
that the client is experiencing magnesium sulfate toxicity?
A. Deep tendon reflexes 2+
B. Blood pressure one hundred forty/ninety
C. Respiratory rate 18/minute
D. Urine output ninety ml/4hours - ANSWER-D. Urine output ninety ml/4hours
Urine outputs of less than one hundred ml/4 hours, absent DTRs, and a
respiratory charge of less than 12 breaths/minute are cardinal signs of magnesium
sulfate toxicity.
7. A 38-week primigravida who works as a secretary and sits at a computer eight hours
each day tells the nurse that her toes have started to swell. Which education might be
most effective in preventing pooling of blood inside the decrease extremities?
A. Wear support stockings
, B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing - ANSWER-C. Move approximately every hour
Pooling of blood in the decrease extremities effects from the enlarged uterus
exerting strain at the pelvic veins. Moving about every hour will straighten out the
pelvic veins and boom venous go back.
8. A four-week-antique untimely toddler has been receiving epoetin alfa (Epogen) for the
ultimate 3 weeks. Which evaluation locating suggests to the nurse that the drug is
effective?
A. Slowly increasing urinary output during the last week
B. Respiratory rate adjustments from the 40's to the 60s
C. Changes in apical heart fee from the 180s to the 140s
D. Change in oblique bilirubin from 12mg/dl to eight mg/dl - ANSWER-C. Changes in
apical heart fee from the 180s to the 140s
Epogen, given to prevent or deal with anemia, stimulates erythropoietin
manufacturing, ensuing in an increase in RBCs. Since the frame has no longer
needed to compensate for anemia with an increased heart price, modifications in
heart charge from excessive to regular is one indicator that Epogen is powerful
9. A forty-week gestation primigravida consumer is being induced with an oxytocin
secondary infusion and complains of ache in her decrease back. Which intervention
should the nurse put into effect?
A. Discontinue the oxytocin infusion
B. Place the purchaser in a semi-Fowler's function
C. Inform the healthcare provider
D. Apply firm pressure to sacral region - ANSWER-D. Apply company stress to sacral
region
10.A forty two-week gestational patron is receiving an intravenous infusion of oxytocin
(Pitocin) to enhance early exertions. The nurse need to discontinue the oxytocin infusion
for which sample of contractions?
A. Transition labor with contractions each 2 minutes, lasting 90 seconds every
B. Early hard work with contractions each five minutes, lasting forty seconds each
C. Active hard work with contractions every 31 mins, lasting 60 seconds each
D. Active hard work with contractions every 3 to three minutes, lasting 70 to eighty
seconds every - ANSWER-A. Transition hard work with contractions each 2 mins,
lasting 90 seconds every
When oxytocin reasons uterine hyperstimulation as evidence with the aid of
insufficient resting time among contractions, the oxytocin infusion need to be
discontinued because placental perfusion is impeded
11.A consumer at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as shiny red. She
PRACTICE EXAM | ALL QUESTIONS AND
CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST
RELEASED)
1. A 23-12 months-old purchaser who's receiving Medicaid blessings is pregnant together
with her first child. Based on expertise of the statistics related to little one mortality, which
plan need to the nurse enforce with this consumer?
A. Refer the client to a social worker to arrange for domestic care
B. Recommend perinatal care from an obstetrician, not a nurse-midwife
C. Teach the patron why keeping prenatal care appointments is critical
D. Advise the client that neonatal in depth care can be wished - ANSWER-C. Teach the
client why preserving prenatal care appointments is essential
2. A 24-hour-antique new child has a crimson papular rash with vesicles superimposed on
the thorax, again, and abdomen. What motion need to the nurse implement?
A. Notify the healthcare provider
B. Move the newborn to an isolation nursery
C. Document the locating on the little one's document
D. Obtain a lifestyle of the vesicles - ANSWER-C. Document the locating at the
toddler's file
Erythema toxicum (or erthema neonatorum) is a newborn rash this is generally
known as "flea bites," bit is a ordinary locating this is documented; no further
motion is required
3. A 26-year-old, gravida 2, para 1 consumer is admitted to the sanatorium at 28-weeks
gestation in preterm exertions. She is given three doses of terbutaline sulfate (Brethine)
zero.25mg subcutaneously to forestall her hard work contractions. The nurse plans to
monitor for which primary facet effect of terbutaline sulfate?
A. Drowsiness and bradycardia
B. Depressed reflexes and improved respirations
C. Tachycardia and a sense of nervousness
D. A flushed, heat feeling and a dry mouth - ANSWER-C. Tachycardia and a sense of
anxiety
, Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors inside the uterine muscle to forestall contractions. The
beta-adrenergic agonist properties of the drug can also cause tachycardia,
elevated cardiac output, restlessness, headache, and a sense of "anxiousness".
4. A 30-year-old gravida 2, para 1 purchaser is admitted to the hospital at 26-weeks
gestation in preterm labor. She is commenced on an IV answer of terbutaline (Brethine).
Which evaluation is the highest precedence for the nurse to display in the course of the
administration of this drug?
A. Materna blood stress and respirations
B. Maternal and fetal coronary heart rates
C. Hourly urinary output
D. Deep tendon relfexes - ANSWER-B. Maternal and fetal coronary heart costs
Monitoring maternal and fetal coronary heart quotes is most important whilst
terbutaline is being administered. Terbutaline acts as a sympathomimetic agent
that stimulates each beta 1 receptors (inflicting tachycardia, a facet effect of the
drug) and stimulation of beta 2 receptors (causing uterine rest, a preferred effect
of the drug).
5. A 30-yr-old multiparous lady who has a three-year-old boy and a newborn lady tells the
nurse, "My son is so jealous of my daughter, I don't know how I'll ever control each
youngsters after I get domestic." How need to the nurse reply?
A. "Tell the older infant that he's a large boy now and have to love his new sister."
B. "Ask friends and loved ones no longer to carry presents to the older sibling because
you do now not need to break him."
C. "Let the older toddler stay together with his grandparents for the primary six weeks to
permit him to alter to the newborn."
D. "Regression in behaviors within the older toddler is a regular response so he desires
attention at the moment." - ANSWER-D. "Regression in behaviors inside the older
infant is a standard reaction so he wishes attention right now."
6. A 35-yr-old primigravida purchaser with excessive preeclampsia is receiving magnesium
sulfate through continuous IV infusion. Which evaluation statistics suggests to the nurse
that the client is experiencing magnesium sulfate toxicity?
A. Deep tendon reflexes 2+
B. Blood pressure one hundred forty/ninety
C. Respiratory rate 18/minute
D. Urine output ninety ml/4hours - ANSWER-D. Urine output ninety ml/4hours
Urine outputs of less than one hundred ml/4 hours, absent DTRs, and a
respiratory charge of less than 12 breaths/minute are cardinal signs of magnesium
sulfate toxicity.
7. A 38-week primigravida who works as a secretary and sits at a computer eight hours
each day tells the nurse that her toes have started to swell. Which education might be
most effective in preventing pooling of blood inside the decrease extremities?
A. Wear support stockings
, B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing - ANSWER-C. Move approximately every hour
Pooling of blood in the decrease extremities effects from the enlarged uterus
exerting strain at the pelvic veins. Moving about every hour will straighten out the
pelvic veins and boom venous go back.
8. A four-week-antique untimely toddler has been receiving epoetin alfa (Epogen) for the
ultimate 3 weeks. Which evaluation locating suggests to the nurse that the drug is
effective?
A. Slowly increasing urinary output during the last week
B. Respiratory rate adjustments from the 40's to the 60s
C. Changes in apical heart fee from the 180s to the 140s
D. Change in oblique bilirubin from 12mg/dl to eight mg/dl - ANSWER-C. Changes in
apical heart fee from the 180s to the 140s
Epogen, given to prevent or deal with anemia, stimulates erythropoietin
manufacturing, ensuing in an increase in RBCs. Since the frame has no longer
needed to compensate for anemia with an increased heart price, modifications in
heart charge from excessive to regular is one indicator that Epogen is powerful
9. A forty-week gestation primigravida consumer is being induced with an oxytocin
secondary infusion and complains of ache in her decrease back. Which intervention
should the nurse put into effect?
A. Discontinue the oxytocin infusion
B. Place the purchaser in a semi-Fowler's function
C. Inform the healthcare provider
D. Apply firm pressure to sacral region - ANSWER-D. Apply company stress to sacral
region
10.A forty two-week gestational patron is receiving an intravenous infusion of oxytocin
(Pitocin) to enhance early exertions. The nurse need to discontinue the oxytocin infusion
for which sample of contractions?
A. Transition labor with contractions each 2 minutes, lasting 90 seconds every
B. Early hard work with contractions each five minutes, lasting forty seconds each
C. Active hard work with contractions every 31 mins, lasting 60 seconds each
D. Active hard work with contractions every 3 to three minutes, lasting 70 to eighty
seconds every - ANSWER-A. Transition hard work with contractions each 2 mins,
lasting 90 seconds every
When oxytocin reasons uterine hyperstimulation as evidence with the aid of
insufficient resting time among contractions, the oxytocin infusion need to be
discontinued because placental perfusion is impeded
11.A consumer at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as shiny red. She
