2024 HESI MATERNITY OB EXAM VERSION 1
Study online at https://quizlet.com/_h5fk7p
1. 1. A client at 37 weeks gestation presents to labor and 2. herpes simplex virus
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
2. A client who had her first baby three months ago and Use alternative form of
is breastfeeding her infant tells the nurse that she is birth control until new di-
currently using the same diaphragm that she used aphragm can be obtained.
before becoming pregnant. Which information should
the nurse provide this client?
3. A 30- year-old primigravida delivers a 9-pound infant Massage the fundus Q 4
vaginally after a 30- hour labor. What is the priority hours
nursing action for this client?
4. At 0600 while admitting a woman for a scheduled re- Inform the anesthesia care
peat cesarean section (CSection), the client tells the provider
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?
5. The nurse is caring for a postpartum client who is Place procedure equip-
exhibiting symptoms of a ment at bedside
spinal headache 24 hours following delivery of a nor-
mal newborn. Prior to the anesthesiologist arrival on
the unit, which action should the nurse perform?
6. Hypoglycemia
1/8
, 2024 HESI MATERNITY OB EXAM VERSION 1
Study online at https://quizlet.com/_h5fk7p
The nurse is caring for a newborn who is 18 inches
long, weighs 4 pounds, 14 ounces, has ahead circum-
ference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment
for which condition has the highest priority?
7. the nurse is caring for a 35 week gestation infant de- transient tachypnea of the
livered by cesarean section 2 hours ago.the nurse ob- newborn
serves the infants respiratory rate is 72 breaths minute
with nasal flaring, grunting, and retractions. the nurse
should recognize these finding indicate which compli-
cation?
8. A primipara client at 42 weeks gestation is admitted Restart the oxytocin per
for induction. within one hour after initiating an oxy- oxytocin protocol
tocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occuring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
and starts oxygen. after 30 minutes of uterine rest,
the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse
implement?
9. A primigravida arrives at the observation unit of the Contractions stop when
maternity unit because she thinks she is in labor. the the client is walking
nurse applies the external fetal heart monitor and de-
termines she is not in labor. What makes the nurse
realize she is not in labor?
10. A primigravida client with gestational hypertension Administer oxytocin 4
and bishop score of 3 is hours later
scheduled for induction of labor. the nurse adminis-
ters misoprostol at 0700 then observes regular con-
2/8
Study online at https://quizlet.com/_h5fk7p
1. 1. A client at 37 weeks gestation presents to labor and 2. herpes simplex virus
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
2. A client who had her first baby three months ago and Use alternative form of
is breastfeeding her infant tells the nurse that she is birth control until new di-
currently using the same diaphragm that she used aphragm can be obtained.
before becoming pregnant. Which information should
the nurse provide this client?
3. A 30- year-old primigravida delivers a 9-pound infant Massage the fundus Q 4
vaginally after a 30- hour labor. What is the priority hours
nursing action for this client?
4. At 0600 while admitting a woman for a scheduled re- Inform the anesthesia care
peat cesarean section (CSection), the client tells the provider
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?
5. The nurse is caring for a postpartum client who is Place procedure equip-
exhibiting symptoms of a ment at bedside
spinal headache 24 hours following delivery of a nor-
mal newborn. Prior to the anesthesiologist arrival on
the unit, which action should the nurse perform?
6. Hypoglycemia
1/8
, 2024 HESI MATERNITY OB EXAM VERSION 1
Study online at https://quizlet.com/_h5fk7p
The nurse is caring for a newborn who is 18 inches
long, weighs 4 pounds, 14 ounces, has ahead circum-
ference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment
for which condition has the highest priority?
7. the nurse is caring for a 35 week gestation infant de- transient tachypnea of the
livered by cesarean section 2 hours ago.the nurse ob- newborn
serves the infants respiratory rate is 72 breaths minute
with nasal flaring, grunting, and retractions. the nurse
should recognize these finding indicate which compli-
cation?
8. A primipara client at 42 weeks gestation is admitted Restart the oxytocin per
for induction. within one hour after initiating an oxy- oxytocin protocol
tocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occuring every 1 minute with
a 75 second duration. when nurse stops the oxytocin
and starts oxygen. after 30 minutes of uterine rest,
the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse
implement?
9. A primigravida arrives at the observation unit of the Contractions stop when
maternity unit because she thinks she is in labor. the the client is walking
nurse applies the external fetal heart monitor and de-
termines she is not in labor. What makes the nurse
realize she is not in labor?
10. A primigravida client with gestational hypertension Administer oxytocin 4
and bishop score of 3 is hours later
scheduled for induction of labor. the nurse adminis-
ters misoprostol at 0700 then observes regular con-
2/8
