2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
1. The nurse is teaching a client with gestational diabetes B) increase daily caloric in-
about nutrition and insulin need for pregnancy. Which take is needed
content should the nurse include in this client teaching
plan?
A) Insulin production is decreased during pregnancy
B) increase daily caloric intake is needed
C) injection requirements remain the same
D) Blood sugars need less monitoring in the first
trimester
2. A 38-week primigravida client who is positive for group 1.6ml/hr.
A beta streptococcus receives a prescription for cefa-
zolin 2grams IV to be infused over 30mins. The medica-
tions available in 2 grams/100ml of normal saline. The
nurse should program the infusion pump to deliver
how many ml/hours?
3. When performing daily head to toe assessment of a A) measure bilirubin lev-
1-day old newborn the nurse observes yellow tint to els using transcutaneous
the skin on the forehead, sternum and abdomen. What bilirubinometer.
action should the nurse take?
A) measure bilirubin levels using transcutaneous
bilirubinometer.
B) review maternal medical records for blood type and
Rh factor
C) Prepare the newborn for phototherapy
D) Evaluate cord a result
4. A new mother asks the nurse about an area of swelling A) That's called caput suc-
on her baby head near the posterior fontanel that cedaneum. It will absorb
lies across the suture lines. How should the nurse re- and cause no problems.
spond?
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
A) That's called caput succedaneum. It will absorb and
cause no problems.
B) That is called a cephalohematoma. It will cause no
problems.
C) That is called a cephalohematoma. It can cause jaun-
dice as it is.
D)That is called caput succedaneum. It will have to be
drained
5. A 39-week gestational multigravida is admitted to la- B) Take an oral maternal
bor and delivery spontaneous rupture of membranes temperature
and contraction occurring 2 to 3 minutes. A vaginal
exam indicates that the cervix is dilated 6cm, 90% ef-
faced and the fetus is at a +2 station. During the last
45 minutes the fetal heart rate has ranged between
170 and 180 beats/minute. What action
should the nurse implement?
A) Obtain a blood specimen for hemoglobin
B) Take an oral maternal temperature
C) Straight Catheterize client
D) Send amniotic fluid for analysis
6. An obviously pregnant woman walks into the hospital's D) Provide clear concise
emergency department entrance shouting. "Help me! instructions in a calm, de-
Help me! My baby is coming! I'm so afraid!" The nurse liberate manner
determines if delivery is indeed imminent, what action
is most important for the nurse to take?
A) Determines the gestational age of fetus
B) Assess the amount and color of the amniotic fluid
C) Obtain peripheral IV access and begin administra-
tion of IV fluids
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
D) Provide clear concise instructions in a calm, deliber-
ate manner
7. A client who is 3 weeks postpartum tells the nurse. "I d) Adjusting to a new baby
am so tired all the time. I didn't know having a baby can be difficult. Tell me
would be so hard." What response should the nurse more about any help you
provide. are receiving.
a) It is common to feel exhausted for the first 3 months.
Try to sleep when the baby sleeps.
b) It is normal to feel tired for the first couple weeks.
Be patient with yourself and rest more.
c) You should not be doing any housework. Are any of
your family members helping you?
d) Adjusting to a new baby can be difficult. Tell me
more about any help you are receiving.
8. The home health nurse visits a client who delivered a A) Discuss the need
full-term baby three days ago. The mother reports that for medication to treat
the infant is waking up every 2 hours to bottle feed. curl-like oral patches
The nurse notes white, curl-like patches on the new-
borns oral mucous membranes. What action should
the nurse implement?
A) Discuss the need for medication to treat curl-like
oral patches
B) Suggest switching the infant's formula
C) Assess the baby's blood glucose level
D) Remind mother not put the baby to bed with a
propped bottle
9. One hour after delivery the nurse is unable to palpate C) Palpate the supra pubic
the uterine fundus of a client who had an epidural and area for bladder distention
notes a large amount of lochia on the perineal pad. The
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
nurse massages at the umbilicus and obtains current
vital signs. Which intervention should the nurse imple-
ment next.
A) Document number of pad changes in the last hour
B) Provide bedpans to void if unable to ambulate
C) Palpate the supra pubic area for bladder distention
D) Increases the rate of the oxytocin infusion
10. The father of a 3-day old infant who is breast feeding A) Contact the clinic if
calls the postpartum help line to report that his wife the behaviors continue for
is acting strangely. She is irritable, cannot cope with more than two weeks or
the baby, and frequently cries for no appeared reason. becomes worse
What information is most important for the nurse to
provide the father?
A) Contact the clinic if the behaviors continue for more
than two weeks or becomes worse
B) Tell the father count the newborns number of soiled
diapers over the next few days.
C) A fluctuation in hormones in the early postpartum
period can cause mood changes.
D) Recommend giving supplemental bottle feedings to
the baby between breast feeding.
11. Which action should the nurse take if an infant, B) Inform and assure the
who was born yesterday weighing 7.5lbs (3,317grams) mother that this is a nor-
weights 7 lbs. (3,175grams) today. mal weight loss
A) Monitor the stool and urine output of the neonate
for the last 24 hours
B) Inform and assure the mother that this is a normal
weight loss
C) Encourages the mother to increase frequency of
breastfeeding.
Study online at https://quizlet.com/_fpk4dg
1. The nurse is teaching a client with gestational diabetes B) increase daily caloric in-
about nutrition and insulin need for pregnancy. Which take is needed
content should the nurse include in this client teaching
plan?
A) Insulin production is decreased during pregnancy
B) increase daily caloric intake is needed
C) injection requirements remain the same
D) Blood sugars need less monitoring in the first
trimester
2. A 38-week primigravida client who is positive for group 1.6ml/hr.
A beta streptococcus receives a prescription for cefa-
zolin 2grams IV to be infused over 30mins. The medica-
tions available in 2 grams/100ml of normal saline. The
nurse should program the infusion pump to deliver
how many ml/hours?
3. When performing daily head to toe assessment of a A) measure bilirubin lev-
1-day old newborn the nurse observes yellow tint to els using transcutaneous
the skin on the forehead, sternum and abdomen. What bilirubinometer.
action should the nurse take?
A) measure bilirubin levels using transcutaneous
bilirubinometer.
B) review maternal medical records for blood type and
Rh factor
C) Prepare the newborn for phototherapy
D) Evaluate cord a result
4. A new mother asks the nurse about an area of swelling A) That's called caput suc-
on her baby head near the posterior fontanel that cedaneum. It will absorb
lies across the suture lines. How should the nurse re- and cause no problems.
spond?
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
A) That's called caput succedaneum. It will absorb and
cause no problems.
B) That is called a cephalohematoma. It will cause no
problems.
C) That is called a cephalohematoma. It can cause jaun-
dice as it is.
D)That is called caput succedaneum. It will have to be
drained
5. A 39-week gestational multigravida is admitted to la- B) Take an oral maternal
bor and delivery spontaneous rupture of membranes temperature
and contraction occurring 2 to 3 minutes. A vaginal
exam indicates that the cervix is dilated 6cm, 90% ef-
faced and the fetus is at a +2 station. During the last
45 minutes the fetal heart rate has ranged between
170 and 180 beats/minute. What action
should the nurse implement?
A) Obtain a blood specimen for hemoglobin
B) Take an oral maternal temperature
C) Straight Catheterize client
D) Send amniotic fluid for analysis
6. An obviously pregnant woman walks into the hospital's D) Provide clear concise
emergency department entrance shouting. "Help me! instructions in a calm, de-
Help me! My baby is coming! I'm so afraid!" The nurse liberate manner
determines if delivery is indeed imminent, what action
is most important for the nurse to take?
A) Determines the gestational age of fetus
B) Assess the amount and color of the amniotic fluid
C) Obtain peripheral IV access and begin administra-
tion of IV fluids
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
D) Provide clear concise instructions in a calm, deliber-
ate manner
7. A client who is 3 weeks postpartum tells the nurse. "I d) Adjusting to a new baby
am so tired all the time. I didn't know having a baby can be difficult. Tell me
would be so hard." What response should the nurse more about any help you
provide. are receiving.
a) It is common to feel exhausted for the first 3 months.
Try to sleep when the baby sleeps.
b) It is normal to feel tired for the first couple weeks.
Be patient with yourself and rest more.
c) You should not be doing any housework. Are any of
your family members helping you?
d) Adjusting to a new baby can be difficult. Tell me
more about any help you are receiving.
8. The home health nurse visits a client who delivered a A) Discuss the need
full-term baby three days ago. The mother reports that for medication to treat
the infant is waking up every 2 hours to bottle feed. curl-like oral patches
The nurse notes white, curl-like patches on the new-
borns oral mucous membranes. What action should
the nurse implement?
A) Discuss the need for medication to treat curl-like
oral patches
B) Suggest switching the infant's formula
C) Assess the baby's blood glucose level
D) Remind mother not put the baby to bed with a
propped bottle
9. One hour after delivery the nurse is unable to palpate C) Palpate the supra pubic
the uterine fundus of a client who had an epidural and area for bladder distention
notes a large amount of lochia on the perineal pad. The
, 2024 HESI MATERNITY OB EXAM VERSION 6
Study online at https://quizlet.com/_fpk4dg
nurse massages at the umbilicus and obtains current
vital signs. Which intervention should the nurse imple-
ment next.
A) Document number of pad changes in the last hour
B) Provide bedpans to void if unable to ambulate
C) Palpate the supra pubic area for bladder distention
D) Increases the rate of the oxytocin infusion
10. The father of a 3-day old infant who is breast feeding A) Contact the clinic if
calls the postpartum help line to report that his wife the behaviors continue for
is acting strangely. She is irritable, cannot cope with more than two weeks or
the baby, and frequently cries for no appeared reason. becomes worse
What information is most important for the nurse to
provide the father?
A) Contact the clinic if the behaviors continue for more
than two weeks or becomes worse
B) Tell the father count the newborns number of soiled
diapers over the next few days.
C) A fluctuation in hormones in the early postpartum
period can cause mood changes.
D) Recommend giving supplemental bottle feedings to
the baby between breast feeding.
11. Which action should the nurse take if an infant, B) Inform and assure the
who was born yesterday weighing 7.5lbs (3,317grams) mother that this is a nor-
weights 7 lbs. (3,175grams) today. mal weight loss
A) Monitor the stool and urine output of the neonate
for the last 24 hours
B) Inform and assure the mother that this is a normal
weight loss
C) Encourages the mother to increase frequency of
breastfeeding.
