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HESI OB MATERNITY EXAM 2025 ACTUAL EXAM 2
VERSIONS (VERSION A AND B) COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+/
LATEST EXAM!!!!
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action will the nurse take?
A. Notify the healthcare provider or anesthesiologist
immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - Answer-C. Place the
woman in a lateral position
These symptoms are suggestive of hypotension which is a
side effect of epidural anesthesia. Raising the foot of the
bed will increase venous return and provide blood to the
vital areas. Increasing the IV fluid rate using a balanced
non-dextrose solution and ensuring that the client is in a
lateral position are also appropriate interventions, and
then checking the patients blood pressure.
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A newborn infant is brought to the nursery from the
birthing suite. The nurse notices that the infant is breathing
satisfactorily but appears dusky. What action should the
nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - Answer-C. Check
the infant's oxygen saturation rate
When possible, the nurse should first obtain measurable
objective data; an oxygen saturation rate provides such
information.
FYI. The pediatrician should be notified if the oxygen
saturation rate is below 90%
The nurse is teaching breastfeeding to prospective
parents in a childbirth education class. Which instruction
should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-
hour feeding schedule
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B. Resting helps with milk production. Ask that your baby
be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
D. Do not allow your baby to nurse any longer than the
prescribed number of minutes - Answer-C. Feed your baby
every 2 to 3 hours or on demand, whichever comes first
Breastfeeding infants should be kept in the room with the
mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - Answer-C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta
covering the entire cervical os (opening). The onset of
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uterine contractions places the client at risk for dilation and
placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous
infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which
pattern of contractions?
A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40
seconds each
C. Active labor with contractions every 31 minutes, lasting
60 seconds each
D. Active labor with contractions every 3 to 3 minutes,
lasting 70 to 80 seconds each - Answer-A. Transition labor
with contractions every 2 minutes, lasting 90 seconds
each
When oxytocin causes uterine hyperstimulation as
evidence by inadequate resting time between
contractions, the oxytocin infusion should be discontinued
because placental perfusion is impeded
HESI OB MATERNITY EXAM 2025 ACTUAL EXAM 2
VERSIONS (VERSION A AND B) COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+/
LATEST EXAM!!!!
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action will the nurse take?
A. Notify the healthcare provider or anesthesiologist
immediately
B. Continue to assess the blood pressure q5 minutes
C. Place the woman in a lateral position
D. Turn off the continuous epidural - Answer-C. Place the
woman in a lateral position
These symptoms are suggestive of hypotension which is a
side effect of epidural anesthesia. Raising the foot of the
bed will increase venous return and provide blood to the
vital areas. Increasing the IV fluid rate using a balanced
non-dextrose solution and ensuring that the client is in a
lateral position are also appropriate interventions, and
then checking the patients blood pressure.
,2|Page
A newborn infant is brought to the nursery from the
birthing suite. The nurse notices that the infant is breathing
satisfactorily but appears dusky. What action should the
nurse take first?
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side - Answer-C. Check
the infant's oxygen saturation rate
When possible, the nurse should first obtain measurable
objective data; an oxygen saturation rate provides such
information.
FYI. The pediatrician should be notified if the oxygen
saturation rate is below 90%
The nurse is teaching breastfeeding to prospective
parents in a childbirth education class. Which instruction
should the nurse include as content in the class?
A. Begin as soon as your baby is born to establish a four-
hour feeding schedule
,3|Page
B. Resting helps with milk production. Ask that your baby
be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
D. Do not allow your baby to nurse any longer than the
prescribed number of minutes - Answer-C. Feed your baby
every 2 to 3 hours or on demand, whichever comes first
Breastfeeding infants should be kept in the room with the
mother and fed every 2 to 3 hours or on demand--
whichever comes first.
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - Answer-C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta
covering the entire cervical os (opening). The onset of
, 4|Page
uterine contractions places the client at risk for dilation and
placental separation, which causes painless
hemorrhaging.
A 42-week gestational client is receiving an intravenous
infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which
pattern of contractions?
A. Transition labor with contractions every 2 minutes,
lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40
seconds each
C. Active labor with contractions every 31 minutes, lasting
60 seconds each
D. Active labor with contractions every 3 to 3 minutes,
lasting 70 to 80 seconds each - Answer-A. Transition labor
with contractions every 2 minutes, lasting 90 seconds
each
When oxytocin causes uterine hyperstimulation as
evidence by inadequate resting time between
contractions, the oxytocin infusion should be discontinued
because placental perfusion is impeded
