2024 HESI MATERNITY OB EXAM
VERSION 3 LATEST ALL 55 QUESTIONS
AND CORRECT ANSWERS 2024
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influe
nce on successful teaching of the gravid client? - correct answer-A. The client's readiness to learn
A 38-
week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that
her feet have begun to swell. Which instruction would be most effective in preventing pooling of bloo
d in the lower extremities? - correct answer-C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When co
mpared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have -
correct answer-B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcut
aneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of te
rbutaline sulfate? - correct answer-C. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is mos
t effective to prevent nipple soreness? - correct answer-C. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important for th
e nurse to receive when planning immediate care for the newborn? - correct answer-
B. Infant's condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information about whe
n the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledg
e that for the normal newborn, the - correct answer-D. anterior fontanel closes at 12-
18 mos and the posterior fontanel by the end of the second month.
,When assessing a client who is 12-
weeks gestation, the nurse recommends the she and her husband consider attending childbirth prepar
ation classes.
What is the best time for the couple to attend these classes? - correct answer-
D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - correct answer-
C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching purposes,
the nurse should know that ovulation usually occurs - correct answer-
A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the
nurse take? - correct answer-C. have the client breath into her cupped hands
When preparing a newborn care for expectant parents, what content should the nurse teach concerni
ng the newborn infant born at term gestation? - correct answer-
C. Vernix is a white, cheesy substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his head. The nurse knows that, in the
newborn, an accumulation of blood between the periosteum and skull which does not cross the sutur
e line is a newborn variation known as - correct answer-
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constant
ly rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it m
oves too much. What recommendation should the nurse make to the expectant father? -
correct answer-
D. Let him know that these behaviors are part of normal maternal/fetal bonding which occurs once th
e mother feels fetal movement.
, A new mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which expl
anation will the nurse provide? - correct answer-
B. "your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room
. She has a funny looking head". Which response by the nurse is the best? - correct answer-
C. That is normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. W
hich nursing plan is best in assisting the mother to bond with her newborn infant? - correct answer-
D. Meet the mother's physical needs and demonstrate warmth toward the infant.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare pr
ovider for a fertility workup and a hysterosalpingography is scheduled. Which complaint would indicat
e to the nurse that the woman's fallopian tubes are patent? - correct answer-C. shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?
" - correct answer-A. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for th
e first time? - correct answer-
B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
On admission to the prenatal clinic, a 23-year-
old woman tells the nurse that her last menstrual period began on February 15, and that previously h
er periods were regular. Her pregnancy test is positive. This client's expected date of delivery (EDD) is
- correct answer-A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse she has
a 36-
day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly c
alculates the woman's next fertile period will be - correct answer-C. January 30-31
A client at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which asse
VERSION 3 LATEST ALL 55 QUESTIONS
AND CORRECT ANSWERS 2024
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influe
nce on successful teaching of the gravid client? - correct answer-A. The client's readiness to learn
A 38-
week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that
her feet have begun to swell. Which instruction would be most effective in preventing pooling of bloo
d in the lower extremities? - correct answer-C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When co
mpared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have -
correct answer-B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcut
aneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of te
rbutaline sulfate? - correct answer-C. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is mos
t effective to prevent nipple soreness? - correct answer-C. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important for th
e nurse to receive when planning immediate care for the newborn? - correct answer-
B. Infant's condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information about whe
n the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledg
e that for the normal newborn, the - correct answer-D. anterior fontanel closes at 12-
18 mos and the posterior fontanel by the end of the second month.
,When assessing a client who is 12-
weeks gestation, the nurse recommends the she and her husband consider attending childbirth prepar
ation classes.
What is the best time for the couple to attend these classes? - correct answer-
D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - correct answer-
C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching purposes,
the nurse should know that ovulation usually occurs - correct answer-
A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the
nurse take? - correct answer-C. have the client breath into her cupped hands
When preparing a newborn care for expectant parents, what content should the nurse teach concerni
ng the newborn infant born at term gestation? - correct answer-
C. Vernix is a white, cheesy substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his head. The nurse knows that, in the
newborn, an accumulation of blood between the periosteum and skull which does not cross the sutur
e line is a newborn variation known as - correct answer-
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constant
ly rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it m
oves too much. What recommendation should the nurse make to the expectant father? -
correct answer-
D. Let him know that these behaviors are part of normal maternal/fetal bonding which occurs once th
e mother feels fetal movement.
, A new mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which expl
anation will the nurse provide? - correct answer-
B. "your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room
. She has a funny looking head". Which response by the nurse is the best? - correct answer-
C. That is normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. W
hich nursing plan is best in assisting the mother to bond with her newborn infant? - correct answer-
D. Meet the mother's physical needs and demonstrate warmth toward the infant.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare pr
ovider for a fertility workup and a hysterosalpingography is scheduled. Which complaint would indicat
e to the nurse that the woman's fallopian tubes are patent? - correct answer-C. shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?
" - correct answer-A. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for th
e first time? - correct answer-
B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
On admission to the prenatal clinic, a 23-year-
old woman tells the nurse that her last menstrual period began on February 15, and that previously h
er periods were regular. Her pregnancy test is positive. This client's expected date of delivery (EDD) is
- correct answer-A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse she has
a 36-
day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly c
alculates the woman's next fertile period will be - correct answer-C. January 30-31
A client at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which asse
