2025 HESI MATERNITY OB VERSION
1,2 AND 3|QUICK REVIEW MATERNITY
EXAM QUESTIONS AND CORRECT
ANSWERS FOR MORE KNOWLEDGE
1. A client at 37 weeks gestation presents to labor and 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?
A. German measles
B. herpes simplex virus
C. syphilis
D. genital warts - Answer herpes simplex virus
2. A client who had her first baby three months ago and is breastfeeding her
infant tells the nurse that she is currently using the same diaphragm that she
used before becoming pregnant. Which information should the nurse provide
this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has
been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm is
obtained. - Answer Use an alternate form of contraceptive until a new
diaphragm is obtained.
,3. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30-
hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - Answer Observe for
signs of uterine hemorrhage.
4. The nurse is caring for a client whose labor is being augmented with
oxytocin (Pitocin). Which finding indicates that the nurse should discontinue
the oxytocin infusion? - Answer The fetal heart rate is 180 bpm without
variability.
5. The nurse is providing discharge teaching for a gravid client who is being
released from the hospital after placement of cerclage. Which instruction is
the most important for the client to understand? - Answer Report uterine
cramping or low backache.
6. A client at 28-weeks gestation experiences blunt abdominal trauma. Which
parameter should the nurse assess first for signs of internal hemorrhage? -
Answer Changes in fetal heart rate patterns.
7. A client at 39-weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39-weeks, 34-weeks, and 35-
weeks gestation. Using the GTPAL system, which designation is the most
accurate summary of this client's obstetrical history? - Answer 4-1-2-0-3.
8. Which nonpharmacologic interventions should the nurse implement to
provide the most effective response in decreasing procedural pain in a
neonate? - Answer Oral sucrose and nonnutritive sucking.
,9. The nurse is giving discharge instructions for a client following a suction
curettage for hydatidiform mole. The client asks why oral contraceptives are
being recommended for the next 12 months. What information should the
nurse provide? - Answer Diagnostic testing for human chorionic
gonadotropin (hCG) levels are elevated by pregnancy
10.The nurse tells a client in her first trimester that she should increase her daily
intake of calcium to 1,200 mg during pregnancy. The client responds, "I
don't like milk." What dietary adjustments should the nurse recommend? -
Answer Eat more green, leafy vegetables.
11.During a preconception counseling session for women trying to get pregnant
in 3 to 6 months, what information should the nurse provide? - Answer
Make sure to include adequate folic acid in the diet.
12.A multiparous client has been in labor for 8 hours when her membranes
rupture. What action should the nurse implement first? - Answer Assess the
fetal heart rate and pattern
13.A client delivers her first infant and asks the nurse if her skin changes from
pregancy are permanent. Which change should the nurse tell the client will
remain after pregnancy? - Answer Striae gravidarum.
14.The nurse observes a new mother avoiding eye contact with her newborn.
Which action should the nurse take? - Answer Observe the mother for other
attachment behaviors.
, 15.A client delivers twins, one is stillborn and the other is recovering in
intensive care nursery. As the nurse provides assistance to the bathroom, the
client softly crying, states, "I wish my baby could have lived." Which
response is best for the nurse to provide? - Answer "I am sorry for your loss.
Do you want to talk about it?"
16.A client at 35-weeks gestation visits the clinic for a prenatal check-up.
Which complaint by the client warrants further assessment by the nurse? -
Answer Periodic abdominal pain.
17.What assessment finding should the nurse report to the healthcare provider
that is consistent with concealed hemorrhage in an abruptio placenta? -
Answer Hard, board-like abdomen.
18.At 10-weeks gestation, a high-risk multiparous client with a family history
of Down syndrome is admitted for observation following a chorionic villi
sampling (CVS) procedure. What assessment finding requires immediate
intervention?D - Answer Uterine cramping.
19.A gravid client develops maternal hypotension following regional
anesthesia. What intervention(s) should the nurse implement? (Select all that
apply.) - Answer Administer oxygen.
20.Increase IV fluids.
21.Place the client in a lateral position.
22.Monitor fetal statu
23.Which cardiovascular findings should the nurse assess further in a client
who is at 20-weeks gestation? - Answer Decrease in pulse rate.
1,2 AND 3|QUICK REVIEW MATERNITY
EXAM QUESTIONS AND CORRECT
ANSWERS FOR MORE KNOWLEDGE
1. A client at 37 weeks gestation presents to labor and 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?
A. German measles
B. herpes simplex virus
C. syphilis
D. genital warts - Answer herpes simplex virus
2. A client who had her first baby three months ago and is breastfeeding her
infant tells the nurse that she is currently using the same diaphragm that she
used before becoming pregnant. Which information should the nurse provide
this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has
been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm is
obtained. - Answer Use an alternate form of contraceptive until a new
diaphragm is obtained.
,3. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30-
hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - Answer Observe for
signs of uterine hemorrhage.
4. The nurse is caring for a client whose labor is being augmented with
oxytocin (Pitocin). Which finding indicates that the nurse should discontinue
the oxytocin infusion? - Answer The fetal heart rate is 180 bpm without
variability.
5. The nurse is providing discharge teaching for a gravid client who is being
released from the hospital after placement of cerclage. Which instruction is
the most important for the client to understand? - Answer Report uterine
cramping or low backache.
6. A client at 28-weeks gestation experiences blunt abdominal trauma. Which
parameter should the nurse assess first for signs of internal hemorrhage? -
Answer Changes in fetal heart rate patterns.
7. A client at 39-weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39-weeks, 34-weeks, and 35-
weeks gestation. Using the GTPAL system, which designation is the most
accurate summary of this client's obstetrical history? - Answer 4-1-2-0-3.
8. Which nonpharmacologic interventions should the nurse implement to
provide the most effective response in decreasing procedural pain in a
neonate? - Answer Oral sucrose and nonnutritive sucking.
,9. The nurse is giving discharge instructions for a client following a suction
curettage for hydatidiform mole. The client asks why oral contraceptives are
being recommended for the next 12 months. What information should the
nurse provide? - Answer Diagnostic testing for human chorionic
gonadotropin (hCG) levels are elevated by pregnancy
10.The nurse tells a client in her first trimester that she should increase her daily
intake of calcium to 1,200 mg during pregnancy. The client responds, "I
don't like milk." What dietary adjustments should the nurse recommend? -
Answer Eat more green, leafy vegetables.
11.During a preconception counseling session for women trying to get pregnant
in 3 to 6 months, what information should the nurse provide? - Answer
Make sure to include adequate folic acid in the diet.
12.A multiparous client has been in labor for 8 hours when her membranes
rupture. What action should the nurse implement first? - Answer Assess the
fetal heart rate and pattern
13.A client delivers her first infant and asks the nurse if her skin changes from
pregancy are permanent. Which change should the nurse tell the client will
remain after pregnancy? - Answer Striae gravidarum.
14.The nurse observes a new mother avoiding eye contact with her newborn.
Which action should the nurse take? - Answer Observe the mother for other
attachment behaviors.
, 15.A client delivers twins, one is stillborn and the other is recovering in
intensive care nursery. As the nurse provides assistance to the bathroom, the
client softly crying, states, "I wish my baby could have lived." Which
response is best for the nurse to provide? - Answer "I am sorry for your loss.
Do you want to talk about it?"
16.A client at 35-weeks gestation visits the clinic for a prenatal check-up.
Which complaint by the client warrants further assessment by the nurse? -
Answer Periodic abdominal pain.
17.What assessment finding should the nurse report to the healthcare provider
that is consistent with concealed hemorrhage in an abruptio placenta? -
Answer Hard, board-like abdomen.
18.At 10-weeks gestation, a high-risk multiparous client with a family history
of Down syndrome is admitted for observation following a chorionic villi
sampling (CVS) procedure. What assessment finding requires immediate
intervention?D - Answer Uterine cramping.
19.A gravid client develops maternal hypotension following regional
anesthesia. What intervention(s) should the nurse implement? (Select all that
apply.) - Answer Administer oxygen.
20.Increase IV fluids.
21.Place the client in a lateral position.
22.Monitor fetal statu
23.Which cardiovascular findings should the nurse assess further in a client
who is at 20-weeks gestation? - Answer Decrease in pulse rate.
