HESI OB Maternity Test Bank V1 | Verified Questions & Answers | Latest Updated 2026/2027 (Graded A+)
1. A 3 - day postpartum client , who is not immune to rubella , is to receive the vaccine at discharge . Which of the following must the nurse
include in her discharge teaching regarding the vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1 week .
3. The mother must wear a surgical mask when she cares for the baby .
4. Passive antibodies transported across the placenta will protect the baby . ✔️1. The woman should not become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive the rubella vaccine before leaving the hospital . Which of the following
rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the vaccine .
2. The client's immune system is highly responsive during the postpartum period .
3. The client's baby will be high risk for acquiring rubella if the woman does not receive the vaccine . 4. The client's insurance company will pay
for the shot if it is given during the immediate postpartum period . ✔️1. The client's obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now has a temperature of 100.2 ° F . Which of the following is the appropriate
nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids . ✔️4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client to perform which of the following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after toileting . ✔️2. Change the peripad at each voiding .
5. A 3 - day - postpartum breastfeeding woman is being assessed . Her breasts are firm and warm to the touch . When asked when she last fed
the baby her reply is , " I fed the baby last evening . I let the nurses feed him in the nursery last night . I needed to rest . " Which of the following
actions should the nurse take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman . ✔️1. Encourage the woman exclusively to breastfeed her baby .
A breast feeding mother has been educated on how to prevent engorgement.Which of the following actions proves the teaching was effective?
1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula . ✔️2. She feeds her baby every 2 to 3 hours .
,A 2-day post partum breastfeeeding mother states "i am so sick of being fat when can I go on a diet" which of the following responses is
appropriate?
1. " It is fine for you to start dieting right now as long as you drink plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to produce enough milk for your baby . "
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600 calories a day . " ✔️4. " Many mothers lose weight
when they breastfeed because the baby consumes about 600 calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous vaginal delivery , is assessed . The nurse notes that the fundus is firm at the
umbilicus , there is heavy lochia , and perineal sutures are intact . Which of the following actions should the nurse take at this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider . ✔️4. Notify the woman's primary health care provider .
9. A client informs the nurse that she intends to bottlefeed her baby . Which of the following actions should the nurse encourage the client to
perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day . ✔️4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from a bottlefeeding mother of a 3 - day - old . The client states that her breasts
are firm , red , and warm to the touch . Which of the following is the best action for the nurse to advise the client to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk suppressant . ✔️1. Intermittently apply ice packs to her axillae and breasts .
11. A multigravid , postpartum woman reports severe abdominal cramping whenever she nurses her infant . Which of the following responses
by the nurse is appropriate ?
1. Suggest that the woman bottlefeed for a few days .
2. Instruct the patient on how to massage her fundus .
3. Instruct the patient to feed using an alternate position .
4. Discuss the action of breastfeeding hormones . ✔️4. Discuss the action of breastfeeding hormones .
12. The nurse is caring for a breastfeeding mother who asks advice on foods that will provide both vitamin A and iron . Which of the following
should the nurse recommend ?
1. 1/2 cup raw celery dipped in 1 ounce cream cheese
2.8 ounce yogurt mixed with 1 medium banana .
3. 12 ounce strawberry milk shake .
4. 11/2 cup raw broccoli . ✔️4. 11/2 cup raw broccoli .
, 13. A breastfeeding mother states that she has sore nipples . In response to the complaint , the nurse assists with " latch on " and recommends
that the mother do which of the following ?
1. Use a nipple shield at each breastfeeding .
2. Cleanse the nipples with soap 3 times a day .
3. Rotate infant positions at each feed .
4. Bottle feed for 2 days then resume breastfeeding . ✔️3. Rotate infant positions at each feed .
14. Which of the following statements is true about breastfeeding mothers as compared to bottlefeeding mothers ?
1. Breastfeeding mothers usually involute completely by 3 weeks postpartum .
2. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life .
3. Breastfeeding mothers show higher levels of bone density after menopause .
4. Breastfeeding mothers are prone to fewer bouts of infection immediately postpartum . ✔️2. Breastfeeding mothers have decreased incidence
of diabetes mellitus later in life .
15. A breastfeeding woman , 11/2 months postdelivery , calls the nurse in the obstetrician's office and states , " I am very embarrassed but I
need help . Last night I had an orgasm when my husband and I were making love . You should have seen the milk . We were both soaking wet .
What is wrong with me ? " The nurse should base the response to the client on which of the following ?
1. The woman is exhibiting signs of pathological galactorrhea .
2. The same hormone stimulates orgasms and the milk ejection reflex .
3. The woman should have a serum galactosemia assessment done .
4. The baby is stimulating the woman to produce too much milk . ✔️2. The same hormone stimulates orgasms and the milk ejection reflex .
16. A client who is 3 days postpartum asks the nurse , " When may my husband and I begin having sexual relations again ? " The nurse should
encourage the couple to wait until after which of the following has occurred ?
1. The client has had her six - week postpartum check - up .
2. The episiotomy has healed and the lochia has stopped .
3. The lochia has turned to pink and the vagina is no longer tender .
4. The client has had her first postpartum menstrual period . ✔️1. The client has had her six - week postpartum check - up .
A breastfeeding client , 7 weeks postpartum , complains to an obstetrician's triage nurse that when she and her husband had intercourse for
the first time after the delivery , " I couldn't stand it . It was so painful . The doctor must have done something terrible to my vagina . " Which of
the following responses by the nurse is appropriate ?
1. " After a delivery the vagina is always very tender . It should feel better the next time you have intercourse .
" 2. " Does your baby have thrush ? If so , I bet you have a yeast infection in your vagina .
" 3. " Women who breastfeed often have vaginal dryness . A vaginal lubricant may remedy your discomfort .
" 4. " Sometimes the stitches of episiotomies heal too tight . Why don't you come in for an assessment ? " ✔️3. " Women who breastfeed often
have vaginal dryness . A vaginal lubricant may remedy your discomfort . "
18. The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early
postpartum period ?
1. Decreased urinary output .
2. Increased blood pressure .
3. Decreased blood volume .
1. A 3 - day postpartum client , who is not immune to rubella , is to receive the vaccine at discharge . Which of the following must the nurse
include in her discharge teaching regarding the vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1 week .
3. The mother must wear a surgical mask when she cares for the baby .
4. Passive antibodies transported across the placenta will protect the baby . ✔️1. The woman should not become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive the rubella vaccine before leaving the hospital . Which of the following
rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the vaccine .
2. The client's immune system is highly responsive during the postpartum period .
3. The client's baby will be high risk for acquiring rubella if the woman does not receive the vaccine . 4. The client's insurance company will pay
for the shot if it is given during the immediate postpartum period . ✔️1. The client's obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now has a temperature of 100.2 ° F . Which of the following is the appropriate
nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids . ✔️4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client to perform which of the following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after toileting . ✔️2. Change the peripad at each voiding .
5. A 3 - day - postpartum breastfeeding woman is being assessed . Her breasts are firm and warm to the touch . When asked when she last fed
the baby her reply is , " I fed the baby last evening . I let the nurses feed him in the nursery last night . I needed to rest . " Which of the following
actions should the nurse take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman . ✔️1. Encourage the woman exclusively to breastfeed her baby .
A breast feeding mother has been educated on how to prevent engorgement.Which of the following actions proves the teaching was effective?
1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula . ✔️2. She feeds her baby every 2 to 3 hours .
,A 2-day post partum breastfeeeding mother states "i am so sick of being fat when can I go on a diet" which of the following responses is
appropriate?
1. " It is fine for you to start dieting right now as long as you drink plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to produce enough milk for your baby . "
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600 calories a day . " ✔️4. " Many mothers lose weight
when they breastfeed because the baby consumes about 600 calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous vaginal delivery , is assessed . The nurse notes that the fundus is firm at the
umbilicus , there is heavy lochia , and perineal sutures are intact . Which of the following actions should the nurse take at this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider . ✔️4. Notify the woman's primary health care provider .
9. A client informs the nurse that she intends to bottlefeed her baby . Which of the following actions should the nurse encourage the client to
perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day . ✔️4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from a bottlefeeding mother of a 3 - day - old . The client states that her breasts
are firm , red , and warm to the touch . Which of the following is the best action for the nurse to advise the client to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk suppressant . ✔️1. Intermittently apply ice packs to her axillae and breasts .
11. A multigravid , postpartum woman reports severe abdominal cramping whenever she nurses her infant . Which of the following responses
by the nurse is appropriate ?
1. Suggest that the woman bottlefeed for a few days .
2. Instruct the patient on how to massage her fundus .
3. Instruct the patient to feed using an alternate position .
4. Discuss the action of breastfeeding hormones . ✔️4. Discuss the action of breastfeeding hormones .
12. The nurse is caring for a breastfeeding mother who asks advice on foods that will provide both vitamin A and iron . Which of the following
should the nurse recommend ?
1. 1/2 cup raw celery dipped in 1 ounce cream cheese
2.8 ounce yogurt mixed with 1 medium banana .
3. 12 ounce strawberry milk shake .
4. 11/2 cup raw broccoli . ✔️4. 11/2 cup raw broccoli .
, 13. A breastfeeding mother states that she has sore nipples . In response to the complaint , the nurse assists with " latch on " and recommends
that the mother do which of the following ?
1. Use a nipple shield at each breastfeeding .
2. Cleanse the nipples with soap 3 times a day .
3. Rotate infant positions at each feed .
4. Bottle feed for 2 days then resume breastfeeding . ✔️3. Rotate infant positions at each feed .
14. Which of the following statements is true about breastfeeding mothers as compared to bottlefeeding mothers ?
1. Breastfeeding mothers usually involute completely by 3 weeks postpartum .
2. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life .
3. Breastfeeding mothers show higher levels of bone density after menopause .
4. Breastfeeding mothers are prone to fewer bouts of infection immediately postpartum . ✔️2. Breastfeeding mothers have decreased incidence
of diabetes mellitus later in life .
15. A breastfeeding woman , 11/2 months postdelivery , calls the nurse in the obstetrician's office and states , " I am very embarrassed but I
need help . Last night I had an orgasm when my husband and I were making love . You should have seen the milk . We were both soaking wet .
What is wrong with me ? " The nurse should base the response to the client on which of the following ?
1. The woman is exhibiting signs of pathological galactorrhea .
2. The same hormone stimulates orgasms and the milk ejection reflex .
3. The woman should have a serum galactosemia assessment done .
4. The baby is stimulating the woman to produce too much milk . ✔️2. The same hormone stimulates orgasms and the milk ejection reflex .
16. A client who is 3 days postpartum asks the nurse , " When may my husband and I begin having sexual relations again ? " The nurse should
encourage the couple to wait until after which of the following has occurred ?
1. The client has had her six - week postpartum check - up .
2. The episiotomy has healed and the lochia has stopped .
3. The lochia has turned to pink and the vagina is no longer tender .
4. The client has had her first postpartum menstrual period . ✔️1. The client has had her six - week postpartum check - up .
A breastfeeding client , 7 weeks postpartum , complains to an obstetrician's triage nurse that when she and her husband had intercourse for
the first time after the delivery , " I couldn't stand it . It was so painful . The doctor must have done something terrible to my vagina . " Which of
the following responses by the nurse is appropriate ?
1. " After a delivery the vagina is always very tender . It should feel better the next time you have intercourse .
" 2. " Does your baby have thrush ? If so , I bet you have a yeast infection in your vagina .
" 3. " Women who breastfeed often have vaginal dryness . A vaginal lubricant may remedy your discomfort .
" 4. " Sometimes the stitches of episiotomies heal too tight . Why don't you come in for an assessment ? " ✔️3. " Women who breastfeed often
have vaginal dryness . A vaginal lubricant may remedy your discomfort . "
18. The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early
postpartum period ?
1. Decreased urinary output .
2. Increased blood pressure .
3. Decreased blood volume .
