lOMoAR cPSD|19500986
lOMoAR cPSD|19500986
2023 HESI MATERNITY OB EXAM VERSION 3
LATEST ALL 55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+ (SCORE
1292)
HESI
- A primipara has delivered a stillborn fetus at 30−weeks gestation. To assistthe parents with the
grieving process, which intervention is most important for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise. - What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord. - What isthe most important assessment for the nurse to conduct following the administration of
epidural anesthesia to a client who is at 40−weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate. - A 34−week primigravida woman with preeclampsia is receiving Lactated Ringer’s 500ml with
lOMoAR cPSD|19500986
magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the
infusion pump? (Enter numeric value only.) 75ml/hr
- A 6−year−old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is
more important for the nurse to implement?
a. Graph the daily weight
lOMoAR cPSD|19500986
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
lOMoAR cPSD|19500986
lOMoAR cPSD|19500986
2023 HESI MATERNITY OB EXAM VERSION
2 LATEST ALL 55 QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED
A+ (SCORE 1292)
1 The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse
observes red marks on the head with swelling that does not cross the suture line. Which condition
should the nurse documents in the medical record?
A Caput succedaneum
B Hydrocephalus
C Cephalhematoma
D Microcephaly
2 A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
lOMoAR cPSD|19500986
began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal bleeding.
lOMoAR cPSD|19500986
Fetal rate of 130 – 140 beats per minute, no contractions and no complaints of pain what is the most
likely cause of these client’s bleeding.
A Abruptio Placenta
B Placenta Previa
C Normal bloody show indicting induction of labor
D A ruptured blood vessel in the vaginal vault.
3 A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours.
Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital.
which assessment warrants immediate intervention by the nurse.
A Fetal Heart rate 60 beats per minute
B Ruptured amniotic membrane
C onset of uterine contractions
lOMoAR cPSD|19500986
2023 HESI MATERNITY OB EXAM VERSION 1
LATEST ALL 55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+ (SCORE 1292)
- 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? - German measles
- herpes simplex virus
- syphilis
- genital warts
lOMoAR cPSD|19500986
- 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?
Use alternative form of birth control until new diaphragm can be obtained. - 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?
Massage the fundus Q 4 hours - At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
Inform the anesthesia care provider - The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival
on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
- The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a
head circumference of 13 inches, and a chest circumference of 10 inches. Based on these
physical findings, assessment for which condition has the highest priority?
Hypoglycemia - the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago.
the nurse observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting,
and retractions. the nurse should recognize these finding indicate which complication?
- B – transient tachypnea of the newborn
lOMoAR cPSD|19500986
- A primipara client at 42 weeks gestation is admitted for induction. within one hour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are
occuring every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts
oxygen. after 30 minutes of uterine rest, the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse implement?
Restart the oxytocin per oxytocin protocol - A primigravida arrives at the observation unit of the maternity unit because she thinks she is
in labor. the nurse applies the external fetal heart monitor and determines she is not in labor.
What makes the nurse realize she is not in labor?
Contractions stop when the client is walking - A primigravida client with gestational hypertension and bishop score of 3 is scheduled for
induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions
with cervical changes at 0900 which action should the nurse take?
- Administer oxytocin 4 hours later
- A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an
effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin
20 units. The nurse should program the infusion pump to deliver how many ml/hr?
12 - The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the
fetus is delivered vaginally, the nurse implements routine demise protocol and identification
procedures. What action is most important for the nurse to take?
Encourage the mother to hold and spend time with her baby - Following a minor vehicle collision, a client 36 weeks gestation is brought to the
emergency center. She is lying supine on a backboard , is awake , denies any complaints. Her
blood pressure is 80/50 mm Hg and heart rate is 130 beats per min. What action should the
nurse implement first?
Turn the board sideways to displace the uterus lateral
lOMoAR cPSD|19500986
2023 HESI MATERNITY OB EXAM VERSION 1,2 &
3 LATEST EACH VERSION CONTAINS 55
QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+ (SCORE 1292)
VERSION 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? - German measles
- herpes simplex virus
- syphilis
- genital warts
lOMoAR cPSD|19500986
- 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?
Use alternative form of birth control until new diaphragm can be obtained. - 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?
Massage the fundus Q 4 hours - At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
Inform the anesthesia care provider - The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival
on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
- The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a
head circumference of 13 inches, and a chest circumference of 10 inches. Based on these
physical findings, assessment for which condition has the highest priority?
Hypoglycemia - the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago.
the nurse observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting,
and retractions. the nurse should recognize these finding indicate which complication?
- B – transient tachypnea of the newborn
lOMoAR cPSD|19500986
- A primipara client at 42 weeks gestation is admitted for induction. within one hour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are
occuring every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts
oxygen. after 30 minutes of uterine rest, the contractions are occuring every 5 minutes with 20
second duration. which intervention should the nurse implement?
Restart the oxytocin per oxytocin protocol - A primigravida arrives at the observation unit of the maternity unit because she thinks she is
in labor. the nurse applies the external fetal heart monitor and determines she is not in labor.
What makes the nurse realize she is not in labor?
Contractions stop when the client is walking - A primigravida client with gestational hypertension and bishop score of 3 is scheduled for
induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions
with cervical changes at 0900 which action should the nurse take?
- Administer oxytocin 4 hours later
- A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an
effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin
20 units. The nurse should program the infusion pump to deliver how many ml/hr?
12 - The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the
fetus is delivered vaginally, the nurse implements routine demise protocol and identification
procedures. What action is most important for the nurse to take?
Encourage the mother to hold and spend time with her baby - Following a minor vehicle collision, a client 36 weeks gestation is brought to the
emergency center. She is lying supine on a backboard , is awake , denies any complaints. Her
blood pressure is 80/50 mm Hg and heart rate is 130 beats per min. What action should the
nurse implement first?
Turn the board sideways to displace the uterus lateral