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2025 HESI MATERNITY OB EXAM LATEST
REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
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 blood 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 compared 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 28weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline 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 most 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 the 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 when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge 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 preparation 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
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which 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 provider for a fertility workup and a hysterosalpingography is scheduled. Which complaint would indicate 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 the 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 her 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
calculates the woman's next fertile period will be - CORRECT ANSWER C. January 30- 31 A client at 32-weeks gestation is hospitalized with severe pregnancyinduced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding would indicate that therapeutic drug level has been achieved? - CORRECT ANSWER C. a decrease in RR from 24 to 16. 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? - CORRECT ANSWER C. place the woman in a lateral position. A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide? - CORRECT ANSWER A. Come to the clinic today for an ultrasound. An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority? - CORRECT ANSWER D. Put the newborn to breast. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse. "Why must I stay in bed all the time?" Which response is the best for the nurse to provide this client? - CORRECT ANSWER A. Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is - CORRECT ANSWER C. a persistent cold The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern? - CORRECT ANSWER A. Edema, basilar rales, and an irregular pulse. A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? - CORRECT ANSWER A. Describe diet changes that can improve the management of her diabetes. A client receiving epidural anesthesia begins to experience nausea and become pale and clammy. What intention should the nurse implement first? - CORRECT ANSWER A. Raise the foot of the bed. The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based on this finding, which intervention should the nurse implement? - CORRECT ANSWER C. Encourage the mother to breast- feed frequently. A 35-year-old primagravida client with severe preeclampia is receiving magnesium sulfate via continuous IV infusion. Which assessment data would indicate to the nurse that the client is experiencing magnesium sulfate toxicity? - CORRECT ANSWER D. Urine output 90 ml/4 hours.
A 30-year old gravida 2. para 1 client is admitted to the hospital at 26weeks gestation in preterm labor. She is started on am IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of the drug? - CORRECT ANSWER B. maternal and fetal heart rates A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit? - CORRECT ANSWER A. choking, coughing, and cyanosis. The nurse attempts to help an unmarried teenager deal with her feelings following a spontaneous abortion at 8-weeks gestation. What type of emotional response should the nurser anticipate? - CORRECT ANSWER A. Grief related to her perceptions about the loss of this child. The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction should the nurse include as content int the class? - CORRECT ANSWER C. Feed your baby every 2 to 3 hours or on demand, whichever comes first. The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? - CORRECT ANSWER C. 3 vessels: 2 arteries and a vein. A new mother is afraid to touch her baby's head for fear of hurting the 'large soft spot." Which explanation should the nurse give to this anxious client? - CORRECT ANSWER D. There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb his/her hair.
which intervention should the nurse implement first? - CORRECT ANSWER C. obtain a specimen for urine analysis A client in active labor is admitted with preeclampsia. Which is assessment finding is most significant in planning this client's care? - CORRECT ANSWER A. Patellar reflex 4+ A 4-week old premature infant has been receiving epoetin alfa for the last 3 weeks. Which assessment finding indicated to the nurse that the drug is effective? - CORRECT ANSWER C. changes in apical heart rate from the 180s to the 140s The healthcare provider prescribes terbulatine (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition? - CORRECT ANSWER A. gestational diabetes A client with no prenatal care arrives at the labor unit screaming, "the baby is coming". The nurse performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What additional information is most important for the nurse to obtain? - CORRECT ANSWER C. date of last normal menstrual period. The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement? - CORRECT ANSWER C. monitor bleeding from IV sites.
immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 BPM and respirations of 20 BPM. What action should the nurse perform next? - CORRECT ANSWER A. initiate positive pressure ventilation. The nurse is preparing to give an enema to a laboring client. Which client would require the most caution when carrying out this procedure? - CORRECT ANSWER D. a 40-week primagravida who presents at 100% effacement, 3 cm dilation, and a - 1 station. The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, "What if I start having red bleeding after it changes?" What should the nurse instruct the client to do? - CORRECT ANSWER A. Reduce activity level and notify healthcare provider. One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse take immediately? - CORRECT ANSWER D. Call the healthcare provider to question the prescription. A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion? - CORRECT ANSWER C. epigastric pain A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first? - CORRECT ANSWER A. Bathe the infant with antimicrobial soap. A pregnant client tells the nurse that the first day of her LMP was 8/2/06. Based on Nagele's rule, what is the estimated date of delivery?
- CORRECT ANSWER B. 5/9/ Which action should the nurse implement when preparing to measure the fundal height of a pregnant client? - CORRECT ANSWER A. Have the client empty her bladder. A client who is in the 2nd trimester of pregnancy tells the nurse that she wants to use herbal therapy. Which response is best for the nurse to provide? - CORRECT ANSWER D. It is important that you want to take part in your care. The nurse is planning preconception care for a new female client. Which information should the nurse provide to the client? - CORRECT ANSWER D. Encourage healthy lifestyles for families during pregnancy. A primagravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain relief. Which assessment finding is most important to the nurse to report to the healthcare provider? - CORRECT ANSWER D. A platelet count of 67,000/mm3. A woman who gave birth 48 hours ago is bottle-feeding her infant. During assessment, the nurse determines that both breasts are swollen, warm, and tender upon palpation. What action should the nurse take? - CORRECT ANSWER A. apply cold compresses to both breasts for comfort.
A 30-year old multiparous woman who has a 3-y/o and a newborn tells the nurse,"My son is so jealous of my daughter. I don't know how I'll ever manage both children when I get home". How should the nurse respond? - CORRECT ANSWER D. "regression in behaviors in the older child is a typical reaction so he needs attention at this time". A 24-hour old newborn has pink papular rash with vesicles superimposed on the thorax, back, and abdomen. What action should the nurse implement? - CORRECT ANSWER C. Document the finding in the newborns record. The nurse observes a new mother is rooming in and caring for her newborn infant. What observation indicates the need for further teaching? - CORRECT ANSWER C. places the infant prone in the bassinet. When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select all that apply.) A. Mood swings. B. Panic attacks. C. Tearfulness. D. Decreased need for sleep. E. Disinterest in the infant. - CORRECT ANSWER A. mood swings C. tearfulness A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk of transmission of the disorder to the infant. The nurse's response should be based on what information?
- CORRECT ANSWER B. each pregnancy carries a 50% chance of inheriting the disorder.
A multigravida at 41-weeks gestation presents in the L & D after a NST indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the nurse prepare the client for additional information about eh fetal status? - CORRECT ANSWER A. a BPP While breastfeeding, a new mother strokes the top of her baby's head and asks the nurse about the baby's swollen scalp. The nurse responds that the swelling is caput succedaneum. Which additional information should the nurse provide this new mother? - CORRECT ANSWER D. the scalp edema will subside in a few days after birth. A client is admitted w/the diagnosis of total placenta previa. Which finding is is most important for the nurse to report to the healthcare provider immediately? - CORRECT ANSWER C. onset of uterine contractions A healthcare provider informs the charge nurse of L & D that a client is coming to the unit w/suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? - CORRECT ANSWER A. dark red vaginal bleeding D. increased uterine irritability. F. a rigid abdomen. A client with gestational hypertension is in active labor and receiving an infusion of mag sulfate. Which drug should the nurse have available for signs of potential toxicity? - CORRECT ANSWER B. calcium gluconate A 40-week gestation primigravida client is being induced with an oxytocin (Pitocin) secondary infusion and complains of pain in her lower
back. Which intervention should the nurse implement? - CORRECT ANSWER D. apply firm pressure to the sacral area. A 42-week gestational client is receiving an IV infusion of oxytocin (Pitocin) to augment early labor. The nurse should d/c the oxytocin infusion for which pattern of contractions? - CORRECT ANSWER A. transition labor with contraction every 2 min, lasting 90 seconds each. What action should the nurse implement to decrease the client's risk for hemorrhage after a C/S? - CORRECT ANSWER D. check the firmness of the uterus Q15 min. Which assessment finding should the nursery nurse report to the ped healthcare provider? - CORRECT ANSWER D. central cyanosis when crying The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the nurse report to the healthcare provider? - CORRECT ANSWER A. yellowish tinge to the skin A client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock. The nurse notes that both perineal pads are completely saturated and the client is lying in a 6-inch diameter pool of blood. Which action should the nurse implement next? - CORRECT ANSWER C. palpate the firmness of the fundus The nurse is calculating the EDC using Nagel's rule for a client whose LMP started on 12/1. Which date is most accurate? - CORRECT ANSWER D. 9/
a 30 y/o G2P1 client is admitted to the hospital at 26-weeks gestation in preterm labor. She is given a dose of terbulatine sulfate (Brethine) 0. mg subq. Which assessment is the highest priority for the nurse to monitor during the administration of this drug? - CORRECT ANSWER B. maternal and fetal HRs A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion? - CORRECT ANSWER A. 3 + DTRs and hyperclonus During labor, the nurse determines that a full-term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Arrange in order.) - CORRECT ANSWER 1. reposition the client
- increase IV fluid 3. Provide oxygen via face mask. Call the healthcare provider.
