2022 HESI Maternity OB Exam Version 2 Test Questions & Answers (A+ grade) 100% COMPLETE SOLUTIONS DOWNLOAD TO SCORE OUTSTANDING GRADE A

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?

1. German measles

2. herpes simplex virus

3. syphilis

4. genital warts

4. 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.

7. 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

9. 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

10. 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

11. 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

13. 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

14. A primipara client at 42 weeks gestation is admitted for induction. within one hour after

initiating an oxytocin infusion, her cervix is 100?facedand 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. A new mother asks the nurse about an area of swelling on her baby's head near the posterior

fontanel that lies across the suture line. How should the nurse respond?

"This is called caput succedaneum. It will absorb and cause no problems."

21. A client at 35 weeks gestation complains of a "pain whenever the baby moves." On

assessment, the nurse notes the client's temperature to be 101.2 F, with severe abdominal or

uterine tenderness on palpation. The nurse knows that these findings are indicative of what

condition?

Chorioamnionitis

22. An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who

delivered a 7-pound infant 12 hours ago is reporting a severe headache. The client's blood

pressure is 110/70 mm hg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and

temperature is 96.6F (37C). The client's fundus is firm and one fingerbreadth above the

umbilicus. Which action should the charge nurse implement first?

Notify the healthcare provider of the assessment findings

23. the nurse is preparing to administer phytonadione to a newborn. which statement made by

the parents indicates understanding why the nurse is administering this medication?

Prevent Hemorrhagic disorders

24. A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis

af eclampsia. She is not presently convulsing. Which intervention should the nurse plan to

include in this client's nursing care plan?

Keep an airway at the bedside