2022 HESI OB MATERNITY

V1 Most Questions & Answers

(and screenshots included – received a A+)

from HESI test taken on

March 7 2022 th

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

25. a pregnant client presents to the antepartal clinic complaining of brownish vaginal bleeding. the nurse notes a greatly enlarged uterus and is complaining of severe nausea. the client reports

that period was about 2 and a half months ago vital signs are temperature 98.7 based on these

findings what laboratory value should the nurse review?

HcG values

28. A women who is 38-weeks gestation is receiving magnesium sulfate for severe preeclampsia. Which assessment finding warrants immediate intervention from the nurse ?

Sinus Tachycardia

30. the nurse notes on the fetal monitor that laboring client has a variable deceleration. which

action should the nurse implement first

Change the clients position

31. An ambulatory client at 39 weeks gestation presents to the emergency center with an

obvious injury to her arm that occurred as a result of a fall Which concurrent symptom is a priority for the nurse?

32. a newborn's assessment reveals spina bifida occulta which maternal factor should the nurse

identify as having the greatest impact on the development of this Folic Acid Deficiency

34. Upon admission to the nursery, the nurse places a newborn supine under radiant warmer , an

external heat source. What should the nurse implement first to ensure safe thermoregulation?

Place temperature probe on the abdomen in the line with the radiant heat source

38. At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client?

Early postpartum, within 72 hours of delivery.

39. A woman who is trying to get pregnant tells the nurse that she was very disappointed

several months ago when she was informed that her positive pregnancy test was a false positive. which method of provides the greatest degree of accuracy?

Visualization of implantation by vaginal ultrasound

42. The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at

highest risk for psychological difficulties during the postpartum period?

A primiparous woman who has recently immigrated with her spouse.

44. A new mother who is breastfeeding her 4 week old infant has type 1 diabetes, reports that

her insulin needs have decreased after the birth of her child. What action should the nurse

implement?

Inform her that a decreased need for insulin occurs while breastfeeding

49. A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the

assistance of a nurse-midwife. Two days later, the client calls the clinic to ask if it is necessary

to see the healthcare provider since the infant is healthy, and she is not having any

complications. The woman's history indicates that both previously born infants were Rh- negative. Which response should the nurse provide?

The newborn's blood type should be tested to determine the need for RhoGAM

50. A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13

inches (33cm). The nurse notes that this infant has no molding, and was at breech presentation

delivery by c section. What action should the nurse take based on these data?

Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal

51. a woman in her third trimester of pregnancy has been in active labor for the past 8 hours and

has dilated 3 cm. the nurse's assessment findings and electronic fetal monitoring are consistent with hypotonic dystocia the healthcare provider prescribes an oxytocin drip. which data is most

important for the nurse to monitor?

Intensity, interval, and length of contractions

2023 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+ (SCORE 1292)