HESI OB MATERNITY
V1 MOST QUESTIONS & ANSWERS
(AND SCREENSHOTS INCLUDED )
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% 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
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
V1 MOST QUESTIONS & ANSWERS
(AND SCREENSHOTS INCLUDED )
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% 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
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
