HESI OB Maternity V1 Verified Questions
and Answers
1. A 3 - day postpartum client , who is not immune to rubella , is to receive the vaccine at
discharge . Which of the following must the nurse include in her discharge teaching regarding
the vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1 week .
3. The mother must wear a surgical mask when she cares for the baby .
4. Passive antibodies transported across the placenta will protect the baby .
1. The woman should not become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive the rubella vaccine before
leaving the hospital . Which of the following rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the vaccine .
2. The client's immune system is highly responsive during the postpartum period .
3. The client's baby will be high risk for acquiring rubella if the woman does not receive the
vaccine . 4. The client's insurance company will pay for the shot if it is given during the
immediate postpartum period .
1. The client's obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now has a temperature of 100.2 °
F . Which of the following is the appropriate nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
,3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids .
4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client to perform which of the
following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after toileting .
2. Change the peripad at each voiding .
5. A 3 - day - postpartum breastfeeding woman is being assessed . Her breasts are firm and
warm to the touch . When asked when she last fed the baby her reply is , " I fed the baby last
evening . I let the nurses feed him in the nursery last night . I needed to rest . " Which of the
following actions should the nurse take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman .
1. Encourage the woman exclusively to breastfeed her baby .
A breast feeding mother has been educated on how to prevent engorgement. Which of the
following actions proves the teaching was effective?
,1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula .
2. She feeds her baby every 2 to 3 hours .
A 2-day post partum breastfeeding mother states "i am so sick of being fat when can I go on a
diet" which of the following responses is appropriate?
1. " It is fine for you to start dieting right now as long as you drink plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to produce enough milk for your baby .
"
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600
calories a day . "
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600
calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous vaginal delivery , is assessed .
The nurse notes that the fundus is firm at the umbilicus , there is heavy lochia , and perineal
sutures are intact . Which of the following actions should the nurse take at this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider .
4. Notify the woman's primary health care provider .
, 9. A client informs the nurse that she intends to bottle-feed her baby . Which of the following
actions should the nurse encourage the client to perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day .
4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother of a
3 - day - old . The client states that her breasts are firm , red , and warm to the touch . Which of
the following is the best action for the nurse to advise the client to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk suppressant .
1. Intermittently apply ice packs to her axillae and breasts .
11. A multigravid , postpartum woman reports severe abdominal cramping whenever she
nurses her infant . Which of the following responses by the nurse is appropriate ?
1. Suggest that the woman bottle-feed for a few days .
2. Instruct the patient on how to massage her fundus .
3. Instruct the patient to feed using an alternate position .
4. Discuss the action of breastfeeding hormones .
4. Discuss the action of breastfeeding hormones .
and Answers
1. A 3 - day postpartum client , who is not immune to rubella , is to receive the vaccine at
discharge . Which of the following must the nurse include in her discharge teaching regarding
the vaccine ?
1. The woman should not become pregnant for at least 4 weeks .
2. The woman should pump and dump her breast milk for 1 week .
3. The mother must wear a surgical mask when she cares for the baby .
4. Passive antibodies transported across the placenta will protect the baby .
1. The woman should not become pregnant for at least 4 weeks .
2. A 3 - day - postpartum client questions why she is to receive the rubella vaccine before
leaving the hospital . Which of the following rationales should guide the nurse's response ?
1. The client's obstetric status is optimal for receiving the vaccine .
2. The client's immune system is highly responsive during the postpartum period .
3. The client's baby will be high risk for acquiring rubella if the woman does not receive the
vaccine . 4. The client's insurance company will pay for the shot if it is given during the
immediate postpartum period .
1. The client's obstetric status is optimal for receiving the vaccine .
3. A patient , G2P1102 , who delivered her baby 8 hours ago , now has a temperature of 100.2 °
F . Which of the following is the appropriate nursing intervention at this time ?
1. Notify the doctor to get an order for acetaminophen .
2. Request an infectious disease consult from the doctor .
,3. Provide the woman with cool compresses .
4. Encourage intake of water and other fluids .
4. Encourage intake of water and other fluids .
4. To prevent infection , the nurse teaches the postpartum client to perform which of the
following tasks ?
1. Apply antibiotic ointment to the perineum daily .
2. Change the peripad at each voiding .
3. Void at least every two hours .
4. Spray the perineum with a povidone - iodine solution after toileting .
2. Change the peripad at each voiding .
5. A 3 - day - postpartum breastfeeding woman is being assessed . Her breasts are firm and
warm to the touch . When asked when she last fed the baby her reply is , " I fed the baby last
evening . I let the nurses feed him in the nursery last night . I needed to rest . " Which of the
following actions should the nurse take at this time ?
1. Encourage the woman exclusively to breastfeed her baby .
2. Have the woman massage her breasts hourly.
3.Obtain order to culture her expressed breast milk .
'4. Take the temperature and pulse rate of the woman .
1. Encourage the woman exclusively to breastfeed her baby .
A breast feeding mother has been educated on how to prevent engorgement. Which of the
following actions proves the teaching was effective?
,1. She pumps her breasts after each feeding .
2. She feeds her baby every 2 to 3 hours .
3. She feeds her baby 10 minutes on each side .
4. She supplements each feeding with formula .
2. She feeds her baby every 2 to 3 hours .
A 2-day post partum breastfeeding mother states "i am so sick of being fat when can I go on a
diet" which of the following responses is appropriate?
1. " It is fine for you to start dieting right now as long as you drink plenty of milk .
" 2. " Your breast milk will be low in vitamins if you start to diet while breastfeeding .
" 3. " You must eat at least 3000 calories per day in order to produce enough milk for your baby .
"
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600
calories a day . "
4. " Many mothers lose weight when they breastfeed because the baby consumes about 600
calories a day . "
8. A G2P2002 , who is postpartum 6 hours from a spontaneous vaginal delivery , is assessed .
The nurse notes that the fundus is firm at the umbilicus , there is heavy lochia , and perineal
sutures are intact . Which of the following actions should the nurse take at this time ?
1. Do nothing . This is a normal finding .
2. Massage the woman's fundus .
3. Take the woman to the bathroom to void .
4. Notify the woman's primary health care provider .
4. Notify the woman's primary health care provider .
, 9. A client informs the nurse that she intends to bottle-feed her baby . Which of the following
actions should the nurse encourage the client to perform ?
1. Increase her fluid intake for a few days .
2. Massage her breasts every 4 hours .
3. Apply heat packs to her axillae .
4. Wear a supportive bra 24 hours a day .
4. Wear a supportive bra 24 hours a day .
10. The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother of a
3 - day - old . The client states that her breasts are firm , red , and warm to the touch . Which of
the following is the best action for the nurse to advise the client to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples every 3 hours .
3. Express milk from the breasts every 3 hours .
4. Ask the primary health care provider to order a milk suppressant .
1. Intermittently apply ice packs to her axillae and breasts .
11. A multigravid , postpartum woman reports severe abdominal cramping whenever she
nurses her infant . Which of the following responses by the nurse is appropriate ?
1. Suggest that the woman bottle-feed for a few days .
2. Instruct the patient on how to massage her fundus .
3. Instruct the patient to feed using an alternate position .
4. Discuss the action of breastfeeding hormones .
4. Discuss the action of breastfeeding hormones .
