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Nu472 Hesi Obstetrics Maternity Questions
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
Practice Exam - 103 Questions
The nurse is counseling a client who wants to become pregnant. The client
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. Which date accurately reflects the
calculation of the client's next fertile period?
o January 14-15.
o January 22-23.
o January 30-31.
o February 6-7.
o January 30-31.
· This client can expect her next period to begin 36 days from the first day of her last
menstrual period. A menstrual cycle begins at the first day of the cycle and continues
to the first day of the next cycle, therefore if January 8 was the first day on her last
menstrual cycle, her next period would begin on February 13. Ovulation occurs 14
days before the first day of the menstrual period so this client would be ovulating on
January 30- 31.
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A multigravida client at 41-weeks gestation presents in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
o Biophysical profile (BPP).
o Ultrasound for fetal anomalies.
o Maternal serum alpha-fetoprotein (AF) screening.
o Percutaneous umbilical blood sampling (PUBS).
o Biophysical profile (BPP).
· A BPP (biophysical profile) provides data regarding fetal risk surveillance by
examining 5 areas: fetal breathing movements, fetal movements, amniotic fluid
volume, and fetal tone and heart rate. The client's gestation has progressed past the
estimated date of confinement, so the major concern is fetal well-being related to an
aging placenta, not screening for fetal anomalies.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each 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?
o Wear support stockings.
o Reduce salt in her diet.
o Move about every hour.
o Avoid constrictive clothing.
o Move about every hour.
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· Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
veins and increase venous return.
A pregnant client tells the nurse that the first day of her last menstrual period
was August 2, 2016. Based on Naegele’s rule, what is the estimated date of
delivery?
o April 25, 2017.
o May 9, 2017.
o May 29, 2017.
o June 2, 2017.
o May 9, 2017.
· Since this client's first day of her last normal menstrual period occurred on August
2, 2017, the estimated date of delivery is May 9, 2018. Nägele’s rule is used to
calculate the expected date of delivery and is obtained by subtracting 3 months and
adding 7 days beginning from the first day of the last normal menstrual period.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the
nurse implement first?
o Provide oral hydration.
o Have a complete blood count (CBC) drawn.
o Obtain a specimen for urine analysis.
o Place the client on strict bedrest.
o Obtain a specimen for urine analysis.
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· Obtaining a urine analysis should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection thus it
should be ruled out first.
The nurse should explain to a 30-year-old primigravida client that alpha
fetoprotein testing is recommended for which purpose?
o Detect cardiovascular disorders.
o Screen for neural tube defects.
o Monitor the placental functioning.
o Assess for maternal pre-eclampsia.
o Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule out neural tube
defects. Elevated AFP may indicate an increased risk of neural tube defects such as
anencephaly and spinal bifida.
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 X 1. What action should the nurse
take immediately?
o Give the medication as prescribed and monitor for efficacy.
o Encourage the client to breastfeed rather than bottle feed.
o Have the client empty her bladder and massage the fundus.
o Call the healthcare provider to question the prescription.
o Call the healthcare provider to question the prescription.
Nu472 Hesi Obstetrics Maternity Questions
Comprehensive 2026 Questions Exam Latest Version
Solved Questions & Answers Verified 100 %
Practice Exam - 103 Questions
The nurse is counseling a client who wants to become pregnant. The client
tells the nurse that she has a 36-day menstrual cycle and the first day of her
last menstrual period was January 8. Which date accurately reflects the
calculation of the client's next fertile period?
o January 14-15.
o January 22-23.
o January 30-31.
o February 6-7.
o January 30-31.
· This client can expect her next period to begin 36 days from the first day of her last
menstrual period. A menstrual cycle begins at the first day of the cycle and continues
to the first day of the next cycle, therefore if January 8 was the first day on her last
menstrual cycle, her next period would begin on February 13. Ovulation occurs 14
days before the first day of the menstrual period so this client would be ovulating on
January 30- 31.
, Page 2 of 52
A multigravida client at 41-weeks gestation presents in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some
difficulties in utero. Which diagnostic test should the nurse prepare the client
for additional information about fetal status?
o Biophysical profile (BPP).
o Ultrasound for fetal anomalies.
o Maternal serum alpha-fetoprotein (AF) screening.
o Percutaneous umbilical blood sampling (PUBS).
o Biophysical profile (BPP).
· A BPP (biophysical profile) provides data regarding fetal risk surveillance by
examining 5 areas: fetal breathing movements, fetal movements, amniotic fluid
volume, and fetal tone and heart rate. The client's gestation has progressed past the
estimated date of confinement, so the major concern is fetal well-being related to an
aging placenta, not screening for fetal anomalies.
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each 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?
o Wear support stockings.
o Reduce salt in her diet.
o Move about every hour.
o Avoid constrictive clothing.
o Move about every hour.
, Page 3 of 52
· Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
veins and increase venous return.
A pregnant client tells the nurse that the first day of her last menstrual period
was August 2, 2016. Based on Naegele’s rule, what is the estimated date of
delivery?
o April 25, 2017.
o May 9, 2017.
o May 29, 2017.
o June 2, 2017.
o May 9, 2017.
· Since this client's first day of her last normal menstrual period occurred on August
2, 2017, the estimated date of delivery is May 9, 2018. Nägele’s rule is used to
calculate the expected date of delivery and is obtained by subtracting 3 months and
adding 7 days beginning from the first day of the last normal menstrual period.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which intervention should the
nurse implement first?
o Provide oral hydration.
o Have a complete blood count (CBC) drawn.
o Obtain a specimen for urine analysis.
o Place the client on strict bedrest.
o Obtain a specimen for urine analysis.
, Page 4 of 52
· Obtaining a urine analysis should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection thus it
should be ruled out first.
The nurse should explain to a 30-year-old primigravida client that alpha
fetoprotein testing is recommended for which purpose?
o Detect cardiovascular disorders.
o Screen for neural tube defects.
o Monitor the placental functioning.
o Assess for maternal pre-eclampsia.
o Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule out neural tube
defects. Elevated AFP may indicate an increased risk of neural tube defects such as
anencephaly and spinal bifida.
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 X 1. What action should the nurse
take immediately?
o Give the medication as prescribed and monitor for efficacy.
o Encourage the client to breastfeed rather than bottle feed.
o Have the client empty her bladder and massage the fundus.
o Call the healthcare provider to question the prescription.
o Call the healthcare provider to question the prescription.
