HESI OB MATERNITY VERSION 1 (A Grade),
HESI OB MATERNITY VERSION 1 (A Grade),
Latest Questions and Answers with Explanations, All
Correct Study Guide, Download to Score A
1. A breastfeeding woman, 11⁄2 months postdelivery, calls the nurse in the obstetrician’s office and states, “I am
very embarrassed but I need help. Last night I had an orgasm when my husband and I were making love. You
should have seen the milk. We were both soaking wet. What is wrong with me?” The nurse should base the
response to the client on which of the following?
1. The woman is exhibiting signs of pathological galactorrhea.
2. The same hormone stimulates orgasms and the milk ejection reflex.
3. The woman should have a serum galactosemia assessment done.
4. The baby is stimulating the woman to produce too much milk.
2. A client who is 3 days postpartum asks the nurse, “When may my husband and I begin having sexual
relations again?” The nurse should encourage the couple to wait until after which of the following has
occurred?
1. The client has had her six-week postpartum check-up.
2. The episiotomy has healed and the lochia has stopped.
3. The lochia has turned to pink and the vagina is no longer tender.
4. The client has had her first postpartum menstrual period.
3. A breastfeeding client, 7 weeks postpartum, complains to an obstetrician’s triage nurse that when she
,HESI OB MATERNITY VERSION 1 (A Grade),
andher husband had intercourse for the first time after the delivery, “I couldn’t stand it. It was so painful. The
doctor must have done something terrible to my vagina.” Which of the following responses by the nurse is
appropriate?
1. “After a delivery the vagina is always very tender. It should feel better the next time you have intercourse.”
,HESI OB MATERNITY VERSION 1 (A Grade),
2. “Does your baby have thrush? If so, I bet you have a yeast infection in your vagina.”
3. “Women who breastfeed often have vaginal dryness. A vaginal lubricant may remedy your discomfort.”
4. “Sometimes the stitches of episiotomies heal too tight. Why don’t you come in for an assessment?”
4. The nurse monitors his or her postpartum clients carefully because which of the following
physiological changes occurs during the early postpartum period?
1. Decreased urinary output.
2. Increased blood pressure.
3. Decreased blood volume.
4. Increased estrogen level.
5. A woman, 24 hours postpartum, is complaining of profuse diaphoresis. She has no other complaints.
Which of the following actions by the nurse is appropriate?
1. Take the woman’s temperature.
2. Advise the woman to decrease her fluid intake.
3. Reassure the woman that this is normal.
4. Inform the neonate’s pediatrician.
6. Which of the following laboratory values would the nurse expect to see in a normal postpartum woman?
1. Hematocrit 39%.
2. White blood cell count 16,000 cells/mm3.
3. Red blood cell count 5 million cells/mm3.
, HESI OB MATERNITY VERSION 1 (A Grade),
4. Hemoglobin 15 grams/dL.
5. Which of the following client statements indicates a need for additional teaching about selfcare during
HESI OB MATERNITY VERSION 1 (A Grade),
Latest Questions and Answers with Explanations, All
Correct Study Guide, Download to Score A
1. A breastfeeding woman, 11⁄2 months postdelivery, calls the nurse in the obstetrician’s office and states, “I am
very embarrassed but I need help. Last night I had an orgasm when my husband and I were making love. You
should have seen the milk. We were both soaking wet. What is wrong with me?” The nurse should base the
response to the client on which of the following?
1. The woman is exhibiting signs of pathological galactorrhea.
2. The same hormone stimulates orgasms and the milk ejection reflex.
3. The woman should have a serum galactosemia assessment done.
4. The baby is stimulating the woman to produce too much milk.
2. A client who is 3 days postpartum asks the nurse, “When may my husband and I begin having sexual
relations again?” The nurse should encourage the couple to wait until after which of the following has
occurred?
1. The client has had her six-week postpartum check-up.
2. The episiotomy has healed and the lochia has stopped.
3. The lochia has turned to pink and the vagina is no longer tender.
4. The client has had her first postpartum menstrual period.
3. A breastfeeding client, 7 weeks postpartum, complains to an obstetrician’s triage nurse that when she
,HESI OB MATERNITY VERSION 1 (A Grade),
andher husband had intercourse for the first time after the delivery, “I couldn’t stand it. It was so painful. The
doctor must have done something terrible to my vagina.” Which of the following responses by the nurse is
appropriate?
1. “After a delivery the vagina is always very tender. It should feel better the next time you have intercourse.”
,HESI OB MATERNITY VERSION 1 (A Grade),
2. “Does your baby have thrush? If so, I bet you have a yeast infection in your vagina.”
3. “Women who breastfeed often have vaginal dryness. A vaginal lubricant may remedy your discomfort.”
4. “Sometimes the stitches of episiotomies heal too tight. Why don’t you come in for an assessment?”
4. The nurse monitors his or her postpartum clients carefully because which of the following
physiological changes occurs during the early postpartum period?
1. Decreased urinary output.
2. Increased blood pressure.
3. Decreased blood volume.
4. Increased estrogen level.
5. A woman, 24 hours postpartum, is complaining of profuse diaphoresis. She has no other complaints.
Which of the following actions by the nurse is appropriate?
1. Take the woman’s temperature.
2. Advise the woman to decrease her fluid intake.
3. Reassure the woman that this is normal.
4. Inform the neonate’s pediatrician.
6. Which of the following laboratory values would the nurse expect to see in a normal postpartum woman?
1. Hematocrit 39%.
2. White blood cell count 16,000 cells/mm3.
3. Red blood cell count 5 million cells/mm3.
, HESI OB MATERNITY VERSION 1 (A Grade),
4. Hemoglobin 15 grams/dL.
5. Which of the following client statements indicates a need for additional teaching about selfcare during
