HESI OB MATERNITY – Most Questions
and
Answers from HESI test taken on Oct. 20th
2021 (VS1)
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
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?
and
Answers from HESI test taken on Oct. 20th
2021 (VS1)
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
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?
