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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?
a) German measles
b) Herpes simplex virus
c) syphilis
d) genital warts
2. 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.
3. 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
4. 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
,5.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
6.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
7. 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
8. 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
, 9. 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
10. 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
11. 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
12. 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
13. 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
14. 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?
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?
a) German measles
b) Herpes simplex virus
c) syphilis
d) genital warts
2. 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.
3. 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
4. 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
,5.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
6.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
7. 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
8. 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
, 9. 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
10. 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
11. 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
12. 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
13. 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
14. 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?
