HESI OB MATERNITY EXAM 2024. QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE VERIFIED
SOLUTION. 100% CORRECT, 2024/2025.
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
herpes simplex virus
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?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained.
Use an alternate form of contraceptive until a new diaphragm is obtained.
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?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
Observe for signs of uterine hemorrhage.
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?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
Inform the anesthesia care provider
, 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?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.
Place procedure equipment at bedside
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?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia
Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse
observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting, and retractions.
The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
Transient tachypnea of the newborn
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 occurring 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 occurring every 5 minutes with 20 second duration. Which intervention should
the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
Restart oxytocin infusion rate per protocol
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 that the fetal heart rate is 140
beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment finding
confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
CORRECT ANSWERS, WITH COMPLETE VERIFIED
SOLUTION. 100% CORRECT, 2024/2025.
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
herpes simplex virus
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?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained.
Use an alternate form of contraceptive until a new diaphragm is obtained.
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?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension.
Observe for signs of uterine hemorrhage.
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?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.
Inform the anesthesia care provider
, 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?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.
Place procedure equipment at bedside
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?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia
Hypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse
observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting, and retractions.
The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.
Transient tachypnea of the newborn
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 occurring 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 occurring every 5 minutes with 20 second duration. Which intervention should
the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol.
Restart oxytocin infusion rate per protocol
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 that the fetal heart rate is 140
beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment finding
confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
