HESI OB MATERNITY EXAM QUESTIONS & ANSWERS LATEST UPDATE 2024/2025 GUARANTEED A+

1. 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 an alternate form of contraception until a new diaphragm is obtained 2. The nurse is preparing a young couple and their 24- hour-old infant for discharge from the hospital. In conducting discharge: - Evaluate infant feeding techniques prior to discharge 3. A 30-year-old primigravida delivers a 9-pound (4082 g) infant vaginally after a 30-hour labor. What is the priority nursing action for this client? - Gently massage fundus every 4 hours 4. A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should nurse implement? - Prepare for a cesarean section 5. At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action should the nurse take first? - Inform the anesthesia care provider 6. The nurse is caring for a postpartal client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist's arrival on the unit, which action will the nurse perform? - Place procedure equipment at bedside 7. The nurse is caring for a newborn who is 16 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 8. While assessing a 40 week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notes the amniotic fluid is meconium stained. Which additional finding is most important for the nurse to report to the healthcare provider? - Maternal blood pressure of 130/85 mmHg 9. 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 retraction. The nurse should recognize these findings indicate which complication? - Transient tachypnea of the newborn 10. 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. The nurse stops the oxytocin and starts oxygen. After 30 min. of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention should the nurse implement? - Restart oxytocin infusion rate per protocol