2024 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55
QUESTION
AND CORRECT ANSWERS |ALREADY GRADED A+
1. Client teaching is an important part of the maternity nurse's role. Which fac- tor has the greatest influence on
successful teaching of the gravid client?: A. The client's readiness to learn
2. A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that her
feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower
extremi- ties?: C. Move about every hour
3. During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared
with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have: B. lower birth weights
4. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously
stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate?: C.
Tachycardia and a feeling of nervousness
5. A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective to prevent nipple soreness?: C. correctly place the infant on the breast
6. A full term infant is transferred to the nursery from L & D. Which information is most important for the
nurse to receive when planning immediate care for the newborn?: B. Infant's condition at birth and treatment
received.
7. In developing a teaching plan for expectant parents, the nurse plans to include information about when the
parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the
normal newborn, the: D. anterior fontanel closes at 12-18 mos and the posterior fontanel by the end of the second
month.
8. When assessing a client who is 12-weeks gestation, the nurse recommends the she and her husband consider
attending childbirth preparation classes. What is the best time for the couple to attend these classes?: D. At 30
weeks gestation.
9. The nurse should encourage the laboring client to begin pushing when: C. the cervix is completely dilated
10.The nurse is counseling a couple who has sought information about con- ceiving. For teaching purposes, the
nurse should know that ovulation usually occurs: A. two weeks before menstruation.
11.The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of
tingling fingers and dizziness. What action should the nurse take?: C. have the client breath into her cupped hands
, 2024 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55
QUESTION
AND CORRECT ANSWERS |ALREADY GRADED A+
12.When preparing a newborn care for expectant parents, what content should the nurse teach concerning
the newborn infant born at term gesta- tion?: C. Vernix is a white, cheesy substance, predominately located in
the skin folds.
13.Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema
on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn variation known as: A. a cephalhematoma,
caused by forceps trauma and may last up to 8 weeks.
14.An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constantly
rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too much.
What recommendation should the nurse make to the expectant father?: D. Let him know that these behaviors are
part of normal maternal/fetal bonding which occurs once the mother feels fetal movement.
15.A new mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which
explanation will the nurse provide?: B. "your milk is sufficient if the baby is voiding pale straw-colored urine 6-10
times a day.
16.A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She
has a funny looking head". Which response by the nurse is the best?: C. That is normal, the head will return to a
round shape within 7-10 days.
17.A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which
nursing plan is best in assisting the mother
to bond with her newborn infant?: D. Meet the mother's physical needs and demonstrate warmth toward the infant.
18.A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider
for a fertility workup and a hysterosalpin- gography is scheduled. Which complaint would indicate to the nurse
that the woman's fallopian tubes are patent?: C. shoulder pain
19.Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?": A.
Lying prone with a pillow on the abdomen
20. Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time?: B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
21.On admission to the prenatal clinic, a 23-year-old woman tells the nurse that her last menstrual period
began on February 15, and that previously her periods were regular. Her pregnancy test is positive. This client's
expected date of delivery (EDD) is: A. November 22
QUESTION
AND CORRECT ANSWERS |ALREADY GRADED A+
1. Client teaching is an important part of the maternity nurse's role. Which fac- tor has the greatest influence on
successful teaching of the gravid client?: A. The client's readiness to learn
2. A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that her
feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower
extremi- ties?: C. Move about every hour
3. During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared
with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have: B. lower birth weights
4. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at
28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously
stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate?: C.
Tachycardia and a feeling of nervousness
5. A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective to prevent nipple soreness?: C. correctly place the infant on the breast
6. A full term infant is transferred to the nursery from L & D. Which information is most important for the
nurse to receive when planning immediate care for the newborn?: B. Infant's condition at birth and treatment
received.
7. In developing a teaching plan for expectant parents, the nurse plans to include information about when the
parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the
normal newborn, the: D. anterior fontanel closes at 12-18 mos and the posterior fontanel by the end of the second
month.
8. When assessing a client who is 12-weeks gestation, the nurse recommends the she and her husband consider
attending childbirth preparation classes. What is the best time for the couple to attend these classes?: D. At 30
weeks gestation.
9. The nurse should encourage the laboring client to begin pushing when: C. the cervix is completely dilated
10.The nurse is counseling a couple who has sought information about con- ceiving. For teaching purposes, the
nurse should know that ovulation usually occurs: A. two weeks before menstruation.
11.The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of
tingling fingers and dizziness. What action should the nurse take?: C. have the client breath into her cupped hands
, 2024 HESI MATERNITY OB EXAM VERSION 3 LATEST ALL 55
QUESTION
AND CORRECT ANSWERS |ALREADY GRADED A+
12.When preparing a newborn care for expectant parents, what content should the nurse teach concerning
the newborn infant born at term gesta- tion?: C. Vernix is a white, cheesy substance, predominately located in
the skin folds.
13.Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema
on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn variation known as: A. a cephalhematoma,
caused by forceps trauma and may last up to 8 weeks.
14.An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constantly
rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too much.
What recommendation should the nurse make to the expectant father?: D. Let him know that these behaviors are
part of normal maternal/fetal bonding which occurs once the mother feels fetal movement.
15.A new mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which
explanation will the nurse provide?: B. "your milk is sufficient if the baby is voiding pale straw-colored urine 6-10
times a day.
16.A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She
has a funny looking head". Which response by the nurse is the best?: C. That is normal, the head will return to a
round shape within 7-10 days.
17.A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which
nursing plan is best in assisting the mother
to bond with her newborn infant?: D. Meet the mother's physical needs and demonstrate warmth toward the infant.
18.A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider
for a fertility workup and a hysterosalpin- gography is scheduled. Which complaint would indicate to the nurse
that the woman's fallopian tubes are patent?: C. shoulder pain
19.Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?": A.
Lying prone with a pillow on the abdomen
20. Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time?: B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
21.On admission to the prenatal clinic, a 23-year-old woman tells the nurse that her last menstrual period
began on February 15, and that previously her periods were regular. Her pregnancy test is positive. This client's
expected date of delivery (EDD) is: A. November 22
