2024 HESI MATERNITY OB EXAM VERSION 3
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1. 1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.: a. Provide an opportunity for the
parents to hold their infant in privacy.
2. 2. What is the priority nursing assessment immediately following the birth
of an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.: a. Body temperature.
3. 3. What is the most important assessment for the nurse to conduct following
the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate: a. Maternal blood pressure.
4. 4. A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.: 75ml/hr
5. 5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is more important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.: c. Assess bilateral lung sounds.
6. 6. A mother of a 3-year-old boy has just given birth to a new baby girl. The
little boy asks the
nurse, <Why is my baby sister eating my mommy's breast?= How should the
nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice.: a. Explain that newborns get
milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
7. 7. The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be
used?
a. Place the infant in side-lying position to facilitate the exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
d. Place the infant in a warm room and use a calm approach.: d. Place the infant
in a warm room and use a calm approach.
8. 8. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
What maternal prescription is most important in preventing this fetus from
developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3.: a. Be-
tamethasone (Celestone) 12mg deep IM
9. 9. Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis
(DKA). Which action is most important for the nurse it include in the child's
plan of care?
a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
b. Determine the child's compliance schedule for subcutaneous NPH insulin
(Humulin N).
c. Demonstrate to parents how to program an insulin pen for daily glucose
regulation.
d. Consult with healthcare provider about use of insulin detemir (Levemir Flex
Pen).: a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
10. 10. A 3-month-old with myelomeningocele and atonic bladder is catheter-
ized every 4hrs to prevent
urinary retention. The home health nurse notes that the child has developed
Study online at https://quizlet.com/_fpg5k4
1. 1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist
the parents with the grieving process, which intervention is most important
for the nurse to implement?
a. Provide an opportunity for the parents to hold their infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling within the next few weeks.
d. Explain the possible causes of fetal demise.: a. Provide an opportunity for the
parents to hold their infant in privacy.
2. 2. What is the priority nursing assessment immediately following the birth
of an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.: a. Body temperature.
3. 3. What is the most important assessment for the nurse to conduct following
the administration of
epidural anesthesia to a client who is at 40-weeks gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate: a. Maternal blood pressure.
4. 4. A 34-week primigravida woman with preeclampsia is receiving Lactated
Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How
many ml/hr should the nurse program the infusion pump? (Enter numeric
value only.: 75ml/hr
5. 5. A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours.
Which intervention is more important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.: c. Assess bilateral lung sounds.
6. 6. A mother of a 3-year-old boy has just given birth to a new baby girl. The
little boy asks the
nurse, <Why is my baby sister eating my mommy's breast?= How should the
nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
, 2024 HESI MATERNITY OB EXAM VERSION 3
Study online at https://quizlet.com/_fpg5k4
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's choice.: a. Explain that newborns get
milk from their mothers in this way.
b. Reassure the older brother that is does not hurt his mother.
c. Remind him that his mother breastfed him too.
7. 7. The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be
used?
a. Place the infant in side-lying position to facilitate the exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
d. Place the infant in a warm room and use a calm approach.: d. Place the infant
in a warm room and use a calm approach.
8. 8. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
What maternal prescription is most important in preventing this fetus from
developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3.: a. Be-
tamethasone (Celestone) 12mg deep IM
9. 9. Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis
(DKA). Which action is most important for the nurse it include in the child's
plan of care?
a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
b. Determine the child's compliance schedule for subcutaneous NPH insulin
(Humulin N).
c. Demonstrate to parents how to program an insulin pen for daily glucose
regulation.
d. Consult with healthcare provider about use of insulin detemir (Levemir Flex
Pen).: a. Monitor serum glucose for adjustment in infusion rate of regular insulin
(Novolin R).
10. 10. A 3-month-old with myelomeningocele and atonic bladder is catheter-
ized every 4hrs to prevent
urinary retention. The home health nurse notes that the child has developed
