HESI OB MATERNITY2023-
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2024 /MATERNITYOBHESI 100 QUESTIONS AND C
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ORRECT DETAILEDANSWERS|ALREADY GRADE
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D A+
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Ajgravidaj3jparaj3jwhojisjRhjnegativejdeliversjajfulljinfantjatjhomejwithjassistancejofjajnursejmidwife.jTwojd
aysjlater,jthejclientjcallsjthejclinicjtojaskjifjitjisjnecessaryjtojseejthejhealthjcarejproviderjsincejthejinfantjisjhea
lthy,jandjshejisjnotjhavingjanyjcomplications.jThejwoman'sjhistoryjindicatesjthatjbothjpreviouslyjbornjinfan
tsjwerejRh-negative.
A. Thejnewborn'sjbloodjtypejshouldjbejtestedjtojdeterminejthejneedjforjRhoGAM
B. ItjisjlikelyjthatjthejhusbandjisjRh-negative,jandjifjsojRhoGam
C. RhoGamjinjectionsjmustjbejadministeredjwithinj24jhoursjafterjdeliveryj-jANSWER-
Thejnewborn'sjbloodjtypejshouldjbejtestedjtojdeterminejthejneedjforjRhoGAM
Ajnewborn'sjheadjcircumferencejisj12inchesjandjhisjchestjmeasurementjisj13jinches.jThejnursejnotesjthatj
thisjinfantjhasjnojmolding,jandjwasjajbreechjpresentationjdeliveredjbyjCesareanjsection.jWhatjactionjsho
uldjthejnursejtakejbasedjonjthesejdata?
A. Nojactionjneedjbejtaken.jItjisjnormaljforjanjinfantjbornjbyjCesareanjsectionjtojhavejajsmalljheadjcircu
mference.
B. Notifyjthejpediatricianjimmediately.jThesejfindingsjsupportjthejpossibilityjofjhydrocephalus.
C. Calljthesejfindingsjtojthejattentionjofjthejpediatrician.jThejhead/chestjratiojisjabnormal.
D. Recordjthejfindingsjonjthejchart.jTheyjarejwithinjnormaljlimits.j-jANSWER-
Calljthesejfindingsjtojthejattentionjofjthejpediatrician.jThejhead/chestjratiojisjabnormal
Ajwomanjinjherjthirdjtrimesterjofjpregnancyjhasjbeenjinjactivejlaborjforjthejpastj8jhoursjandjhasjdilatedj3c
m.jThejnurse'sjassessmentjfindingsjandjelectronicjfetaljmonitoring(EFM)jarejconsistentjwithjhypotonicjdy
stocia,jandjthejhealthcarejproviderjprescribedjandjoxytocinjdrip.jWhichjdatajisjmostjimportantjforjthejnur
sejtojmonitor?
A. Preparationjforjemergencyjcesareanjbirth.
B. Client'sjhourlyjbloodjpressure.
C. Checkingjthejperineumjforjbulging.
D. Intensity,jinterval,jandjlengthjofjcontractions.j-jANSWER-
Intensity,jinterval,jandjlengthjofjcontractions.
,Thejnursejisjpreparingjajyoungjcouplejandjtheirj24-hour-
oldjinfantjforjdischargejfromjthejhospital.jInjconductingjdischargejteaching,jwhichjinterventionjisjmostjim
portantjforjthejnursejtojimplement?
A. Ensurejthatjtheyjhavejthejpediatricjclinic'sjphonejnumber.
B. Providejthejresultsjofjthejinfant'sjhearingjtestjtojthejparents.
C. Requestjajreturnjdemonstrationjofjajdiaperjchange.
D. Evaluatejinfantjfeedingjtechniquejpriorjtojdischarge.j-jANSWER-
Evaluatejinfantjfeedingjtechniquejpriorjtojdischarge
Thejhealthcarejproviderjprescribesjzidovudinej100mgjpoj5xjdailyjforjajpregnantjwomanjwhojisjHIVjpositiv
e.jThejdrugjisjavailablejinjaj240mLjbottlejlabeled,j"50mg/5mL."jHowjmanyjmLjshouldjthejnursejadminister
?
A.j8.5
B.j8
C.j10.5
D.j10j-jANSWER-10
UsingjthejBallardjGestationaljAgejAssessmentjTool,jthejnursejdeterminesjthatjaj15-
minutejoldjinfantjhasjajgestationaljagejofj42-
weeks.jBasedjonjthisjfinding,jwhichjinterventionjisjmostjimportantjforjthejnursejtojimplement?
A. Providejblow-byjoxygen
B. Drawjarterialjbloodjgases
C. Obtainjajcapillaryjbloodjglucose
D. Applyjajpulsejoximeterjtojthejfootj-jANSWER-Obtainjajcapillaryjbloodjglucose
Thejnurse'sjassessmentjofjajpretermjinfantjrevealsjdecreasedjmusclejtone,jsignsjofjrespiratoryjdifficulty,ji
rritability,jandjmottled,jcooljskin.jWhichjinterventionjshouldjthejnursejimplementjfirst?
A. Assessjthejinfant'sjbloodjglucosejlevel.
B. Nipplejfeedj1ozj5%jglucosejinjwater.
C. Placejthejinfantjinjajside-lyingjposition.
D. Positionjajradiantjwarmerjoverjthejcrib.j-jANSWER-Positionjajradiantjwarmerjoverjthejcrib
, Ajclientjwhojisj32jweeksjgestationjarrivesjatjthejclinicjreportingjnauseajandjvomitingjforjthejpastj24jhour
s.jThejnursejreviewsjthejrecordsjandjobservesjtherejhasjbeenjajrapidjweightjgainjoverj6jweeks.jWhichjact
ionjshouldjthejnursejimplementjnext?
A. Askjforjaj24jhourjdietjrecall.
B. Obtainjajbloodjpressure.
C. Inspectjforjpedaljedema.
D. Listenjtojfetaljheartjrate.j-jANSWER-Obtainjajbloodjpressure
Thejnursejisjconductingjajhomejhealthjvisitjofjajclientjwhojdeliveredj3jweeksjagojandjisjformulajfeedingjthejin
fant.jWhichjobservationsjshouldjthejnursejfindjmostjconcerning?
A. Thejclientjnotesjinfantjfeedsjeveryj2-3jhoursjandjvoidsj5-6jtimesjperjday.
B. Thejclientjisjinjpajama'sjandjinfantjisjfreshlyjbathed.
C. Usedjbottlesjarejinjthejkitchenjandjinfantjisjinjajswing.
D. Thejclientsjeyesjarejredjfromjcryingjandjinfantjisjfussingjinjthejcrib.j-jANSWER-
Thejclientsjeyesjarejredjfromjcryingjandjinfantjisjfussingjinjthejcrib
Thejnursejisjcaringjforjajclientjwhosjisj10jweeksjgestationjandjpalpatesjthejfundusjatj2jfingerbreadthsjabovejt
hejpubicjsymphysis.jThejclientjreportsjnausea,jvomiting,jandjscantjdarkjbrownjvaginaljdischarge.jWhichjacti
onjshouldjthejnursejtake?
A. Measurejvitaljsigns.
B. Recommendjbedjrest.
C. Collectjurinejsamplejurinalysis.
D. Obtainjhumanjchronicjgonadotropinjlevels.j-jANSWER-Obtainjhumanjchronicjgonadotropinjlevels
Thejnursejisjprovidingjcarejforjajnewbornjwhojwasjdeliveredjvaginallyjassistedjbyjforceps.jThejnursejobse
rvesjredjmarksjonjthejheadjwithjswellingjthatjdoesjnotjcrossjthejsuturejline.jWhichjconditionjshouldjthejn
ursejdocumentsjinjthejmedicaljrecord?
AjCaputjsuccedaneumj
BjHydrocephalus
CjCephalhematoma
DjMicrocephalyj-jANSWER-Cephalhematoma
j j j
2024 /MATERNITYOBHESI 100 QUESTIONS AND C
j j j j j j j
ORRECT DETAILEDANSWERS|ALREADY GRADE
j j j
D A+
j
Ajgravidaj3jparaj3jwhojisjRhjnegativejdeliversjajfulljinfantjatjhomejwithjassistancejofjajnursejmidwife.jTwojd
aysjlater,jthejclientjcallsjthejclinicjtojaskjifjitjisjnecessaryjtojseejthejhealthjcarejproviderjsincejthejinfantjisjhea
lthy,jandjshejisjnotjhavingjanyjcomplications.jThejwoman'sjhistoryjindicatesjthatjbothjpreviouslyjbornjinfan
tsjwerejRh-negative.
A. Thejnewborn'sjbloodjtypejshouldjbejtestedjtojdeterminejthejneedjforjRhoGAM
B. ItjisjlikelyjthatjthejhusbandjisjRh-negative,jandjifjsojRhoGam
C. RhoGamjinjectionsjmustjbejadministeredjwithinj24jhoursjafterjdeliveryj-jANSWER-
Thejnewborn'sjbloodjtypejshouldjbejtestedjtojdeterminejthejneedjforjRhoGAM
Ajnewborn'sjheadjcircumferencejisj12inchesjandjhisjchestjmeasurementjisj13jinches.jThejnursejnotesjthatj
thisjinfantjhasjnojmolding,jandjwasjajbreechjpresentationjdeliveredjbyjCesareanjsection.jWhatjactionjsho
uldjthejnursejtakejbasedjonjthesejdata?
A. Nojactionjneedjbejtaken.jItjisjnormaljforjanjinfantjbornjbyjCesareanjsectionjtojhavejajsmalljheadjcircu
mference.
B. Notifyjthejpediatricianjimmediately.jThesejfindingsjsupportjthejpossibilityjofjhydrocephalus.
C. Calljthesejfindingsjtojthejattentionjofjthejpediatrician.jThejhead/chestjratiojisjabnormal.
D. Recordjthejfindingsjonjthejchart.jTheyjarejwithinjnormaljlimits.j-jANSWER-
Calljthesejfindingsjtojthejattentionjofjthejpediatrician.jThejhead/chestjratiojisjabnormal
Ajwomanjinjherjthirdjtrimesterjofjpregnancyjhasjbeenjinjactivejlaborjforjthejpastj8jhoursjandjhasjdilatedj3c
m.jThejnurse'sjassessmentjfindingsjandjelectronicjfetaljmonitoring(EFM)jarejconsistentjwithjhypotonicjdy
stocia,jandjthejhealthcarejproviderjprescribedjandjoxytocinjdrip.jWhichjdatajisjmostjimportantjforjthejnur
sejtojmonitor?
A. Preparationjforjemergencyjcesareanjbirth.
B. Client'sjhourlyjbloodjpressure.
C. Checkingjthejperineumjforjbulging.
D. Intensity,jinterval,jandjlengthjofjcontractions.j-jANSWER-
Intensity,jinterval,jandjlengthjofjcontractions.
,Thejnursejisjpreparingjajyoungjcouplejandjtheirj24-hour-
oldjinfantjforjdischargejfromjthejhospital.jInjconductingjdischargejteaching,jwhichjinterventionjisjmostjim
portantjforjthejnursejtojimplement?
A. Ensurejthatjtheyjhavejthejpediatricjclinic'sjphonejnumber.
B. Providejthejresultsjofjthejinfant'sjhearingjtestjtojthejparents.
C. Requestjajreturnjdemonstrationjofjajdiaperjchange.
D. Evaluatejinfantjfeedingjtechniquejpriorjtojdischarge.j-jANSWER-
Evaluatejinfantjfeedingjtechniquejpriorjtojdischarge
Thejhealthcarejproviderjprescribesjzidovudinej100mgjpoj5xjdailyjforjajpregnantjwomanjwhojisjHIVjpositiv
e.jThejdrugjisjavailablejinjaj240mLjbottlejlabeled,j"50mg/5mL."jHowjmanyjmLjshouldjthejnursejadminister
?
A.j8.5
B.j8
C.j10.5
D.j10j-jANSWER-10
UsingjthejBallardjGestationaljAgejAssessmentjTool,jthejnursejdeterminesjthatjaj15-
minutejoldjinfantjhasjajgestationaljagejofj42-
weeks.jBasedjonjthisjfinding,jwhichjinterventionjisjmostjimportantjforjthejnursejtojimplement?
A. Providejblow-byjoxygen
B. Drawjarterialjbloodjgases
C. Obtainjajcapillaryjbloodjglucose
D. Applyjajpulsejoximeterjtojthejfootj-jANSWER-Obtainjajcapillaryjbloodjglucose
Thejnurse'sjassessmentjofjajpretermjinfantjrevealsjdecreasedjmusclejtone,jsignsjofjrespiratoryjdifficulty,ji
rritability,jandjmottled,jcooljskin.jWhichjinterventionjshouldjthejnursejimplementjfirst?
A. Assessjthejinfant'sjbloodjglucosejlevel.
B. Nipplejfeedj1ozj5%jglucosejinjwater.
C. Placejthejinfantjinjajside-lyingjposition.
D. Positionjajradiantjwarmerjoverjthejcrib.j-jANSWER-Positionjajradiantjwarmerjoverjthejcrib
, Ajclientjwhojisj32jweeksjgestationjarrivesjatjthejclinicjreportingjnauseajandjvomitingjforjthejpastj24jhour
s.jThejnursejreviewsjthejrecordsjandjobservesjtherejhasjbeenjajrapidjweightjgainjoverj6jweeks.jWhichjact
ionjshouldjthejnursejimplementjnext?
A. Askjforjaj24jhourjdietjrecall.
B. Obtainjajbloodjpressure.
C. Inspectjforjpedaljedema.
D. Listenjtojfetaljheartjrate.j-jANSWER-Obtainjajbloodjpressure
Thejnursejisjconductingjajhomejhealthjvisitjofjajclientjwhojdeliveredj3jweeksjagojandjisjformulajfeedingjthejin
fant.jWhichjobservationsjshouldjthejnursejfindjmostjconcerning?
A. Thejclientjnotesjinfantjfeedsjeveryj2-3jhoursjandjvoidsj5-6jtimesjperjday.
B. Thejclientjisjinjpajama'sjandjinfantjisjfreshlyjbathed.
C. Usedjbottlesjarejinjthejkitchenjandjinfantjisjinjajswing.
D. Thejclientsjeyesjarejredjfromjcryingjandjinfantjisjfussingjinjthejcrib.j-jANSWER-
Thejclientsjeyesjarejredjfromjcryingjandjinfantjisjfussingjinjthejcrib
Thejnursejisjcaringjforjajclientjwhosjisj10jweeksjgestationjandjpalpatesjthejfundusjatj2jfingerbreadthsjabovejt
hejpubicjsymphysis.jThejclientjreportsjnausea,jvomiting,jandjscantjdarkjbrownjvaginaljdischarge.jWhichjacti
onjshouldjthejnursejtake?
A. Measurejvitaljsigns.
B. Recommendjbedjrest.
C. Collectjurinejsamplejurinalysis.
D. Obtainjhumanjchronicjgonadotropinjlevels.j-jANSWER-Obtainjhumanjchronicjgonadotropinjlevels
Thejnursejisjprovidingjcarejforjajnewbornjwhojwasjdeliveredjvaginallyjassistedjbyjforceps.jThejnursejobse
rvesjredjmarksjonjthejheadjwithjswellingjthatjdoesjnotjcrossjthejsuturejline.jWhichjconditionjshouldjthejn
ursejdocumentsjinjthejmedicaljrecord?
AjCaputjsuccedaneumj
BjHydrocephalus
CjCephalhematoma
DjMicrocephalyj-jANSWER-Cephalhematoma
