HESI OB/ HESI PEDIATRICS/ HESI
MATERNITY EXAM |Version 4 | (55 Q & A)
|QUESTIONS AND VERIFIED ANSWERS|
2023/ 2024 New Update
1. A client at 32 weeks gestation presents with extreme abdominal tenderness and a small
amount of vaginal bleeding. Her blood pressure is 95/65 mmHg, respiratory rate is 24
breaths/ minute, and her heart rate is 116 beats/ minute. She is dizzy with cold clammy
skin. Which prescription has the highest priority?
~ Answer: Lactated Ringer's at 200 ml/hr using an 18-gauge needle.
2. The nurse is caring for a client following an emergency cesarean delivery under general
anesthesia. Which assessment finding, occurring in the first 8 hours after delivery, is most
critical and requires immediate intervention?
~ Answer: Uterine atony
3. A client at 40 weeks' gestation receives an anticholinergic, atropine 0.4 mg IM, as an
adjunct to inhalation anesthesia for a scheduled Cesarean delivery. Which finding should
the nurse identify as a therapeutic response to the injection?
~ Answer: Increase pulse and reduced oral secretions.
4. A client who is 12 weeks pregnant has type 1 diabetes mellitus. Which instruction should
the nurse provide related to insulin dosages?
~ Answer: Increases from 18 weeks to approximately 36 weeks of
gestation.
, 5. An oxytocin induction was started for a gravid client 6 hours ago. When assessing the
FHR on the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which
intervention should the nurse implement first?
~ Answer: Change the position of the client.
6. A one-week-old full-term infant is readmitted to the newborn nursery for
hyperbilirubinemia. Which supplies should the nurse gather in preparation for this infants
treatment plan?
~ Answer: Eye shield patches and an artificial light source for
phototherapy.
7. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an
epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3
cm cervical dilatation, 60% effacement, and a -2 station. What action should the nurse
implement first?
~ Answer: Determine current cervical dilation
8. A client whose labor is being augmented with an oxytocin infusion requests an epidural
for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm
cervical dilation, 60% effacement, and a -2 station. Which action should the nurse
implement first?
~ Answer: Determine current cervical dilation.
9. A postpartum client who is Rh negative refuses to receive Rho (D) immune globulin after
delivery of an infant who is Rh positive. Which information should the nurse provide to
this client?
MATERNITY EXAM |Version 4 | (55 Q & A)
|QUESTIONS AND VERIFIED ANSWERS|
2023/ 2024 New Update
1. A client at 32 weeks gestation presents with extreme abdominal tenderness and a small
amount of vaginal bleeding. Her blood pressure is 95/65 mmHg, respiratory rate is 24
breaths/ minute, and her heart rate is 116 beats/ minute. She is dizzy with cold clammy
skin. Which prescription has the highest priority?
~ Answer: Lactated Ringer's at 200 ml/hr using an 18-gauge needle.
2. The nurse is caring for a client following an emergency cesarean delivery under general
anesthesia. Which assessment finding, occurring in the first 8 hours after delivery, is most
critical and requires immediate intervention?
~ Answer: Uterine atony
3. A client at 40 weeks' gestation receives an anticholinergic, atropine 0.4 mg IM, as an
adjunct to inhalation anesthesia for a scheduled Cesarean delivery. Which finding should
the nurse identify as a therapeutic response to the injection?
~ Answer: Increase pulse and reduced oral secretions.
4. A client who is 12 weeks pregnant has type 1 diabetes mellitus. Which instruction should
the nurse provide related to insulin dosages?
~ Answer: Increases from 18 weeks to approximately 36 weeks of
gestation.
, 5. An oxytocin induction was started for a gravid client 6 hours ago. When assessing the
FHR on the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which
intervention should the nurse implement first?
~ Answer: Change the position of the client.
6. A one-week-old full-term infant is readmitted to the newborn nursery for
hyperbilirubinemia. Which supplies should the nurse gather in preparation for this infants
treatment plan?
~ Answer: Eye shield patches and an artificial light source for
phototherapy.
7. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an
epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3
cm cervical dilatation, 60% effacement, and a -2 station. What action should the nurse
implement first?
~ Answer: Determine current cervical dilation
8. A client whose labor is being augmented with an oxytocin infusion requests an epidural
for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm
cervical dilation, 60% effacement, and a -2 station. Which action should the nurse
implement first?
~ Answer: Determine current cervical dilation.
9. A postpartum client who is Rh negative refuses to receive Rho (D) immune globulin after
delivery of an infant who is Rh positive. Which information should the nurse provide to
this client?
