@PROFDOCDIGITALLIBRARIES
2025 HESI MATERNITY OB EXAM VERSION 2
1. 1. The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps.
The nurseobserves red marks on the head with swelling that does not cross
the suture line.
Which condition should the nurse documents in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly: C. Cephalhematoma
2. 2. A client at 34 weeks gestation comes to the birthing center complaining
PR
of vaginal bleedingthat began one hour ago. The nurse assessment reveals
approximately 30ML of bright redvaginal bleeding. Fetal rate of 130 - 140
beats per minute, no contractions and no complaints of pain what is the
most likely cause of these client's bleeding.
O
A Abruptio Placenta
B. Placenta Previa
FD
C. Normal bloody show indicting induction of labor
D. A ruptured blood vessel in the vaginal vault.: B. Placenta Previa
3. 3. A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours. Concerned she arrives in a panic at the obstetric clinic
O
where she is immediately sent to the hospital. which assessment warrants
immediate intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
C
B. Ruptured amniotic membrane
C. onset of uterine contractions
D. leaking amniotic fluid.: A. Fetal Heart rate 60 beats per minute
4. 4. A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutesthe nurse observes several shallow small
vesicles on her pubis labia andperineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles: C. Herpes Simplex Virus
, @PROFDOCDIGITALLIBRARIES
5. 5. The nurse is planning care for a client at 30 weeks gestation who is
experiencing preterm labor which maternity prescription is most important in
preventing this fetus from developing respiratory distress syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D. Butorphanol tartrate 1mg IV push q2h PRN.: B. Betamethasone 12 mg deep
IM
6. 6. A 16 year old gravida 1 para 0 client has just been admitted to the hospital
with a diagnosis of eclampsia. She's not presently convulsing. Which
intervention should the nurse plan to include in this client's nursing care
plan?
PR
A Allow liberal family visitation
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and respiration every 4 hours.: B. Keep an
O
airway at the bedside
7. 7. At 12 hours after the birth of a healthy infant the mother complains of
FD
feeling constant vaginal pressure. The nurse determines the fundus is firm
and at midline with moderate rubra lochia. which action should nurse take?
A Check the suprapubic area for distention.
B. Inform the client to take a warm sitz bath
O
C. Inspect clients perineal and rectal areas
D. Apply a fresh pad and check in 1 hour.: C. Inspect clients perineal and rectal
C
areas
8. 8. If primigravida at 36 weeks gestation who is RH negative experienced
abdominal trauma ina motor vehicle collision. Which assessment finding
is most important for the nurse to report to the health care provider?
A Fetal heart rate at 162 beats /minute
B. Mild contractions every 10 minutes.
C. Trace of protein in the urine
D. Positive fetal hemoglobin testing: B. Mild contractions every 10 minutes.
9. 9. In The Ballard Gestational Age Assessment Tool, the nurse determines
that a 15-month-old infant as a gestational age of 42 weeks. Based on this
finding which intervention is most important for the nurse to implement.
2025 HESI MATERNITY OB EXAM VERSION 2
1. 1. The nurse is providing care for a newborn who was delivered vaginally
assisted by forceps.
The nurseobserves red marks on the head with swelling that does not cross
the suture line.
Which condition should the nurse documents in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly: C. Cephalhematoma
2. 2. A client at 34 weeks gestation comes to the birthing center complaining
PR
of vaginal bleedingthat began one hour ago. The nurse assessment reveals
approximately 30ML of bright redvaginal bleeding. Fetal rate of 130 - 140
beats per minute, no contractions and no complaints of pain what is the
most likely cause of these client's bleeding.
O
A Abruptio Placenta
B. Placenta Previa
FD
C. Normal bloody show indicting induction of labor
D. A ruptured blood vessel in the vaginal vault.: B. Placenta Previa
3. 3. A client at 30 weeks gestation reports that she has not felt the baby move
in the last 24 hours. Concerned she arrives in a panic at the obstetric clinic
O
where she is immediately sent to the hospital. which assessment warrants
immediate intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
C
B. Ruptured amniotic membrane
C. onset of uterine contractions
D. leaking amniotic fluid.: A. Fetal Heart rate 60 beats per minute
4. 4. A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutesthe nurse observes several shallow small
vesicles on her pubis labia andperineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles: C. Herpes Simplex Virus
, @PROFDOCDIGITALLIBRARIES
5. 5. The nurse is planning care for a client at 30 weeks gestation who is
experiencing preterm labor which maternity prescription is most important in
preventing this fetus from developing respiratory distress syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D. Butorphanol tartrate 1mg IV push q2h PRN.: B. Betamethasone 12 mg deep
IM
6. 6. A 16 year old gravida 1 para 0 client has just been admitted to the hospital
with a diagnosis of eclampsia. She's not presently convulsing. Which
intervention should the nurse plan to include in this client's nursing care
plan?
PR
A Allow liberal family visitation
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and respiration every 4 hours.: B. Keep an
O
airway at the bedside
7. 7. At 12 hours after the birth of a healthy infant the mother complains of
FD
feeling constant vaginal pressure. The nurse determines the fundus is firm
and at midline with moderate rubra lochia. which action should nurse take?
A Check the suprapubic area for distention.
B. Inform the client to take a warm sitz bath
O
C. Inspect clients perineal and rectal areas
D. Apply a fresh pad and check in 1 hour.: C. Inspect clients perineal and rectal
C
areas
8. 8. If primigravida at 36 weeks gestation who is RH negative experienced
abdominal trauma ina motor vehicle collision. Which assessment finding
is most important for the nurse to report to the health care provider?
A Fetal heart rate at 162 beats /minute
B. Mild contractions every 10 minutes.
C. Trace of protein in the urine
D. Positive fetal hemoglobin testing: B. Mild contractions every 10 minutes.
9. 9. In The Ballard Gestational Age Assessment Tool, the nurse determines
that a 15-month-old infant as a gestational age of 42 weeks. Based on this
finding which intervention is most important for the nurse to implement.
