HESI OB MATERNAL EXAM TEST
BANK 2025 | ACCURATE
COLLECTION OF EXAM
QUESTIONS WITH CORRECT
VERIFIED ANSWERS ||ALREADY
GRADED A+|| GUARANTEED PASS
<BRAND NEW VERSION>
When does the anterior fontanel close? - ANSWER 12-18 months
When does the posterior fontanel close? - ANSWER End of second
month
Why is erythromycin indicated 2 hours post-delivery of a newborn? -
ANSWER Prevent opthalmia neonatorum which is an eye infection
caused by gonorrhea and conjunctivitis which is an infection caused by
chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray.
What should the nurse do? - ANSWER Call HCP immediately. Practice
of pica will displace nutrients. Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small
amount of bright red blood with no uterine contractions, but is not
bleeding anymore. What may this possibly be? - ANSWER Placenta
previa
Is bleeding a small amount of bright red blood life-threatening to the
fetus? - ANSWER It is not at risk for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions
indicate? - ANSWER Abruptio placenta
,When is child-birth class recommended? - ANSWER 30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs
a day do to minimize the swelling? - ANSWER Move around every hour
What is important to do for an amniotomy? - ANSWER Monitor FHR
before, during, and after procedure. The fluid should also be assessed for
color, odor, and consistency.
When is an amniotomy indicated? - ANSWER (artificial rupture of
membranes [AROM]) is used to stimulate labor when the condition of the
cervix is favorable
How often should maternal blood pressure be done during an amniotomy?
- ANSWER Maternal BP should be assessed every 15 to 20 minutes
during labor
Why is maternal temperature important to monitor after an amniotomy? -
ANSWER Maternal temperature is monitored hourly after the membranes
are ruptured to detect development of amnionitis.
What position does the Pavlik harness put infants with developmental
dysplasia of the hip stay in? - ANSWER The Pavlik harness keeps the
infant in an abducted position allowing the hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER If
jaundice is present less than 24 hours of delivery, it may indicate excess
bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER Stop
labor contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER
Tachycardia and nervousness along with increased CO, restlessness, and
headache
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER No,
alcohol is excreted through breast milk.
, Laboring client is doing accelerated blow breathing and states that she is
feeling tingling in her fingers and dizziness. What should the nurse do? -
ANSWER Have the pt breathe into her cupped hands. She is
hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANSWER 14 days before first day of
menstrual period
What is the goal for labor augmentation (administration of
Oxytocin/pitocin) - ANSWER produce firm contractions that occur every
2 to 3 minutes, with a duration of 60 to 70 seconds, and without evidence
of fetal stress.
Is it normal for FHR to increase during contractions and return to
baseline? - ANSWER Yes it is normal for FHR to increase, but this is
indicative to increase the pitocin infusion to stimulate the intensity and
frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER -
Place a wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy?
- ANSWER Signs of preeclampsia--heartburn not relieved by antacids
and chronic headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER -Increase in
fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER White pinpoint spots found on the nose and chin that
represent blockage of sebaceous glands
Meconium - ANSWER First stool that is tarry black
Is pseudostrabismus normal in a newborn? - ANSWER
Pseudostrabismus is normal until about the 3rd or 4th month. It does not
require surgery
A baby is born with an abnormal headshape. How long should it take for
it to possibly return to normal? - ANSWER It will take 7-10 days for the
head to return to a round shape.
, Cephalhematoma - ANSWER Localized swelling that occurs from
forcep trauma between periosteum and skull
At what time after delivery is a cephalhematoma most likely? -
ANSWER Within the first 24 hours of delivery
Molding - ANSWER Occurs when there is too much pressure on the
cranium during vaginal delivery. It is common variation and will last
about 5-7 days
Can a subarachoid or subdural hematoma be observed from a physical
assessment? - ANSWER No, these types of hematomas will require
further assessment
Signs of hypoglycemia in a newborn - ANSWER -Shaking during moro
reflex assessment
-Hypothermia
-Lethargy
What is a key characteristic of an infant whose mother smoked during
pregnancy? - ANSWER Low birth weight
Nagele's Rule - ANSWER Obtain LMP
Subtract 3 months and at 7 days
Umbilical cord care at home:care - ANSWER Allow to air-dry as much
as possible
Is it recommended to take a warm shower after breastfeeding? -
ANSWER Not recommended because warm water will stimulate the
production of breast milk. It will be more painful.
What is mastitis? - ANSWER Plugged milk ducts r/t breast engorgement
What should be told to the breast-feeding mother with mastitis? -
ANSWER It is ok to breastfeed to reduce the engorgement and reduce the
inflammation
The blood pressure of a pt in labor drops from 120/80 to 90/60. What
should the nurse do? - ANSWER 1. Get the pt in a lateral position by
placing a pillow or wedge under one hip to deflect the uterus.
2. Increase rate of Iv infusion
BANK 2025 | ACCURATE
COLLECTION OF EXAM
QUESTIONS WITH CORRECT
VERIFIED ANSWERS ||ALREADY
GRADED A+|| GUARANTEED PASS
<BRAND NEW VERSION>
When does the anterior fontanel close? - ANSWER 12-18 months
When does the posterior fontanel close? - ANSWER End of second
month
Why is erythromycin indicated 2 hours post-delivery of a newborn? -
ANSWER Prevent opthalmia neonatorum which is an eye infection
caused by gonorrhea and conjunctivitis which is an infection caused by
chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray.
What should the nurse do? - ANSWER Call HCP immediately. Practice
of pica will displace nutrients. Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small
amount of bright red blood with no uterine contractions, but is not
bleeding anymore. What may this possibly be? - ANSWER Placenta
previa
Is bleeding a small amount of bright red blood life-threatening to the
fetus? - ANSWER It is not at risk for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions
indicate? - ANSWER Abruptio placenta
,When is child-birth class recommended? - ANSWER 30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs
a day do to minimize the swelling? - ANSWER Move around every hour
What is important to do for an amniotomy? - ANSWER Monitor FHR
before, during, and after procedure. The fluid should also be assessed for
color, odor, and consistency.
When is an amniotomy indicated? - ANSWER (artificial rupture of
membranes [AROM]) is used to stimulate labor when the condition of the
cervix is favorable
How often should maternal blood pressure be done during an amniotomy?
- ANSWER Maternal BP should be assessed every 15 to 20 minutes
during labor
Why is maternal temperature important to monitor after an amniotomy? -
ANSWER Maternal temperature is monitored hourly after the membranes
are ruptured to detect development of amnionitis.
What position does the Pavlik harness put infants with developmental
dysplasia of the hip stay in? - ANSWER The Pavlik harness keeps the
infant in an abducted position allowing the hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER If
jaundice is present less than 24 hours of delivery, it may indicate excess
bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER Stop
labor contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER
Tachycardia and nervousness along with increased CO, restlessness, and
headache
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER No,
alcohol is excreted through breast milk.
, Laboring client is doing accelerated blow breathing and states that she is
feeling tingling in her fingers and dizziness. What should the nurse do? -
ANSWER Have the pt breathe into her cupped hands. She is
hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANSWER 14 days before first day of
menstrual period
What is the goal for labor augmentation (administration of
Oxytocin/pitocin) - ANSWER produce firm contractions that occur every
2 to 3 minutes, with a duration of 60 to 70 seconds, and without evidence
of fetal stress.
Is it normal for FHR to increase during contractions and return to
baseline? - ANSWER Yes it is normal for FHR to increase, but this is
indicative to increase the pitocin infusion to stimulate the intensity and
frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER -
Place a wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy?
- ANSWER Signs of preeclampsia--heartburn not relieved by antacids
and chronic headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER -Increase in
fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER White pinpoint spots found on the nose and chin that
represent blockage of sebaceous glands
Meconium - ANSWER First stool that is tarry black
Is pseudostrabismus normal in a newborn? - ANSWER
Pseudostrabismus is normal until about the 3rd or 4th month. It does not
require surgery
A baby is born with an abnormal headshape. How long should it take for
it to possibly return to normal? - ANSWER It will take 7-10 days for the
head to return to a round shape.
, Cephalhematoma - ANSWER Localized swelling that occurs from
forcep trauma between periosteum and skull
At what time after delivery is a cephalhematoma most likely? -
ANSWER Within the first 24 hours of delivery
Molding - ANSWER Occurs when there is too much pressure on the
cranium during vaginal delivery. It is common variation and will last
about 5-7 days
Can a subarachoid or subdural hematoma be observed from a physical
assessment? - ANSWER No, these types of hematomas will require
further assessment
Signs of hypoglycemia in a newborn - ANSWER -Shaking during moro
reflex assessment
-Hypothermia
-Lethargy
What is a key characteristic of an infant whose mother smoked during
pregnancy? - ANSWER Low birth weight
Nagele's Rule - ANSWER Obtain LMP
Subtract 3 months and at 7 days
Umbilical cord care at home:care - ANSWER Allow to air-dry as much
as possible
Is it recommended to take a warm shower after breastfeeding? -
ANSWER Not recommended because warm water will stimulate the
production of breast milk. It will be more painful.
What is mastitis? - ANSWER Plugged milk ducts r/t breast engorgement
What should be told to the breast-feeding mother with mastitis? -
ANSWER It is ok to breastfeed to reduce the engorgement and reduce the
inflammation
The blood pressure of a pt in labor drops from 120/80 to 90/60. What
should the nurse do? - ANSWER 1. Get the pt in a lateral position by
placing a pillow or wedge under one hip to deflect the uterus.
2. Increase rate of Iv infusion
