HESI MATERNITY OBSTETRICS NURSING
2024-2025 EXAM VERSION 2 QUESTIONS
AND ANSWERS (GRADED A+).
developed pre-eclampsia. After receiving Nifedipine to
stop her contractions, she is started on magnesium
sulfateto control her pre-eclampsia When assessing the
client, which findings by the nurse indicate the client is
experiencing an adverse effect from the magnesium
sulfate? (SATA)
a. Hyporeflexia
b. Decrease urine output
c. Insomnia
d. Hypertension
e. Respiratory depression
f. Confusion
The nurse is assessing a 39-week, multiparous woman
in labor. Upon arrival to L&D triage. She as 7cm
dilated and having contractions every 2 minutes which
she describes as“strong.” She labored for 1 hour at
home. As the nurse assists the client from the triage
area to her labor and birth room, she says she has the
urge to push. The client is most likely experiencing:
a. Premature labor
b. Precipitous labor
c. Hypotonic contractions
d. Uterine hyperstimulation
, A patient is placed on the external fetal monitor and
the tracing is considered reactive and reassuring by
the physician. Which of the findings below confirm a
reactiveand reassuring fetal heart tracing. (SATA)
a. Fetal heart baseline between 135-150
b. Moderate variability
c. Fetal heart accelerations
d. Variable or late decelerations
e. Fetal heart baseline under 110
f. Fetal heart baseline above 160
A nurse is caring for a client who is gravida 3, para 2,
andis in the active labor. The fetal head is at 4+
station after
,vaginal examination. Which of the following action should
the nurse take?
a. Prepare to administer oxytocin
b. Observe for crowning
c. Apply fundal pressure
d. Observe for the presence of nuchal cord.
A nurse is caring for a client who has possible ectopic
pregnancy at 8 weeks of gestation. Which of the
followingsymptoms should the nurse expected to
identify prior to a fallopian tubal rupture?
a. Uterine enlargement greater than expected for
gestationalage
b. Unilateral cramping pelvic pain
c. Severe nausea and vomiting
d. Large amount of vaginal bleeding.
The RN interprets the following external fetal
monitoringstrip as: CTX And FHR Mirror image
a. Prolapse cord
b. Umbilical Cord compression
c. Fetal Head Compression (VEAL-CHOP)
d. Maternal Fever
A patient’s culture that were done at 26 weeks are
positivefor Chlamydia. What is the priority action by
the nurse?
, a. Request the name of her significant other for
notificationpurposes.
b. Tell her to come in to receive a Zithromax 1-gram PO
c. Inform her the treatment will be given once
she hasdelivered the baby
d. Advise her that she needs to be checked for other STD’s
A client who did not receive prenatal care arrives in
the labor and delivery unit at 40 weeks gestation
and reportsthat she has saturated two perinatal
pads with right brightred for the past hour. The
nurse caring for her suspects placenta previa. Which
of the following is an appropriatenursing action?
a. A magnesium sulfate infusion
b. Examination to determine cervical status.
c. Initiation of pushing
d. Preparation for cesarean birth.
A woman who is 40weeks of gestation has been having
contractions since 4 a.m. At 10 a.m., her cervix is dilated
to5cm. Contractions are frequent, but mild in intensity.
Cephalopelvic disproportion (CPD) has been ruled out
andher membrane are intact. The nurse will prepare for:
a. Oxytocin augmentation of labor
b. Amnioinfusion
c. Insert urinary catheter
d. Increase Intravenous infusion
2024-2025 EXAM VERSION 2 QUESTIONS
AND ANSWERS (GRADED A+).
developed pre-eclampsia. After receiving Nifedipine to
stop her contractions, she is started on magnesium
sulfateto control her pre-eclampsia When assessing the
client, which findings by the nurse indicate the client is
experiencing an adverse effect from the magnesium
sulfate? (SATA)
a. Hyporeflexia
b. Decrease urine output
c. Insomnia
d. Hypertension
e. Respiratory depression
f. Confusion
The nurse is assessing a 39-week, multiparous woman
in labor. Upon arrival to L&D triage. She as 7cm
dilated and having contractions every 2 minutes which
she describes as“strong.” She labored for 1 hour at
home. As the nurse assists the client from the triage
area to her labor and birth room, she says she has the
urge to push. The client is most likely experiencing:
a. Premature labor
b. Precipitous labor
c. Hypotonic contractions
d. Uterine hyperstimulation
, A patient is placed on the external fetal monitor and
the tracing is considered reactive and reassuring by
the physician. Which of the findings below confirm a
reactiveand reassuring fetal heart tracing. (SATA)
a. Fetal heart baseline between 135-150
b. Moderate variability
c. Fetal heart accelerations
d. Variable or late decelerations
e. Fetal heart baseline under 110
f. Fetal heart baseline above 160
A nurse is caring for a client who is gravida 3, para 2,
andis in the active labor. The fetal head is at 4+
station after
,vaginal examination. Which of the following action should
the nurse take?
a. Prepare to administer oxytocin
b. Observe for crowning
c. Apply fundal pressure
d. Observe for the presence of nuchal cord.
A nurse is caring for a client who has possible ectopic
pregnancy at 8 weeks of gestation. Which of the
followingsymptoms should the nurse expected to
identify prior to a fallopian tubal rupture?
a. Uterine enlargement greater than expected for
gestationalage
b. Unilateral cramping pelvic pain
c. Severe nausea and vomiting
d. Large amount of vaginal bleeding.
The RN interprets the following external fetal
monitoringstrip as: CTX And FHR Mirror image
a. Prolapse cord
b. Umbilical Cord compression
c. Fetal Head Compression (VEAL-CHOP)
d. Maternal Fever
A patient’s culture that were done at 26 weeks are
positivefor Chlamydia. What is the priority action by
the nurse?
, a. Request the name of her significant other for
notificationpurposes.
b. Tell her to come in to receive a Zithromax 1-gram PO
c. Inform her the treatment will be given once
she hasdelivered the baby
d. Advise her that she needs to be checked for other STD’s
A client who did not receive prenatal care arrives in
the labor and delivery unit at 40 weeks gestation
and reportsthat she has saturated two perinatal
pads with right brightred for the past hour. The
nurse caring for her suspects placenta previa. Which
of the following is an appropriatenursing action?
a. A magnesium sulfate infusion
b. Examination to determine cervical status.
c. Initiation of pushing
d. Preparation for cesarean birth.
A woman who is 40weeks of gestation has been having
contractions since 4 a.m. At 10 a.m., her cervix is dilated
to5cm. Contractions are frequent, but mild in intensity.
Cephalopelvic disproportion (CPD) has been ruled out
andher membrane are intact. The nurse will prepare for:
a. Oxytocin augmentation of labor
b. Amnioinfusion
c. Insert urinary catheter
d. Increase Intravenous infusion
