HESI OB MATERNITY
EXAM|ACTUAL QUESTIONS AND
100% VERIFIED ANSWERS |
ALREADY GRADED A+ | 2025
UPDATE
Following a minor motor vehicle collision, a client at 36-weeks gestation
is brought to the emergency center. She is lying supine on a backboard,
is awake, and denies any complaints. Her blood pressure is 80/50
mmHg and heart rate is 130 bpm. Which action should the nurse
implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. - CORRECT-
ANSWER-Tilt the backboard sideways to displace the uterus laterally
,A new mother asks the nurse about an area of swelling on her baby's
head near the posterior fontanel that lies across the suture line. How
should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no
problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is
absorbed." - CORRECT-ANSWER-That is called caput succedaneum. It
will absorb and cause no problems
A client at 35 weeks gestation complains of a "pain whenever the baby
moves". On assessment, the nurse notes the client's temperature to be
101.2F with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of which condition?
A. Round ligament strain.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis - CORRECT-ANSWER-Chorioamnionitis
,An unlicensed assistive personnel (UAP) reports to the charge nurse
that a client who delivers a 7-pound infant 12 hours ago is reporting a
severe headache. The client blood pressure is 110/70 mmHg,
respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and
temperature is 98.6F. The client's fundus is firm and one fingerbreadth
above the umbilicus. Which action should the charge nurse implement
first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery. -
CORRECT-ANSWER-Determine if the client received anesthesia during
delivery
The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why the
nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver. - CORRECT-ANSWER-Prevent hemorrhagic
disorders.
, A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently convulsing.
Which intervention should the nurse plan to include in this client's
nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation - CORRECT-ANSWER-Keep an airway at the
bedside
A pregnant client presents to the antepartum clinic complaining of
brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client reports
that her period was "about 2 and a half months ago". Vital signs are:
temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg.
Based on these findings, what laboratory value should the nurse
review?
A. HcG values.
B. Hematocrit.
C. Vaginal secretions culture.
EXAM|ACTUAL QUESTIONS AND
100% VERIFIED ANSWERS |
ALREADY GRADED A+ | 2025
UPDATE
Following a minor motor vehicle collision, a client at 36-weeks gestation
is brought to the emergency center. She is lying supine on a backboard,
is awake, and denies any complaints. Her blood pressure is 80/50
mmHg and heart rate is 130 bpm. Which action should the nurse
implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. - CORRECT-
ANSWER-Tilt the backboard sideways to displace the uterus laterally
,A new mother asks the nurse about an area of swelling on her baby's
head near the posterior fontanel that lies across the suture line. How
should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no
problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is
absorbed." - CORRECT-ANSWER-That is called caput succedaneum. It
will absorb and cause no problems
A client at 35 weeks gestation complains of a "pain whenever the baby
moves". On assessment, the nurse notes the client's temperature to be
101.2F with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of which condition?
A. Round ligament strain.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis - CORRECT-ANSWER-Chorioamnionitis
,An unlicensed assistive personnel (UAP) reports to the charge nurse
that a client who delivers a 7-pound infant 12 hours ago is reporting a
severe headache. The client blood pressure is 110/70 mmHg,
respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and
temperature is 98.6F. The client's fundus is firm and one fingerbreadth
above the umbilicus. Which action should the charge nurse implement
first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery. -
CORRECT-ANSWER-Determine if the client received anesthesia during
delivery
The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why the
nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver. - CORRECT-ANSWER-Prevent hemorrhagic
disorders.
, A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently convulsing.
Which intervention should the nurse plan to include in this client's
nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation - CORRECT-ANSWER-Keep an airway at the
bedside
A pregnant client presents to the antepartum clinic complaining of
brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client reports
that her period was "about 2 and a half months ago". Vital signs are:
temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg.
Based on these findings, what laboratory value should the nurse
review?
A. HcG values.
B. Hematocrit.
C. Vaginal secretions culture.
