2025 HESI MATERNITY OB EXAM
VERSION 3 LATEST ALL 55 QUESTIONS
AND VERIFIED ANSWERS |ALREADY
GRADED A+
Client teaching isSan important part of the maternity nurse's role. Which factor has the greatest influence
on successful teachingSof the gravid client? - correct answer-A. The client's readiness to learn
AS38-
week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that her
feet have begun to swell. Which instruction would be most effective in preventingSpooling of blood in the
lower extremities? - correct answer-C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compa
red with nonsmokers, mothers who smoke duringSpregnancy tend to produce infants who have -
correct answer-B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutane
ously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutali
ne sulfate? - correct answer-C. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most e
ffective to prevent nipple soreness? - correct answer-C. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important for the nu
rse to receive when planning immediate care for the newborn? - correct answer-
B. Infant's condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information about when t
he parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that
for the normal newborn, the -Scorrect answer-D. anterior fontanel closes at 12-
18 mos and the posterior fontanel by the end of the second month.
,When assessing a client who is 12-
weeks gestation, the nurse recommends the she and her husband consider attending childbirth preparati
on classes.
What is the best time for the couple to attend these classes? - correct answer-D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - correct answer-
C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, th
e nurse should know that ovulation usually occurs - correct answer-A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nu
rse take? -Scorrect answer-C. have the client breath into her cupped hands
When preparingSa newborn care for expectant parents, what content should the nurse teach concerningSt
he newborn infant born at term gestation? - correct answer-
C. Vernix is a white, cheesy substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his head. The nurse knows that, in the ne
wborn, an accumulation of blood between the periosteum and skull which does not cross the suture line i
s a newborn variation known as - correct answer-
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that hisSwife "is losing her mind". He states she is constantly r
ubbing her abdomen and talkingSto the baby and that she actually reprimands the baby when it moves to
o much. What recommendation should the nurse make to the expectant father? - correct answer-
D. Let him know that these behaviors are partSof normal maternal/fetal bonding which occurs once the m
other feels fetal movement.
ASnew mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which explana
tion will the nurse provide? - correct answer-B. "your milk is sufficient if the baby is voidingSpale straw-
colored urine 6-10 times a day.
, ASnew mother who has just had her first baby saysSto the nurse, "I saw the baby in the recovery room. Sh
e has a funny lookingShead". Which response by the nurse is the best? - correct answer-
C. That is normal, the head will return to a round shape within 7-10 days.
ASclient who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which
nursing plan is best in assisting the mother to bond with her newborn infant? - correct answer-
D. Meet the mother's physical needs and demonstrate warmth toward the infant.
AScouple, concerned because the woman has not been able to conceive, is referred to a healthcare provid
er for a fertility workup and a hysterosalpingography isSscheduled. Which complaint would indicate to the
nurse that the woman's fallopian tubes are patent? - correct answer-C. shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" -
correct answer-A. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the fir
st time? - correct answer-
B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
On admission to the prenatal clinic, a 23-year-
old woman tells the nurse that her last menstrual period began on February 15, and that previously her p
eriods were regular. Her pregnancy test is positive. This client's expected date of delivery (EDD) is -
correct answer-A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse she has a 3
6-
day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calcu
lates the woman's next fertile period will be - correct answer-C. January 30-31
ASclient at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assess
ment finding would indicate that therapeutic drug level has been achieved? - correct answer-
C. a decrease in RR from 24 to 16.
VERSION 3 LATEST ALL 55 QUESTIONS
AND VERIFIED ANSWERS |ALREADY
GRADED A+
Client teaching isSan important part of the maternity nurse's role. Which factor has the greatest influence
on successful teachingSof the gravid client? - correct answer-A. The client's readiness to learn
AS38-
week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that her
feet have begun to swell. Which instruction would be most effective in preventingSpooling of blood in the
lower extremities? - correct answer-C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compa
red with nonsmokers, mothers who smoke duringSpregnancy tend to produce infants who have -
correct answer-B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutane
ously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutali
ne sulfate? - correct answer-C. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most e
ffective to prevent nipple soreness? - correct answer-C. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important for the nu
rse to receive when planning immediate care for the newborn? - correct answer-
B. Infant's condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information about when t
he parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that
for the normal newborn, the -Scorrect answer-D. anterior fontanel closes at 12-
18 mos and the posterior fontanel by the end of the second month.
,When assessing a client who is 12-
weeks gestation, the nurse recommends the she and her husband consider attending childbirth preparati
on classes.
What is the best time for the couple to attend these classes? - correct answer-D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - correct answer-
C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, th
e nurse should know that ovulation usually occurs - correct answer-A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nu
rse take? -Scorrect answer-C. have the client breath into her cupped hands
When preparingSa newborn care for expectant parents, what content should the nurse teach concerningSt
he newborn infant born at term gestation? - correct answer-
C. Vernix is a white, cheesy substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his head. The nurse knows that, in the ne
wborn, an accumulation of blood between the periosteum and skull which does not cross the suture line i
s a newborn variation known as - correct answer-
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that hisSwife "is losing her mind". He states she is constantly r
ubbing her abdomen and talkingSto the baby and that she actually reprimands the baby when it moves to
o much. What recommendation should the nurse make to the expectant father? - correct answer-
D. Let him know that these behaviors are partSof normal maternal/fetal bonding which occurs once the m
other feels fetal movement.
ASnew mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which explana
tion will the nurse provide? - correct answer-B. "your milk is sufficient if the baby is voidingSpale straw-
colored urine 6-10 times a day.
, ASnew mother who has just had her first baby saysSto the nurse, "I saw the baby in the recovery room. Sh
e has a funny lookingShead". Which response by the nurse is the best? - correct answer-
C. That is normal, the head will return to a round shape within 7-10 days.
ASclient who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which
nursing plan is best in assisting the mother to bond with her newborn infant? - correct answer-
D. Meet the mother's physical needs and demonstrate warmth toward the infant.
AScouple, concerned because the woman has not been able to conceive, is referred to a healthcare provid
er for a fertility workup and a hysterosalpingography isSscheduled. Which complaint would indicate to the
nurse that the woman's fallopian tubes are patent? - correct answer-C. shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" -
correct answer-A. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the fir
st time? - correct answer-
B. Her arms and hands receive the infant and she ten traces the infant's profile with her fingertips.
On admission to the prenatal clinic, a 23-year-
old woman tells the nurse that her last menstrual period began on February 15, and that previously her p
eriods were regular. Her pregnancy test is positive. This client's expected date of delivery (EDD) is -
correct answer-A. November 22
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse she has a 3
6-
day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calcu
lates the woman's next fertile period will be - correct answer-C. January 30-31
ASclient at 32-weeks gestation is hospitalized with severe pregnancy-
induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assess
ment finding would indicate that therapeutic drug level has been achieved? - correct answer-
C. a decrease in RR from 24 to 16.
