HESI MATERNITY OB VERSION 1,2 AND 3|MATERNITY OB
VERSION 3 ACTUAL EXAM EACH EXAM CONTAINS 55
QUESTIONS AND CORRECT ANSWERS(WITH
PICTURES)|AGRADE
1. A primipara has delivered a stillborn fetus at 30-
weeks gestation. To assist the parents with the grieving
process, which intervention is most important for the
nurse to implement?
a. Provide an opportunity for the parents to hold their
infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling
within the next few weeks.
d. Explain the possible causes of fetal
demise....ANSWER..a. Provide an opportunity for the
parents to hold their infant in privacy.
2. What is the priority nursing assessment immediately
following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
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,d. Number of vessels in the cord....ANSWER..a. Body
temperature.
3. What is the most important assessment for the nurse
to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks
gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate...ANSWER..a. Maternal
blood pressure.
4. A 34-week primigravida woman with preeclampsia is
receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr
should the nurse program the infusion pump? (Enter
numeric value only....ANSWER..75ml/hr
5. A 6-year-old with heart failure (HF) gained 2 pounds
in the last 24 hours. Which intervention is more
important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
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,c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids....ANSWER..c. Assess
bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a
new baby girl. The little boy asks the
nurse, <Why is my baby sister eating my mommy's
breast?= How should the nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in
this way.
b. Reassure the older brother that is does not hurt his
mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's
choice....ANSWER..a. Explain that newborns get milk
from their mothers in this way.
b. Reassure the older brother that is does not hurt his
mother.
c. Remind him that his mother breastfed him too.
7. The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be
3|Page
, used?
a. Place the infant in side-lying position to facilitate the
exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
d. Place the infant in a warm room and use a calm
approach....ANSWER..d. Place the infant in a warm
room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks
gestation who is experiencing preterm labor.
What maternal prescription is most important in
preventing this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15
minutes x3....ANSWER..a. Betamethasone (Celestone)
12mg deep IM
9. Insulin therapy is initiated for a 12-year-old child who
is admitted with diabetic ketoacidosis
4|Page
VERSION 3 ACTUAL EXAM EACH EXAM CONTAINS 55
QUESTIONS AND CORRECT ANSWERS(WITH
PICTURES)|AGRADE
1. A primipara has delivered a stillborn fetus at 30-
weeks gestation. To assist the parents with the grieving
process, which intervention is most important for the
nurse to implement?
a. Provide an opportunity for the parents to hold their
infant in privacy.
b. Assist the couple in completing a request for autopsy.
c. Encourage the couple to seek family counseling
within the next few weeks.
d. Explain the possible causes of fetal
demise....ANSWER..a. Provide an opportunity for the
parents to hold their infant in privacy.
2. What is the priority nursing assessment immediately
following the birth of an infant with esophageal atresia
and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
1|Page
,d. Number of vessels in the cord....ANSWER..a. Body
temperature.
3. What is the most important assessment for the nurse
to conduct following the administration of
epidural anesthesia to a client who is at 40-weeks
gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate...ANSWER..a. Maternal
blood pressure.
4. A 34-week primigravida woman with preeclampsia is
receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr
should the nurse program the infusion pump? (Enter
numeric value only....ANSWER..75ml/hr
5. A 6-year-old with heart failure (HF) gained 2 pounds
in the last 24 hours. Which intervention is more
important for the nurse to implement?
a. Graph the daily weight for the past week.
b. Decrease IV flow rate.
2|Page
,c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids....ANSWER..c. Assess
bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a
new baby girl. The little boy asks the
nurse, <Why is my baby sister eating my mommy's
breast?= How should the nurse respond?
(Select all that apply.)
a. Explain that newborns get milk from their mothers in
this way.
b. Reassure the older brother that is does not hurt his
mother.
c. Remind him that his mother breastfed him too.
d. Suggest that the baby can also drink from a bottle.
e. Clarify the breastfeeding is his mother's
choice....ANSWER..a. Explain that newborns get milk
from their mothers in this way.
b. Reassure the older brother that is does not hurt his
mother.
c. Remind him that his mother breastfed him too.
7. The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be
3|Page
, used?
a. Place the infant in side-lying position to facilitate the
exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
d. Place the infant in a warm room and use a calm
approach....ANSWER..d. Place the infant in a warm
room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks
gestation who is experiencing preterm labor.
What maternal prescription is most important in
preventing this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15
minutes x3....ANSWER..a. Betamethasone (Celestone)
12mg deep IM
9. Insulin therapy is initiated for a 12-year-old child who
is admitted with diabetic ketoacidosis
4|Page
