HESI OB/Maternity NEWEST VERSION 2025-
2026 \COMPLETE QUESTIONS AND ACCURATE
DETAILED ANSWERS \VERIFIED 100%
ALREADY GRADED A+
The nurse caring for a b) An over-distended bladder could be traumatized
laboring client encourages during labor, as well as prolong the progress of labor.
her to void at least q2h, and
records each time the client
empties her bladder. What is
the primary reason for
implementing this nursing
intervention?
a) Emptying the bladder
during delivery is difficult
because of the position of
the presenting fetal part.
b) An over-distended
bladder could be
traumatized during labor,
as well as prolong the
progress of labor.
c) Urine specimens for
glucose and protein must be
obtained at certain intervals
throughout labor.
d) Frequent voiding
minimizes the need for
catheterization which
increases the chance
of bladder infection.
,Twenty minutes after a c) Place the woman in a lateral position.
continuous epidural
anesthetic is administered, a
laboring client's blood
pressure drops from 120/80
to 90/60. What action will
the nurse take?
a) Notify the healthcare
provider or
anesthesiologist
immediately.
b) Continue to assess the
blood pressure q5
minutes.
c) Place the woman in a lateral
position.
d) Turn off the continuous
epidural.
A 24-hour-old newborn has c) Document the finding in the infant's record.
a pink papular rash with
vesicles superimposed on
the thorax, back, and
abdomen. What action
should the nurse implement?
a) Notify the healthcare
provider.
b) Move the newborn to
an isolation nursery.
c) Document the finding
in the infant's record.
d) Obtain a culture of the
vesicles.
,The nurse is preparing to d) A 40-week primigravida who is at 6 cm cervical
give an enema to a laboring dilatation and the presenting part is not engaged.
client. Which client would
require the most caution
when carrying out this
procedure?
a) A gravida 6, para 5 who
is 38 years of age and in
early labor.
b) A 37-week primigravida
who presents at 100%
effacement, 3 cm cervical
dilatation, and a -1
station.
c) A gravida 2, para 1 who is at
1 cm cervical dilatation and
a 0 station admitted for
induction of labor due to
post dates.
d) A 40-week primigravida
who is at 6 cm cervical
dilatation and the
presenting part is not
engaged.
A woman with Type 2 a) Describe diet changes that can improve the management of
diabetes mellitus her diabetes.
becomes pregnant, and
her oral hypoglycemic
agents are discontinued.
Which intervention is most
important for the nurse
to implement?
a) Describe diet changes that
can improve the
management of her
diabetes.
b) Inform the client that oral
, hypoglycemic agents are
teratogenic during
pregnancy.
c) Demonstrate self-
administration of
insulin.
d) Evaluate the client's ability
to do glucose monitoring.
A 35-year-old d) Urine output 90 ml/4 hours.
primigravida client with
severe preeclampsia is
receiving magnesium
sulfate via continuous IV
infusion. Which
assessment data would
indicate to the nurse that
the client is experiencing
magnesium sulfate toxicity?
a) Deep tendon reflexes 2+.
b) Blood pressure 140/90.
c) Respiratory rate 18/minute.
d) Urine output 90 ml/4 hours.
A 26-year-old, gravida 2, c) Tachycardia and a feeling of nervousness.
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 subcutaneously to
stop her labor
contractions. Which
assessment finding would
provide the nurse the
earliest indication that the
client is experiencing
primary side effects of
2026 \COMPLETE QUESTIONS AND ACCURATE
DETAILED ANSWERS \VERIFIED 100%
ALREADY GRADED A+
The nurse caring for a b) An over-distended bladder could be traumatized
laboring client encourages during labor, as well as prolong the progress of labor.
her to void at least q2h, and
records each time the client
empties her bladder. What is
the primary reason for
implementing this nursing
intervention?
a) Emptying the bladder
during delivery is difficult
because of the position of
the presenting fetal part.
b) An over-distended
bladder could be
traumatized during labor,
as well as prolong the
progress of labor.
c) Urine specimens for
glucose and protein must be
obtained at certain intervals
throughout labor.
d) Frequent voiding
minimizes the need for
catheterization which
increases the chance
of bladder infection.
,Twenty minutes after a c) Place the woman in a lateral position.
continuous epidural
anesthetic is administered, a
laboring client's blood
pressure drops from 120/80
to 90/60. What action will
the nurse take?
a) Notify the healthcare
provider or
anesthesiologist
immediately.
b) Continue to assess the
blood pressure q5
minutes.
c) Place the woman in a lateral
position.
d) Turn off the continuous
epidural.
A 24-hour-old newborn has c) Document the finding in the infant's record.
a pink papular rash with
vesicles superimposed on
the thorax, back, and
abdomen. What action
should the nurse implement?
a) Notify the healthcare
provider.
b) Move the newborn to
an isolation nursery.
c) Document the finding
in the infant's record.
d) Obtain a culture of the
vesicles.
,The nurse is preparing to d) A 40-week primigravida who is at 6 cm cervical
give an enema to a laboring dilatation and the presenting part is not engaged.
client. Which client would
require the most caution
when carrying out this
procedure?
a) A gravida 6, para 5 who
is 38 years of age and in
early labor.
b) A 37-week primigravida
who presents at 100%
effacement, 3 cm cervical
dilatation, and a -1
station.
c) A gravida 2, para 1 who is at
1 cm cervical dilatation and
a 0 station admitted for
induction of labor due to
post dates.
d) A 40-week primigravida
who is at 6 cm cervical
dilatation and the
presenting part is not
engaged.
A woman with Type 2 a) Describe diet changes that can improve the management of
diabetes mellitus her diabetes.
becomes pregnant, and
her oral hypoglycemic
agents are discontinued.
Which intervention is most
important for the nurse
to implement?
a) Describe diet changes that
can improve the
management of her
diabetes.
b) Inform the client that oral
, hypoglycemic agents are
teratogenic during
pregnancy.
c) Demonstrate self-
administration of
insulin.
d) Evaluate the client's ability
to do glucose monitoring.
A 35-year-old d) Urine output 90 ml/4 hours.
primigravida client with
severe preeclampsia is
receiving magnesium
sulfate via continuous IV
infusion. Which
assessment data would
indicate to the nurse that
the client is experiencing
magnesium sulfate toxicity?
a) Deep tendon reflexes 2+.
b) Blood pressure 140/90.
c) Respiratory rate 18/minute.
d) Urine output 90 ml/4 hours.
A 26-year-old, gravida 2, c) Tachycardia and a feeling of nervousness.
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 subcutaneously to
stop her labor
contractions. Which
assessment finding would
provide the nurse the
earliest indication that the
client is experiencing
primary side effects of
