HESI OB/Maternity Study Guide |
Comprehensive Exam Prep Q&A | Updated
2025/2026
A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting symptoms of which
condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - correct answerherpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant tells the
nurse that she is currently using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to
use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. - correct
answerUse an alternate form of contraceptive until a new diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor.
What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - correct answerObserve for signs of
uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - correct answerInform the anesthesia care provider
, The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - correct answerPlace procedure equipment at
bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces,
has a head circumference of 13 inches, and a chest circumference of 10 inches. Based
on these physical findings, assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - correct answerHypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with
nasal flaring, grunting, and retractions. The nurse should recognize these findings
indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - correct answerTransient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. within one hour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions
are occurring every 1 minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - correct answerRestart oxytocin infusion
rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she thinks
she is in labor. The nurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every
10-15 minutes. Which assessment finding confirms to the nurse that the client is not in
labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - correct answerContractions decrease with walking
Comprehensive Exam Prep Q&A | Updated
2025/2026
A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting symptoms of which
condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts - correct answerherpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant tells the
nurse that she is currently using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to
use.
D.Use an alternate form of contraceptive until a new diaphragm is obtained. - correct
answerUse an alternate form of contraceptive until a new diaphragm is obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor.
What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - correct answerObserve for signs of
uterine hemorrhage.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - correct answerInform the anesthesia care provider
, The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist
arrival on the unit, which action should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - correct answerPlace procedure equipment at
bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces,
has a head circumference of 13 inches, and a chest circumference of 10 inches. Based
on these physical findings, assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - correct answerHypoglycemia
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2
hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with
nasal flaring, grunting, and retractions. The nurse should recognize these findings
indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - correct answerTransient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. within one hour after
initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions
are occurring every 1 minute with a 75 second duration. when nurse stops the oxytocin
and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every
5 minutes with 20 second duration. Which intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - correct answerRestart oxytocin infusion
rate per protocol
A primigravida arrives at the observation unit of the maternity unit because she thinks
she is in labor. The nurse applies the external fetal heart monitor and determines that
the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every
10-15 minutes. Which assessment finding confirms to the nurse that the client is not in
labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - correct answerContractions decrease with walking
