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2024 HESI MATERNITY OB EXAM QUESTIONS &
CORRECT ANSWERS GRADED A LATEST EXAM
The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse observes red marks on the head with swelling that does not cross the suture line. Which condition should the nurse documents in the medical record? A Caput succedaneum B Hydrocephalus C Cephalhematoma D Microcephaly 2 A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal bleeding.
Fetal rate of 130 - 140 beats per minute, no contractions and no complaints of pain what is the most likely cause of these client's bleeding. A Abruptio Placenta B Placenta Previa C Normal bloody show indicting induction of labor D A ruptured blood vessel in the vaginal vault. 3 A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours. Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. which assessment warrants immediate intervention by the nurse. A Fetal Heart rate 60 beats per minute B Ruptured amniotic membrane C onset of uterine contractions
C Terbutaline 0.25 mg subcutaneously q 15 minutes X 3 D Butorphanol tartrate 1mg IV push q2h PRN. 6 A 16 year old gravida 1 para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? A Allow liberal family visitation B Keep an airway at the bedside C Assess temperature every hour D Monitor blood pressure, pulse, and respiration every 4 hours. 7 At 12 hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra lochia. which action should nurse take?
A Check the suprapubic area for distention. B Inform the client to take a warm sitz bath C Inspect clients perineal and rectal areas D Apply a fresh pad and check in 1 hour. 8 If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider? A Fetal heart rate at 162 beats /minute B Mild contractions every 10 minutes. C Trace of protein in the urine
A Continue prenatal vitamins with B12 While breastfeeding B Avoid using Lanolin-based nipple cream or ointment. C Offer iron fortified supplemental formula daily. D Weigh the baby weekly to evaluate the newborns growth. 11 What should be the primary focus of nursing care in the transitional phase of Labor for a client who anticipates an unmedicated delivery. A Assessing the strength of uterine contractions B Re-evaluate the need for medication C Remind her to push 3 times with each contraction. D Assessing her to maintain control.
12 A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously for clients with preeclampsia. The IV bag contains magnesium sulfate 20 grams how much in ml/Hr. should a nurse program the infusion pump enter numerical value only. if the IV bag is 1000 ml the answer is 100 ml per hour 13 *A client at 38 weeks gestation is admitted to labor and delivery with a complaint of contraction 5 minutes apart while the client is in the bathroom changing into a hospital gown the nurse hears the noise of a baby what should the nurse take first? A Push the call light for help B Inspect the clients perineum C Notify a health care provider D Turn on the infant warmer
D Inform the parents of the infant's condition. 16 A 3 - hour old male infants hands and feet as cyanotic, and has an axillary temperature of 96.5 degrees Fahrenheit 35.8 degrees centigrade a respiratory rate of 40 breaths per minute and a heart rate of 165 beats per minute what nursing action should nurse implement. A Administer oxygen by mouth at 2L/min B Gradually warm the infant under a radiant heat source. C Notify the pediatrician of the infant's vital signs D Perform a heel-stick to maintain blood glucose level 17 A new born nursery protocol includes a prescription for ophthalmic erythromycin 5% ointment to both eyes upon a new born admission. What action should the nurse take to ensure adequate installation of the client. A Instill a thin ribbon into each lower conjunctival sac
B Occlude the inner canthus after retracting the eyelids C Mummy wrap the infant before instilling the ointment D Stabilize the instilling hand on the neonate's head 18 The nurse notes on the fetal monitor that a laboring client has a variable deceleration. which action should the nurse implement first. A Turn off the oxytocin infusion B Assess cervical dilation C Change the client's position D Administer oxygen via facemask 19 The nurse places one hand above the symphysis while massaging the fundus of a multiparous client who's uterine tone is boggy 15 minutes after delivering a 7 pounds 10 ounces 3220 grams infant which information should the nurse try to provide the client about those finding.
21 A primigravida client in labor is receiving oxytocin 4 mu/minute to help promote an effective contraction pattern. The available solution is lactated ringer's 1,000 ml with oxytocin 20 units. The nurse should program the machine to deliver how many ML per hour. Answer: 12 ml per hour will give 4 mu per minute. Dose/Available stock xQuantity (4mu/20,000 mu)x1000 ml=0.2 ml x 60 min = 12 ml A client who delivered a healthy newborn an hour ago asked the nurse when can she go home. Which information is most important for the nurse to provide the client. A After the baby no longer demonstrates acrocyanosis. B After the vitamin K injection is given to the baby. C When ambulating to avoid does not cause dizziness. D When there is no significant vaginal bleeding.
22 A 17 year old client gave birth 12 hours ago she states that she doesn't know how to care for her baby. To promote parent infant attachment behaviors which intervention should the nurse implement. A Ask if she has help to care for the baby at home. B Provide a video on newborn safety and care. C Explored the basis of fears with the client. D Encourage rooming in while in the hospital. 23 A pregnant client mentions in a history that she changes cats litter box daily. Which test should the nurse anticipate the health care provider to prescribe. A Biophysical profile. B Fern test. C Amniocentesis. D Torch screening.
C Primipara with vaginal show and leaking membranes. D Primipara with burning on urination and urinary frequency. 26 The nurse is preparing to administer phytonadione to a newborn. Which statement makes made by the parents indicates understanding why the nurse is administering this medication. A Improve insufficient dietary intake. B Stimulates the immune system C Help an immature liver. D Prevent hemorrhagic disorders. 27 The nurse is planning discharge teaching for four mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period?
A A primiparous woman who has recently migrated to the US with a spouse. B A multiparous client who lives with her husband and his family members. C A multiparous female with a large family living in a community. D A primiparous adolescent living at home with their parents and significant other. 28 On the first postpartum day the nurse examines the breast of a new mother. Which condition is the nurse most likely to find. A Firm larger and very tender to touch. B Slightly firm with immediate let-down response. C Soft with no change from before delivery. D Filling and secreting colostrum.
D Impaired parenting related to inexperience. 31 Examination reveals that the laboring clients cervix is dilated to 2 centimeters, 70% effaced with the presenting part at - 2 station the client tells the nurse I need my epidural now, this hurts, the nurses response to the client is based on which information. A The client will need to be catheterized before the epidural can be administered. B Administering an epidural at this point would slow down labor process. C The client should be dilated to at least 8 centimeters before receiving an epidural. D The baby needs to be at a zero station before an epidural can be administered. 32 The mother of a breastfeeding 24-hour old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is doing it right she tells the nurse, "Now my daughter is not getting enough to eat" which response would be best for the nurse to make.
A Feed your baby hourly until you feel confident that your child is receiving enough milk. B Don't worry soon your milk will come in and you will feel how full your breasts are. C Since you are so concerned you should probably supplement breastfeeding with formula. D If your baby's urine is straw colored, she's getting enough milk. 33 A client in the first trimester of pregnancy calls the prenatal clinic to report she's nauseated, and her stools are black and thick since she started taking iron supplements last week. How should the nurse respond? select all that applies. A Come to the clinic today. B Drink a full glass of tea with each iron tablet. C Increase the consumption of milk while taking iron. D Changes in color and consistency of stool are normal. E Take iron supplement at bedtime.
