1. The nurse is teaching a client with gestational dia- B) increase dai-
betes about nutrition and insulin need for pregnancy. ly caloric intake is
Which content should the nurse include in this client needed
teaching plan?
A) Insulin production is decreased during pregnancy
B) increase daily caloric intake is needed
C) injection requirements remain the same
D) Blood sugars need less monitoring in the first
trimester
2. A 38-week primigravida client who is positive for 1.6ml/hr.
group A beta streptococcus receives a prescription
for cefazolin 2grams IV to be infused over 30mins.
The medications available in 2 grams/100ml of normal
saline. The nurse should program the infusion pump
to deliver how many ml/hours?
3. When performing daily head to toe assessment of a A) measure biliru-
1-day old newborn the nurse observes yellow tint to bin levels us-
the skin on the forehead, sternum and abdomen. What ing transcuta-
action should the nurse take? neous bilirubi-
A) measure bilirubin levels using transcutaneous nometer.
bilirubinometer.
B) review maternal medical records for blood type and
Rh factor
C) Prepare the newborn for phototherapy
D) Evaluate cord a result
4. A new mother asks the nurse about an area of swelling A) That's called
on her baby head near the posterior fontanel that caput succeda-
lies across the suture lines. How should the nurse neum. It will ab-
respond? sorb and cause no
A) That's called caput succedaneum. It will absorb and problems.
cause no problems.
B) That is called a cephalohematoma. It will cause no
problems.
C) That is called a cephalohematoma. It can cause
jaundice as it is.
, 2024 HESI MATERNITY OB EXAM VERSION 6
D)That is called caput succedaneum. It will have to be
drained
5. A 39-week gestational multigravida is admitted to la- B) Take an oral
bor and delivery spontaneous rupture of membranes maternal tempera-
and contraction occurring 2 to 3 minutes. A vaginal ture
exam indicates that the cervix is dilated 6cm, 90%
effaced and the fetus is at a +2 station. During the last
45 minutes the fetal heart rate has ranged between 170
and 180 beats/minute. What action
should the nurse implement?
A) Obtain a blood specimen for hemoglobin
B) Take an oral maternal temperature
C) Straight Catheterize client
D) Send amniotic fluid for analysis
6. An obviously pregnant woman walks into the hospi- D) Provide clear
tal's emergency department entrance shouting. "Help concise instruc-
me! Help me! My baby is coming! I'm so afraid!" The tions in a calm, de-
nurse determines if delivery is indeed imminent, what liberate manner
action is most important for the nurse to take?
A) Determines the gestational age of fetus
B) Assess the amount and color of the amniotic fluid
C) Obtain peripheral IV access and begin administra-
tion of IV fluids
D) Provide clear concise instructions in a calm, delib-
erate manner
7. A client who is 3 weeks postpartum tells the nurse. "I d) Adjusting to a
am so tired all the time. I didn't know having a baby new baby can be
would be so hard." What response should the nurse difficult. Tell me
provide. more about any
a) It is common to feel exhausted for the first 3 help you are re-
months. Try to sleep when the baby sleeps. ceiving.
b) It is normal to feel tired for the first couple weeks.
Be patient with yourself and rest more.
c) You should not be doing any housework. Are any of
your family members helping you?
, 2024 HESI MATERNITY OB EXAM VERSION 6
d) Adjusting to a new baby can be difficult. Tell me
more about any help you are receiving.
8. The home health nurse visits a client who delivered a A) Discuss the
full-term baby three days ago. The mother reports that need for med-
the infant is waking up every 2 hours to bottle feed. ication to treat
The nurse notes white, curl-like patches on the new- curl-like oral
borns oral mucous membranes. What action should patches
the nurse implement?
A) Discuss the need for medication to treat curl-like
oral patches
B) Suggest switching the infant's formula
C) Assess the baby's blood glucose level
D) Remind mother not put the baby to bed with a
propped bottle
9. One hour after delivery the nurse is unable to palpate C) Palpate the
the uterine fundus of a client who had an epidural and supra pubic area
notes a large amount of lochia on the perineal pad. for bladder disten-
The nurse massages at the umbilicus and obtains cur- tion
rent vital signs. Which intervention should the nurse
implement next.
A) Document number of pad changes in the last hour
B) Provide bedpans to void if unable to ambulate
C) Palpate the supra pubic area for bladder distention
D) Increases the rate of the oxytocin infusion
10. The father of a 3-day old infant who is breast feeding A) Contact the
calls the postpartum help line to report that his wife clinic if the behav-
is acting strangely. She is irritable, cannot cope with iors continue for
the baby, and frequently cries for no appeared reason. more than two
What information is most important for the nurse to weeks or becomes
provide the father? worse
A) Contact the clinic if the behaviors continue for more
than two weeks or becomes worse
B) Tell the father count the newborns number of soiled
diapers over the next few days.
C) A fluctuation in hormones in the early postpartum
period can cause mood changes.
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