Page 1 of 149 OB HESI MATERNITY 2024 VERSION 1,2 AND 3 AND 2023 2 LATEST VERSIONS 2024 -2025 MATERNITY OB 3 VERSION S ACTUAL EXAM EACH EXAM CONTAINS 55 QUESTIONS AND CORRECT ANSWERS AGRADE RATED OB HESI MATERNITY 2024 VERSION 1 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. Clari fy 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. Page 2 of 149 The nurse is examini ng an infant for possible cryptorchidism. Which exam technique should be 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. The nurse is planning care for a client at 30 -weeks gestation who is experiencing preterm labor. What maternal prescription is m ost 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. Page 3 of 149 Insulin therapy is initiated for a 12 -year -old child who is admitted with diabetic ketoacidosis (DKA). Which action is most important for t he nurse to include in the child's plan of care? a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R). b. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N). c. Demonstrate to parents h ow to program an insulin pen for daily glucose regulation. d. Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen). - ANSWER -
a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R). A 3-month -old with myelomeningocele and atonic bladder is catheterized every 4hrs to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery eyes, and a rash in the diaper area. What action is most i mportant for the nurse to take? a. Auscultate the lungs for respiratory pneumonia. b. Change to latex -free gloves when handling infant. c. Draw blood to analyze for streptococcal infection. d. Apply zinc oxide to perineum with each diaper change. - ANSWER -b. Change to latex -free gloves when handling infant. The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds. The available suspension is labeled; Amoxicillin Suspension 250mg/5ml. The Page 4 of 149 recommended maximum d ose is 50mg/kg/24hr. How many ml should the nurse administer in a single dose based on the child's weight? (Enter numerical value only. If rounding is required, round to the whole number.) - ANSWER -10mL The nurse is caring for a female client, a primigrav ida with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache. Which medication should the nurse anticipate for this client? a. Clonidine hydrochloride. b. Car bamazepine c. Furosemide d. Magnesium sulfate . - ANSWER -d. Magnesium sulfate. A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client's temperature to be 101.2 F (38.4 C), with severe abdom inal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? a. Round ligament strain. b. Chorioamnionitis. c. Abruptio placenta. d. Viral infection. - ANSWER -b. Chorioamnionitis.
a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R). A 3-month -old with myelomeningocele and atonic bladder is catheterized every 4hrs to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery eyes, and a rash in the diaper area. What action is most i mportant for the nurse to take? a. Auscultate the lungs for respiratory pneumonia. b. Change to latex -free gloves when handling infant. c. Draw blood to analyze for streptococcal infection. d. Apply zinc oxide to perineum with each diaper change. - ANSWER -b. Change to latex -free gloves when handling infant. The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds. The available suspension is labeled; Amoxicillin Suspension 250mg/5ml. The Page 4 of 149 recommended maximum d ose is 50mg/kg/24hr. How many ml should the nurse administer in a single dose based on the child's weight? (Enter numerical value only. If rounding is required, round to the whole number.) - ANSWER -10mL The nurse is caring for a female client, a primigrav ida with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache. Which medication should the nurse anticipate for this client? a. Clonidine hydrochloride. b. Car bamazepine c. Furosemide d. Magnesium sulfate . - ANSWER -d. Magnesium sulfate. A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client's temperature to be 101.2 F (38.4 C), with severe abdom inal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? a. Round ligament strain. b. Chorioamnionitis. c. Abruptio placenta. d. Viral infection. - ANSWER -b. Chorioamnionitis.
