HESI MATERNITY OB EXAM 2023 ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
At 10-weeks gestation, a high-risk multiparous client with a family history of Down
syndrome is admitted for observation following a chorionic villi sampling (CVS)
procedure. What assessment finding requires immediate intervention? - ANSWERA.
Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to
go to the bathroom every five minutes." Which explanation should the nurse provide to
this client? - ANSWERD. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate
48 breaths/minute. Based on these findings, which action should the nurse take first? -
ANSWERC. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the
priority nursing intervention? - ANSWERB. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the
nurse to use? - ANSWERC. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make? - ANSWERB. Explore the mother's concerns
about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan? - ANSWERA. Avoid alcohol because it is
excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth
stage of labor? - ANSWERD. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur? -
ANSWERD. The heart develops in the third to fifth weeks after conception
,A client at 8-months gestation tells the nurse that she knows her baby listens to her, but
her husband thinks she is imagining things. What information should the nurse provide?
- ANSWERB. The fetus in utero is capable of hearing and does respond to the mother's
voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the nurse
provide? - ANSWERB. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the
placenta is in early pregnancy. What information supports the explanation that the nurse
should provide? - ANSWERC. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-
weeks gestation? - ANSWERA. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results? - ANSWERB. Using an anticonvulsant
for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at 28-
weeks gestation? - ANSWERA. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6
months, what information should the nurse provide? - ANSWERB. Make sure to include
adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding of
the role of protein during pregnancy? - ANSWERA. "Protein helps the fetus grow while I
am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client? - ANSWERD. Abstinence is
strongly recommended throughout the pregnancy
A female client who wants to deliver at home asks the nurse to explain the role of a
nurse-midwife in providing obstetric care. What information should the nurse provide? -
ANSWERB. The pregnancy should progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which
situation should the nurse include about the safety of a home birth? - ANSWERD.
Medical backup should be available quickly in case of complications
, The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the
second stage of labor. Which position should the nurse address the best advantage of
gravity during delivery? - ANSWERB. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is twice
the normal adult breathing rate. The client complains of feeling light headed, dizzy, and
states that her fingers are tingling. What action should the nurse implement? -
ANSWERB. Help her breathe into a paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
After reviewing the fetal monitor strip for fetal disturbance, what action should the nurse
take? - ANSWERC. Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted.
The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this information,
what action should the nurse implement? - ANSWERD. Document the findings in the
client record
A multiparous client has been in labor for 8 hours when her membranes rupture. What
action should the nurse implement first? - ANSWERB. Assess the fetal heart rate and
pattern
Which action should the nurse implement caring for a newborn immediately after birth? -
ANSWERA. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4 hours
ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes.
What action should the nurse implement next? - ANSWERA. Perform fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings should
the nurse assess further? (Select all that apply) - ANSWERB. Chest breathing with
nasal flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy? - ANSWERB. Place an eyeshield over the eyes
Which finding indicates to the nurse that a 4 day old infant is receiving adequate breast
milk? - ANSWERB. Saturates 6 to 8 diapers per day
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