2024 HESI MATERNITY OB EXAM
VERSION 2
1. 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
C. Cephalhematoma
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.
B. Placenta Previa
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
D. leaking amniotic fluid.
A. Fetal Heart rate 60 beats per minute
4. A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutesthe nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
, C. Herpes Simplex Virus
5. The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor which
maternity prescription is most important in preventing this fetus from developing respiratory distress
syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D. Butorphanol tartrate 1mg IV push q2h PRN.
B. Betamethasone 12 mg deep IM
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.
B. Keep an airway at the bedside
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.
C. Inspect clients perineal and rectal areas
8. If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma ina 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
D. Positive fetal hemoglobin testing
B. Mild contractions every 10 minutes.
9. In The Ballard Gestational Age Assessment Tool, the nurse determines that a 15-month-old infant as a
gestational age of 42 weeks. Based on this finding which intervention is most important for the nurse to
implement.
A Provide blow by oxygen
B. Provide a capillary blood glucose
VERSION 2
1. 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
C. Cephalhematoma
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.
B. Placenta Previa
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
D. leaking amniotic fluid.
A. Fetal Heart rate 60 beats per minute
4. A client at 37 weeks gestation presents to labor and delivery with contractions every two
minutesthe nurse observes several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
, C. Herpes Simplex Virus
5. The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor which
maternity prescription is most important in preventing this fetus from developing respiratory distress
syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15 minutes X 3
D. Butorphanol tartrate 1mg IV push q2h PRN.
B. Betamethasone 12 mg deep IM
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.
B. Keep an airway at the bedside
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.
C. Inspect clients perineal and rectal areas
8. If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma ina 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
D. Positive fetal hemoglobin testing
B. Mild contractions every 10 minutes.
9. In The Ballard Gestational Age Assessment Tool, the nurse determines that a 15-month-old infant as a
gestational age of 42 weeks. Based on this finding which intervention is most important for the nurse to
implement.
A Provide blow by oxygen
B. Provide a capillary blood glucose
