HESI OB
MATERNITY RN
EXAM QUESTION
BANK 2023/2024
(ACTUAL
SCREENSHOTS
FROM EXAM
Included)
1. A client at 37 weeks gestation presents to labor and delivery with contractions
every two minutes the nurse observes several shallow small vesicles on her
, pubis labia and perineum. the nurse should recognize the clients is prohibiting
symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
4. A client who had her first baby three months ago and is breastfeeding her infant
tells the nurse that she is currently using the same diaphragm that she used before
becoming pregnant. Which information should the nurse provide this client?
Use alternative form of birth control until new diaphragm can be
obtained.
7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour
labor. What is the priority nursing action for this client?
Massage the fundus Q 4 hours
9. At 0600 while admitting a woman for a scheduled repeat cesarean section
(CSection), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take first?
Inform the anesthesia care provider
10. The nurse is caring for a postpartum client who is exhibiting symptoms of a
spinal headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist arrival on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
11. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
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Hypoglycemia
13. the nurse is caring for a 35 week gestation infant delivered by cesarean
section 2 hours ago. the nurse observes the infants respiratory rate is 72 breaths
minute with nasal flaring, grunting, and retractions. the nurse should recognize
these finding indicate which complication? - B – transient tachypnea of the
newborn
14. A primipara client at 42 weeks gestation is admitted for induction. within one
hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occuring every 1 minute with a 75 second duration. when
nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine rest, the
contractions are occuring every 5 minutes with 20 second duration. which
intervention should the nurse implement?
Restart the oxytocin per oxytocin protocol
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