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OB HESI MATERNITY EXAM LATEST
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
A newborn's assessment reveals spina bifida occulta. Which maternal factor
should the nurse identify as having the greatest impact on the development of this newborn complication? A. Folic acid deficiency
B. Preeclampsia
C. Tobacco use
D. Short interval pregnancy - CORRECT ANSWER✔✔A. Folic acid deficiency
Upon admission to the nursery, the nurse places a newborn supine under a radiant warmer, an external heat source. What intervention should the nurse implement to ensure safe thermoregulation?
A. Wrap the infant in two blankets and place the radiant warmer on low.
B. Dry the newborn's scalp and place a stockinet cap on the head.
C. Move temperature probe over the ribs when turning to a lateral position.
D. Place temperature probe on the abdomen in line with the radiant heat source. - CORRECT
ANSWER✔✔D. Place temperature probe on the abdomen in line with the radiant heat source.
At 6 weeks gestation, the rubella titer of a client indicates she is non-immune.
When is the best time to administer a rubella vaccine to this client? A. Early postpartum, within 72hrs of delivery.
B. Immediately, at 6-weeks gestation, to protect this fetus.
C. After the client reaches 20-weeks gestation.
D. After the client stops breastfeeding. - CORRECT ANSWER✔✔A. Early postpartum, within 72 hours of delivery.
A woman who is trying to get pregnant tells the nurse that she was very
disappointed several months ago when she was informed that her positive pregnancy test was a false positive. Which method of testing provides the greatest degree of accuracy? A. Visualization of implantation by vaginal ultrasound.
B. Presence of amenorrhea for 2 months.
C. Maternal blood serum tests positive for alpha-fetoprotein.
D. Complaints of feeling tired all of the time. - CORRECT ANSWER✔✔A. Visualization of implantation by vaginal ultrasound.
A. Inform her that a decreased need for insulin occurs while breastfeeding.
B. Counsel her to increase her caloric intake.
C. Advise the client to breastfeed more frequently.
D. Schedule an appointment for the client with the diabetic nurse educator. - CORRECT
ANSWER✔✔A. Inform her that a decreased need for insulin occurs while breastfeeding.
A newborn's head circumference is 12inches and his chest measurement is 13 inches. The nurse notes that this infant has no molding, and was a breech presentation delivered by Cesarean section. What action should the nurse take based on these data?
A. No action need be taken. It is normal for an infant born by Cesarean section to have a small head circumference.
B. Notify the pediatrician immediately. These findings support the possibility of hydrocephalus.
C. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal.
D. Record the findings on the chart. They are within normal limits. - CORRECT ANSWER✔✔C. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal.
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3cm. The nurse's assessment findings and
electronic fetal monitoring(EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribed and oxytocin drip. Which data is most important for the nurse to monitor? A. Preparation for emergency cesarean birth.
B. Client's hourly blood pressure.
C. Checking the perineum for bulging.
D. Intensity, interval, and length of contractions. - CORRECT ANSWER✔✔D. Intensity, interval, and length of contractions.
A client at 18-weeks gestation was informed this morning that she has an elevated alphafetoprotein(AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?
A. Reassure the client that the AFP results are likely to be a false reading.
B. Explain that a sonogram should be scheduled for definitive results.
C. Discuss options for intrauterine surgical correction of congenital defects.
D. Inform her that a repeat alpha-fetoprotein(AFP) should be elevated - CORRECT
ANSWER✔✔B. Explain that a sonogram should be scheduled for definitive results.
The nurse is caring for a client following an emergency cesarean delivery under
general anesthesia. Which assessment finding occurring in the first 8 hours after
The nurse is conducting a home health visit of a client who delivered 3 weeks ago
and is formula feeding the infant. Which observations should the nurse find most concerning? A. The client notes infant feeds every 2-3 hours and voids 5-6 times per day.
B. The client is in pajama's and infant is freshly bathed.
C. Used bottles are in the kitchen and infant is in a swing.
D. The clients eyes are red from crying and infant is fussing in the crib. - CORRECT
ANSWER✔✔D. The clients eyes are red from crying and infant is fussing in the crib.
The nurse is caring for a client whos is 10 weeks gestation and palpates the
fundus at 2 fingerbreadths above the pubic symphysis. The client reports nausea, vomiting, and scant dark brown vaginal discharge. Which action should the nurse take? A. Measure vital signs. B. Recommend bed rest.
C. Collect urine sample urinalysis.
D. Obtain human chronic gonadotropin levels. - CORRECT ANSWER✔✔D. Obtain human chronic gonadotropin levels.
A client who had her first baby 3 months ago & 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? A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm is obtained. - CORRECT
ANSWER✔✔D. Use an alternate form of contraceptive until a new diaphragm is obtained.
The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman who is HIV positive. How much do you administer? (?) - CORRECT ANSWER✔✔ 10
T Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action should the nurse implement first? A. Palpate the abdomen for contractions. B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. - CORRECT ANSWER✔✔B. Tilt the backboard sideways to displace the uterus laterally.
client blood pressure is 110/70 mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and temperature is 98.6F. The client's fundus is firm and one fingerbreadth above the umbilicus. Which action should the charge nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery. - CORRECT ANSWER✔✔A. Notify the healthcare provider of the assessment findings.
The nurse is preparing to administer phytonadione to a newborn. Which
statement made by the parents indicates understanding why the nurse is administering this medication? A. Improve insufficient dietary intake. B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver. - CORRECT ANSWER✔✔C. Prevent hemorrhagic disorders.
A 16 year old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours. C. Keep an airway at the bedside.
D. Allow family visitation - CORRECT ANSWER✔✔C. Keep an airway at the bedside.
A pregnant client presents to the antepartum clinic complaining of brownish vaginal bleeding. The nurse notes that she has a greatly enlarges uterus and is complaining of severe nausea. The client reports that her period was "about 2 and a half months ago". Vital signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg. Based on these findings, what laboratory value should the nurse review? A. HcG values. B. Hematocrit.
C. Vaginal secretions culture.
D. Glucose in the urine. - CORRECT ANSWER✔✔A. HcG values.
A woman who is 38 weeks gestation is receiving magnesium sulfate for severe preeclampsia.
Which assessment finding warrants immediate intervention by the nurse?
a. Dizziness when standing.
b. Sinus tachycardia.
c. Absent patellar reflexes.
d. Lower back pain. - CORRECT ANSWER✔✔B. Sinus tachycardia
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - CORRECT ANSWER✔✔D.
Evaluate infant feeding technique prior to discharge.
A 30-year-old primigravida delivers a 9-pound (4082 gram) infant vaginally after a 30-hour labor.
What is the priority nursing action for this client? A.
Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - CORRECT ANSWER✔✔A. Gently massage the fundus every 4 hours.
A multiparous client with active herpes lesion is admitted to the unit with
spontaneous rupture of membranes. Which action should the nurse do first? A.
Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. - CORRECT ANSWER✔✔D. Prepare for a cesarean section.
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, assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia C. Hyperthermia
D. Hypoglycemia - CORRECT ANSWER✔✔D. Hypoglycemia
While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notices that the amniotic fluid is meconium stained.
Which additional finding is most important for the nurse to report to the
healthcare provider? A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. - CORRECT ANSWER✔✔A. Maternal blood pressure of 130/85 mmHg.
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - CORRECT ANSWER✔✔B. Inform the anesthesia care provider.
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 anesthesiologists arrival on the unit, which action should the nurse perform? A.
Cleanse the spinal injection site.
B. Place procedure equipment at bedside. C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - CORRECT ANSWER✔✔B. Place procedure equipment at bedside.
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment finding confirms to the nurse that the client is not in labor at this time? A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. - CORRECT ANSWER✔✔A. Contractions decrease with walking.
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an effective contraction pattern. The available solution is Lactacted Ringer's 1, mL with oxytocin 20 units. The nurse should program the infusion pump to deliver how many mL/hr? - CORRECT ANSWER✔✔ 12
A primigravida client with gestational hypertension and a Bishop score of 3 is
scheduled for induction of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical changes at 0900. Which action should the nurse take? A. Administer misoprostol every 2hrs. B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - CORRECT ANSWER✔✔D. Begin oxytocin 4hrs after misoprostol is given.
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation.
After the fetus is delivered vaginally, the nurse implements routine fetal demise protocol and identification procedures. Which action is important for the nurse to take? A. Explain reasons consent for an infant autopsy is needed. B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
