2022 HESI Maternity OB Exam Version 1 With Answers (65 Solved Questions)
2022 HESI Maternity OB Exam Version 1 With Answers provides past exams that mirror actual test conditions.
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2022 HESI OB MATERNITY EXAM VERSION 1 A GRADE WITH
UPDATED QUESTIONS AND ANSWERS
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
UPDATED QUESTIONS AND ANSWERS
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 (C-
Section), 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?
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
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 (C-
Section), 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?
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
15. 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 she is not in labor. What makes the nurse realize she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and 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?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help
promote an effective contraction pattern. The available solution is Lactated Ringers
1,000 ml with Pitocin 20 units. The nurse should program the infusion pump to
deliver how many ml/hr?
12
18. 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 demise
protocol and identification procedures. What action is most important for the
nurse to take?
Encourage the mother to hold and spend time with her baby
19. Following a minor vehicle collision, a client 36 weeks gestation is brought to the
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
15. 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 she is not in labor. What makes the nurse realize she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and 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?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help
promote an effective contraction pattern. The available solution is Lactated Ringers
1,000 ml with Pitocin 20 units. The nurse should program the infusion pump to
deliver how many ml/hr?
12
18. 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 demise
protocol and identification procedures. What action is most important for the
nurse to take?
Encourage the mother to hold and spend time with her baby
19. Following a minor vehicle collision, a client 36 weeks gestation is brought to the
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