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2026 HESI MATERNITY OB EXAM VERSION 6
{ALREADY GRADED A+ } NEWEST VERSION
Nursing & Maternal Health Study Guide
- The father of a 3-day old infant who is breast feeding calls the postpartum help line
- Contact the clinic if the behaviors continue for more than two weeks or becomes worse
- Tell the father count the newborns number of soiled diapers over the next few days.
- A fluctuation in hormones in the early postpartum period can cause mood changes.
- Recommend giving supplemental bottle feedings to the baby between breast feeding.
- One hour after delivery the nurse is unable to palpate the uterine fundus of a client
- Document number of pad changes in the last hour
- Provide bedpans to void if unable to ambulate
- Palpate the supra pubic area for bladder distention
- Increases the rate of the oxytocin infusion
to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. What information is most important for the nurse to provide the father?
Correct Answer: A) Contact the clinic if the behaviors continue for more than two weeks or becomes worse
who had an epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next?
Correct Answer: C) Palpate the supra pubic area for bladder distention
- The home health nurse visits a client who delivered a full-term baby three days ago.
The mother reports that the infant is waking up every 2 hours to bottle feed. The nurse notes white, curl-like patches on the newborns oral mucous membranes. What action should the nurse implement?
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- Discuss the need for medication to treat curl-like oral patches
- Suggest switching the infant's formula
- Assess the baby's blood glucose level
- Remind mother not put the baby to bed with a propped bottle
- A client who is 3 weeks postpartum tells the nurse. "I am so tired all the time. I didn't
- It is common to feel exhausted for the first 3 months. Try to sleep when the baby sleeps.
- It is normal to feel tired for the first couple weeks. Be patient with yourself and rest more.
- You should not be doing any housework. Are any of your family members helping you?
- Adjusting to a new baby can be difficult. Tell me more about any help you are receiving.
- An obviously pregnant woman walks into the hospital's emergency department
- Determines the gestational age of fetus
- Assess the amount and color of the amniotic fluid
- Obtain peripheral IV access and begin administration of IV fluids
- Provide clear concise instructions in a calm, deliberate manner
- A 39-week gestational multigravida is admitted to labor and delivery spontaneous
- Obtain a blood specimen for hemoglobin
- Take an oral maternal temperature
Correct Answer: A) Discuss the need for medication to treat curl-like oral patches
know having a baby would be so hard." What response should the nurse provide?
Correct Answer: D) Adjusting to a new baby can be difficult. Tell me more about any help you are receiving.
entrance shouting. "Help me! Help me! My baby is coming! I'm so afraid!" The nurse determines if delivery is indeed imminent, what action is most important for the nurse to take?
Correct Answer: D) Provide clear concise instructions in a calm, deliberate manner
rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6cm, 90?facedand the fetus is at a +2 station.During the last 45 minutes the fetal heart rate has ranged between 170 and 180 beats/minute. What action should the nurse implement?
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- Straight Catheterize client
- Send amniotic fluid for analysis
Correct Answer: B) Take an oral maternal temperature
- A new mother asks the nurse about an area of swelling on her baby head near the
- That's called caput succedaneum. It will absorb and cause no problems.
- That is called a cephalohematoma. It will cause no problems.
- That is called a cephalohematoma. It can cause jaundice as it is.
- That is called caput succedaneum. It will have to be drained
posterior fontanel that lies across the suture lines. How should the nurse respond?
Correct Answer: A) That's called caput succedaneum. It will absorb and cause no
problems.
- When performing daily head to toe assessment of a 1-day old newborn the nurse
- measure bilirubin levels using transcutaneous bilirubinometer.
- review maternal medical records for blood type and Rh factor
- Prepare the newborn for phototherapy
- Evaluate cord a result
- A 38-week primigravida client who is positive for group A beta streptococcus
observes yellow tint to the skin on the forehead, sternum and abdomen. What action should the nurse take?
Correct Answer: A) measure bilirubin levels using transcutaneous bilirubinometer.
receives a prescription for cefazolin 2grams IV to be infused over 30mins. The medications available in 2 grams/100ml of normal saline. The nurse should program the infusion pump to deliver how many ml/hours?
Correct Answer: 1.6ml/hr.
- The nurse is teaching a client with gestational diabetes about nutrition and insulin
- Insulin production is decreased during pregnancy
- increase daily caloric intake is needed
need for pregnancy. Which content should the nurse include in this client teaching plan?
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- injection requirements remain the same
- Blood sugars need less monitoring in the first trimester
Correct Answer: B) increase daily caloric intake is needed
- Which action should the nurse take if an infant, who was born yesterday weighing
- Monitor the stool and urine output of the neonate for the last 24 hours
- Inform and assure the mother that this is a normal weight loss
- Encourages the mother to increase frequency of breastfeeding.
- After verifying the accuracy of the weight, notify the healthcare provider
- A term multigravida, who is receiving oxytocin for labor augmentation is requesting
- Discontinue the Pitocin infusion
- Medicate the client with an additional 1mg of Stadol IV push
- Notify the healthcare provider
- Instruct the client to use deep breathing during contraction
7.5lbs (3,317grams) weights 7 lbs. (3,175grams) today?
Correct Answer: B) Inform and assure the mother that this is a normal weight loss
pain medication. Review of the clients record indication that she was medicated 30minutes ago with butorphanol (Stadol) 2mg and promethazine (Phenergan) 25mg IV push. Vaginal examination reveals that the client cervical dilation is 3cm, 70?faced, and at a 0 station. What action should the nurse implement?
Correct Answer: D) Instruct the client to use deep breathing during contraction
- A woman who delivered a 9-pound baby boy by cesarean section under spinal
- Massage the fundus
- Assess her blood pressure
- Apply ice pack to perineum
- Let the infant breast feed
anesthesia is recovering in the post anesthesia care unit. Her fundus is firm, at the umbilicus, and a continues trickles of bright red blood with no clots from the vagina in observed by the nurse. Which actions should the nurse implemented.
