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HESI OB MATERNITY EXAMINATION TEST 2025 WITH BEST SOLUTIONS, Exams of Nursing

The University of ArizonaNursing

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. - ☑️☑️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? (?) - ☑️☑️10 The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In conducting discharge ... A. Ensure that they have the pediatric clinic's phone number.

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2024/2025

Available from 07/10/2025

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HESI OB MATERNITY EXAMINATION TEST 2025 WITH BEST SOLUTIONS
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. - ☑️☑️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? (?)
- ☑️☑️10
The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - ☑️☑️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. - ☑️☑️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. - ☑️☑️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
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HESI OB MATERNITY EXAMINATION TEST 2025 WITH BEST SOLUTIONS

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. - ☑️ ☑️ 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? (?)

  • ☑️ ☑️ 10 The nurse is preparing a young couple and their 24 - hour-old infant for discharge from the hospital. In conducting discharge ... A. Ensure that they have the pediatric clinic's phone number. B. Provide the results of the infant's hearing test to the parents. C. Request a return demonstration of a diaper change. D. Evaluate infant feeding technique prior to discharge. - ☑️ ☑️ 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. - ☑️ ☑️ 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. - ☑️ ☑️ 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 - ☑️ ☑️ 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. - ☑️ ☑️ 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 with nasal flaring, grunting, and retractions. The nurse should recognize these findings indicate which complication? A. Persistent pulmonary hypertension of the newborn. B. Transient tachypnea of the newborn. C. Meconium aspiration syndrome. D. Bronchopulmonary dysplasia. - ☑️ ☑️ B. Transient tachypnea of the newborn. 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 occurring every 1 minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. What intervention should the nurse implement? A. Notify nursery about the client's response. B. Check for clonus in both feet. C. Stop oxygen per cannula. D. Restart oxytocin infusion rate per protocol. - ☑️ ☑️ D. Restart oxytocin infusion rate per protocol. At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action would the nurse take first? A. Ensure preoperative lab results are available. B. Inform the anesthesia care provider. C. Start prescribed IV with Lactated Ringer's. D. Contact the client's obstetrician. - ☑️ ☑️ 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.

A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture line. How should the nurse respond? A. "That is called caput succedaneum. It will have to be drained." B. "That is called caput succedaneum. It will absorb and cause no problems." C. "That is called a cephalhematoma. It will cause no problems." D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed." - ☑️ ☑️ B. "That is called caput succedaneum. It will absorb and cause no problems." A client at 35 weeks gestation complains of a "pain whenever the baby moves". On assessment, the nurse notes the client's temperature to be 101.2F with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of which condition? A. Round ligament strain. B. Viral infection C. Abruptio placenta D. Chorioamnionitis - ☑️ ☑️ D. Chorioamnionitis An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who delivers a 7 - pound infant 12 hours ago is reporting a severe headache. The 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. - ☑️ ☑️ 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. - ☑️ ☑️ 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 - ☑️ ☑️ 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. - ☑️ ☑️ 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. - ☑️ ☑️ B. Sinus tachycardia The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first? A. Assess cervical dilation. B. Administer oxygen via facemask. C. Change the client's position. D. Turn off the oxytocin infusion. - ☑️ ☑️ C. Change the client's position. An ambulatory client at 39 - weeks gestation presents to the emergency center with an obvious injury to her arm that occurred as the result of a fall. Which concurrent symptom is a priority for the nurse to assess. A. Ecchymotic knees. B. Dribbling urine. C. 1+ pedal edema. D. Pain in the forearm. - ☑️ ☑️ A. Ecchymotic knees. 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 - ☑️ ☑️ A. Folic acid deficiency

A new mother who is breastfeeding her 4 - week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement? 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. - ☑️ ☑️ 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. - ☑️ ☑️ 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. - ☑️ ☑️ D. Intensity, interval, and length of contractions. A client at 18 - weeks gestation was informed this morning that she has an elevated alpha-fetoprotein(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 - ☑️ ☑️ 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 deliver is most critical and requires immediate intervention? A. Mild nausea and anorexia. B. Respiratory rate of 12bpm. C. A positive Homan's sign. D. Uterine atony. - ☑️ ☑️ B. Respiratory rate of 12 bpm

The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the nurse implement first? A. Assess the infant's blood glucose level. B. Nipple feed 1oz 5% glucose in water. C. Place the infant in a side-lying position. D. Position a radiant warmer over the crib. - ☑️ ☑️ A. Assess the infant's blood glucose level. A client who is 32 weeks gestation arrives at the clinic reporting nausea and vomiting for the past 24 hours. The nurse reviews the records and observes there has been a rapid weight gain over 6 weeks. Which action should the nurse implement next? A. Ask for a 24 hour diet recall. B. Obtain a blood pressure. C. Inspect for pedal edema. D. Listen to fetal heart rate. - ☑️ ☑️ B. Obtain a blood pressure. 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. - ☑️ ☑️ 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. - ☑️ ☑️ D. Obtain human chronic gonadotropin levels.