1. 1. A primipara has delivered a stillborn fetus at a. Provide an op-
30-weeks gestation. To assist the parents with the portunity for the
grieving process, which intervention is most impor- parents to hold
tant for the nurse to implement? their infant in priva-
a. Provide an opportunity for the parents to hold their cy.
infant in privacy.
b. Assist the couple in completing a request for autop-
sy.
c. Encourage the couple to seek family counseling
within the next few weeks.
d. Explain the possible causes of fetal demise.
2. 2. What is the priority nursing assessment immedi- a. Body tempera-
ately following the birth of an infant with esophageal ture.
atresia and a tracheoesophageal (TE) fistula?
a. Body temperature.
b. Level of pain.
c. Time of first void.
d. Number of vessels in the cord.
3. 3. What is the most important assessment for the a. Maternal blood
nurse to conduct following the administration of pressure.
epidural anesthesia to a client who is at 40-weeks
gestation?
a. Maternal blood pressure.
b. Level of pain sensation
c. Station of presenting part.
d. Variability of fetal heart rate
4. 4. A 34-week primigravida woman with preeclampsia 75ml/hr
is receiving Lactated Ringer's 500ml with magnesium
sulfate 20 grams at the rate of 3g/hr. How many ml/hr
should the nurse program the infusion pump? (Enter
numeric value only.
5. 5. A 6-year-old with heart failure (HF) gained 2 pounds c. Assess bilateral
in the last 24 hours. Which intervention is more impor- lung sounds.
tant for the nurse to implement?
a. Graph the daily weight for the past week.
, 2024 HESI MATERNITY OB EXAM VERSION 3
b. Decrease IV flow rate.
c. Assess bilateral lung sounds.
d. Restrict intake of oral fluids.
6. 6. A mother of a 3-year-old boy has just given birth to a. Explain that
a new baby girl. The little boy asks the newborns get milk
nurse, <Why is my baby sister eating my mommy's from their mothers
breast?= How should the nurse respond? in this way.
(Select all that apply.) b. Reassure the
a. Explain that newborns get milk from their mothers older brother that
in this way. is does not hurt his
b. Reassure the older brother that is does not hurt his mother.
mother. c. Remind him that
c. Remind him that his mother breastfed him too. his mother breast-
d. Suggest that the baby can also drink from a bottle. fed him too.
e. Clarify the breastfeeding is his mother's choice.
7. 7. The nurse is examining an infant for possible cryp- d. Place the infant
torchidism. Which exam technique should be in a warm room
used? and use a calm ap-
a. Place the infant in side-lying position to facilitate proach.
the exam.
b. Hold the penis and retract the foreskin gently.
c. Cleanse the penis with an antiseptic-soaked pad.
d. Place the infant in a warm room and use a calm
approach.
8. 8. The nurse is planning care for a client at 30-weeks a. Betamethasone
gestation who is experiencing preterm labor. (Celestone) 12mg
What maternal prescription is most important in pre- deep IM
venting this fetus from developing
respiratory syndrome?
a. Betamethasone (Celestone) 12mg deep IM.
b. Butorphanol 1mg IV push q2h PRN pain.
c. Ampicillin 1g IV push q8h.
d. Terbutaline (Brethine) 0.25mg subcutaneously q15
minutes x3.
9. 9. Insulin therapy is initiated for a 12-year-old child a. Monitor serum
who is admitted with diabetic ketoacidosis glucose for adjust-
, 2024 HESI MATERNITY OB EXAM VERSION 3
(DKA). Which action is most important for the nurse it ment in infusion
include in the child's plan of care? rate of regular in-
a. Monitor serum glucose for adjustment in infusion sulin (Novolin R).
rate of regular insulin (Novolin R).
b. Determine the child's compliance schedule for sub-
cutaneous NPH insulin (Humulin N).
c. Demonstrate to parents how to program an insulin
pen for daily glucose regulation.
d. Consult with healthcare provider about use of in-
sulin detemir (Levemir Flex Pen).
10. 10. A 3-month-old with myelomeningocele and atonic b. Change to
bladder is catheterized every 4hrs to prevent latex-free gloves
urinary retention. The home health nurse notes that when handling in-
the child has developed episodes of sneezing, urticar- fant
ial, watery eyes, and a rash in the diaper area. What
action is most important
for the nurse to take?
a. Auscultate the lungs for respiratory pneumonia.
b. Change to latex-free gloves when handling infant.
c. Draw blood to analyze for streptococcal infection.
d. Apply zinc oxide to perineum with each diaper
change
11. 11. The healthcare provider prescribes Amoxicillin 10mL
500mg PO every 8hrs for a child who weighs 22
pounds. The available suspension is labeled, Amoxi-
cillin Suspension 250mg/5ml. The recommended max-
imum dose is 50mg/kg/24hr. How many ml should the
nurse administer in a
single dose based on the child's weight? (Enter nu-
merical value only. If rounding is required, round to
the whole number.)
12. 12. The nurse is caring for a female client, a primigravi- d. Magnesium sul-
da with preeclampsia. Findings include +2 proteinuria, fate.
BP 172/112 mmHg, facial and hand swelling, com-
plaints of blurry vision and a sever frontal headache.
Which medication should the nurse anticipate for this
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