HESI OB MATERNITY EXAM 2025 ACTUAL EXAM 2

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HESI OB MATERNITY EXAM 2025 ACTUAL EXAM 2

VERSIONS (VERSION A AND B) COMPLETE EXAM

QUESTIONS WITH DETAILED VERIFIED ANSWERS

(100% CORRECT ANSWERS) /ALREADY GRADED A+ /

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Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action will the nurse take?

• Notify the healthcare provider or anesthesiologist

immediately

• Continue to assess the blood pressure q5 minutes
• Place the woman in a lateral position
• Turn off the continuous epidural - Answer-C. Place the

woman in a lateral position

These symptoms are suggestive of hypotension which is a side effect of epidural anesthesia. Raising the foot of the bed will increase venous return and provide blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose solution and ensuring that the client is in a lateral position are also appropriate interventions, and then checking the patients blood pressure.

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A newborn infant is brought to the nursery from the birthing suite. The nurse notices that the infant is breathing satisfactorily but appears dusky. What action should the nurse take first?

• Notify the pediatrician immediately
• Suction the infant's nares, then the oral cavity
• Check the infant's oxygen saturation rate
• Position the infant on the right side - Answer-C. Check

the infant's oxygen saturation rate

When possible, the nurse should first obtain measurable objective data; an oxygen saturation rate provides such information.

FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%

The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction should the nurse include as content in the class?

• Begin as soon as your baby is born to establish a four-

hour feeding schedule 2 / 4

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• Resting helps with milk production. Ask that your baby

be fed at night in the nursery

• Feed your baby every 2 to 3 hours or on demand,

whichever comes first

• Do not allow your baby to nurse any longer than the

prescribed number of minutes - Answer-C. Feed your baby every 2 to 3 hours or on demand, whichever comes first

Breastfeeding infants should be kept in the room with the mother and fed every 2 to 3 hours or on demand-- whichever comes first.

A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately?

• Heart rate of 100 beats/minute
• Variable fetal heart rate
• Onset of uterine contractions
• Burning on urination - Answer-C. Onset of uterine

contractions

Total (complete) placenta previa involves the placenta covering the entire cervical os (opening). The onset of 3 / 4

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uterine contractions places the client at risk for dilation and placental separation, which causes painless hemorrhaging.

A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. the nurse should discontinue the oxytocin infusion for which pattern of contractions?

• Transition labor with contractions every 2 minutes,

lasting 90 seconds each

• Early labor with contractions every 5 minutes, lasting 40

seconds each

• Active labor with contractions every 31 minutes, lasting

60 seconds each

• Active labor with contractions every 3 to 3 minutes,

lasting 70 to 80 seconds each - Answer-A. Transition labor with contractions every 2 minutes, lasting 90 seconds each

When oxytocin causes uterine hyperstimulation as evidence by inadequate resting time between contractions, the oxytocin infusion should be discontinued because placental perfusion is impeded

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