HESI OB MATERNITY Quiz Advanced Review Exam, HESI

HESI OB MATERNITY Quiz Advanced Review Exam, HESI Obstetrics/Maternity Practice Exam Review , OB/Maternity HESI Assignment exam Verified Exam Review , Maternity HESI Exam Questions And Answers 2025 A+, HESI Obstetrics

• A client at 36 weeks gestation reports feeling lightheaded and dizzy when lying flat on her

back. What is the most appropriate response by the nurse?

• "You may be experiencing low blood sugar levels. Try eating a small snack."
• "You should avoid lying on your back as this can restrict blood flow to the uterus."
• "This is normal during pregnancy, and you should continue to rest in any position."
• "I will notify the provider immediately. This could be a sign of a serious condition."

Answer: B) "You should avoid lying on your back as this can restrict blood flow to the uterus." Rationale: The client is likely experiencing supine hypotensive syndrome, which occurs when the gravid uterus compresses the inferior vena cava while the woman is lying on her back, reducing venous return to the heart and causing hypotension. The best response is to advise the client to avoid lying supine and encourage side-lying positions, especially the left side.

• A 28-week pregnant client reports severe headache, visual disturbances, and swelling in

her hands and feet. What is the most appropriate action by the nurse?

• Assess the client's blood pressure.
• Provide a warm bath to help relax the client.
• Advise the client to rest and elevate her legs.
• Encourage the client to take acetaminophen for the headache.

Answer: A) Assess the client's blood pressure. 1 / 4

Rationale: These symptoms could indicate preeclampsia, which is characterized by high blood pressure, proteinuria, and edema. The nurse should assess the client’s blood pressure to evaluate for hypertension, a key sign of preeclampsia. Further evaluation and intervention may be required.

• A client at 39 weeks gestation presents to the labor and delivery unit in active labor. Which

of the following findings is the most important to report to the healthcare provider?

• A temperature of 100.2°F (37.9°C).
• Frequent, regular contractions every 5 minutes.
• Fetal heart rate of 110 beats per minute.
• Sudden onset of severe abdominal pain.

Answer: D) Sudden onset of severe abdominal pain.

Rationale: Sudden, severe abdominal pain could indicate a serious complication such as placental abruption, where the placenta prematurely detaches from the uterine wall. This can lead to hemorrhage and fetal distress. Immediate evaluation is necessary.

• A postpartum client is breastfeeding her newborn. Which of the following statements by

the client indicates a need for further teaching about breastfeeding?

• "I will breastfeed every 2-3 hours to help establish a good milk supply."
• "My baby should latch on to the breast as soon as possible after birth."
• "I should always make sure to feed on one breast before switching to the other."
• "It’s normal for the baby to nurse for 10 minutes on each side."

Answer: D) "It’s normal for the baby to nurse for 10 minutes on each side." Rationale: The duration of breastfeeding can vary greatly depending on the infant’s needs.Some babies may nurse for longer periods to effectively empty the breast, while others may finish in less time. A rigid guideline of 10 minutes on each side could hinder effective feeding.The baby should be allowed to nurse as long as needed.

• Which of the following is the most appropriate nursing intervention for a client with a

diagnosis of preterm labor?

• Encourage the client to rest on her back.
• Administer magnesium sulfate as prescribed.
• Limit fluid intake to reduce swelling.
• Instruct the client to continue normal activity. 2 / 4

Answer: B) Administer magnesium sulfate as prescribed.

Rationale: Magnesium sulfate is commonly administered to women in preterm labor to reduce the risk of preterm birth and prevent seizures. It acts as a tocolytic (labor suppressant) to delay labor. The nurse should ensure the client follows prescribed treatments and interventions.

• A client at 20 weeks of pregnancy is seen for a routine prenatal checkup. Which finding

should be reported to the healthcare provider?

• A fundal height of 20 cm.
• Presence of fetal heart tones at 140 beats per minute.
• A weight gain of 10 pounds since the last visit.
• A decrease in fetal movements.

Answer: D) A decrease in fetal movements.

Rationale: A decrease in fetal movements after 20 weeks can be a sign of fetal distress and warrants further evaluation. The nurse should report this to the healthcare provider immediately for further assessment.

• The nurse is teaching a prenatal class about the signs of labor. Which of the following

statements by a pregnant client indicates understanding of the teaching?

• "I should expect to feel a sharp, shooting pain in my lower abdomen before labor starts."
• "A bloody show is a sign that labor is imminent and that my cervix is dilating."
• "I will need to go to the hospital immediately when I start feeling mild, irregular

contractions."

• "The rupture of membranes is a sign that I am definitely in labor."

Answer: B) "A bloody show is a sign that labor is imminent and that my cervix is dilating." Rationale: A bloody show, which is the passage of mucus and blood from the cervix, occurs as the cervix softens and dilates in preparation for labor. It is a normal sign of labor approaching, but it does not necessarily indicate that labor has started.

• A nurse is caring for a client who had a cesarean section. Which of the following actions

should the nurse take first?

• Encourage the client to ambulate.
• Assess the incision site for signs of infection. 3 / 4

• Monitor the client’s vital signs.
• Provide pain medication as prescribed.

Answer: C) Monitor the client’s vital signs.

Rationale: The priority action is to monitor the client’s vital signs, as there is a risk of hemorrhage or infection after a cesarean section. The nurse should assess for any signs of complications such as bleeding or infection before other interventions.

• The nurse is preparing a client for an amniocentesis. Which of the following instructions

should the nurse give the client before the procedure?

• "You may experience severe cramping during the procedure."
• "You will need to fast for 12 hours prior to the procedure."
• "The procedure will be performed after 32 weeks of gestation."
• "You may feel a slight pressure as the needle is inserted."

Answer: D) "You may feel a slight pressure as the needle is inserted." Rationale: During amniocentesis, a needle is inserted into the uterus to collect amniotic fluid for testing. The client may feel pressure or discomfort during the procedure but should not expect severe pain or cramping.

• A client at 34 weeks of gestation is diagnosed with gestational diabetes. Which of the

following actions should the nurse include in the client’s plan of care?

• Encourage the client to increase carbohydrate intake to stabilize blood sugar.
• Teach the client how to monitor her blood glucose levels at home.
• Instruct the client to discontinue insulin if blood glucose levels are normal.
• Limit the client’s activity to avoid stimulating insulin production.

Answer: B) Teach the client how to monitor her blood glucose levels at home.

Rationale: Clients with gestational diabetes must monitor their blood glucose levels regularly to maintain normal levels and reduce the risk of complications for both mother and baby. The nurse should teach the client how to use a glucometer and how to interpret the results.

• A nurse is caring for a postpartum client who had a vaginal delivery. Which of the

following assessments is most important in the first hour after birth?

• Checking the client's pain level.
• Assessing the fundus for firmness and position.
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