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2026 HESI MATERNITY OB EXAM VERSION 3 Correct and Verified Answers Graded A.
- A 3-month-old with myelomeningocele and atonic bladder is catheterized every
- Auscultate the lungs for respiratory pneumonia.
- Change to latex-free gloves when handling infant.
- Draw blood to analyze for streptococcal infection.
- Apply zinc oxide to perineum with each diaper change
4hrs to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery eyes, and a rash in the diaper area.What action is most important for the nurse to take?
Correct Answer: b. Change to latex-free gloves when handling infant
- What is the priority nursing assessment immediately following the birth of an infant
- Body temperature.
- Level of pain.
- Time of first void.
- Number of vessels in the cord.
with esophageal atresia and a tracheoesophageal (TE) fistula?
Correct Answer: a. Body temperature.
- A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy
- Explain that newborns get milk from their mothers in this way.
- Reassure the older brother that is does not hurt his mother.
- Remind him that his mother breastfed him too.
- Suggest that the baby can also drink from a bottle.
asks the nurse, “Why is my baby sister eating my mommy's breast?” How should the nurse respond? (Select all that apply.)
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- Clarify the breastfeeding is his mother's choice.
Correct Answer: a, b, and c.
- A 34-week primigravida woman with preeclampsia 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.)
Correct Answer: 75ml/hr
- Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic
- Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
- Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N).
- Demonstrate to parents how to program an insulin pen for daily glucose regulation.
- Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen).
- A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the
- Provide an opportunity for the parents to hold their infant in privacy.
- Assist the couple in completing a request for autopsy.
- Encourage the couple to seek family counseling within the next few weeks.
- Explain the possible causes of fetal demise.
- The nurse is planning care for a client at 30-weeks gestation who is experiencing
- Betamethasone (Celestone) 12mg deep IM.
- Butorphanol 1mg IV push q2h PRN pain.
ketoacidosis (DKA). Which action is most important for the nurse it include in the child's plan of care?
Correct Answer: a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R).
parents with the grieving process, which intervention is most important for the nurse to implement?
Correct Answer: a. Provide an opportunity for the parents to hold their infant in privacy.
preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory syndrome?
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- Ampicillin 1g IV push q8h.
- Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3.
Correct Answer: a. Betamethasone (Celestone) 12mg deep IM
- A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which
- Graph the daily weight for the past week.
- Decrease IV flow rate.
- Assess bilateral lung sounds.
- Restrict intake of oral fluids.
intervention is more important for the nurse to implement?
Correct Answer: c. Assess bilateral lung sounds.
- What is the most important assessment for the nurse to conduct following the
- Maternal blood pressure.
- Level of pain sensation
- Station of presenting part.
- Variability of fetal heart rate
administration of epidural anesthesia to a client who is at 40-weeks gestation?
Correct Answer: a. Maternal blood pressure.
- The nurse is examining an infant for possible cryptorchidism. Which exam
- Place the infant in side-lying position to facilitate the exam.
- Hold the penis and retract the foreskin gently.
- Cleanse the penis with an antiseptic-soaked pad.
- Place the infant in a warm room and use a calm approach.
technique should be used?
Correct Answer: d. Place the infant in a warm room and use a calm approach.
- The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child
who weighs 22 pounds. The available suspension is labeled, Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many ml should the nurse administer in a single dose based on the child's weight?
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Correct Answer: 10mL
- The nurse is caring for a female client, a primigravida with preeclampsia. Findings
- Clonidine hydrochloride.
- Carbamazepine
- Furosemide
- Magnesium sulfate.
include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache. Which medication should the nurse anticipate for this client?
Correct Answer: d. Magnesium sulfate.
- A client at 35 weeks gestation complains of a “pain whenever the baby moves.” On
- Round ligament strain.
- Chorioamnionitis.
- Abruptio placenta.
- Viral infection.
assessment, the nurse notes the client's temperature to be 101.2 F (38.4 C), with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition?
Correct Answer: b. Chorioamnionitis.
- A 4-year-old boy was recently diagnosed with Duchenne muscular dystrophy
- Lower legs become progressively weaker, causing a waddling, unsteady gait.
- Growth and development have been abnormal since birth.
- Muscular strength can be regained with physical exercise and therapy.
- Respiratory dysfunction and aspiration are prime concerns at this stage of disease.
(DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching?
Correct Answer: a. Lower legs become progressively weaker, causing a waddling,
unsteady gait.
