1. HESI OBSTETRICS/MATERNITY PRACTICE EXAM
Grand Canyon University |NSG 320 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose
last menstrual period started on December 1. Which date is most accurate?
a. August 1
b. August 10
c. September 3
d. September 8 - answer :d. September 8
Calculation of a client's EDC provides baseline data to monitor fetal gestation. Nagele's rule uses the
formula: subtract 3 months and add 7 days to the first day of the last normal menstrual period, so
December 1 minus 3 months + 7 days is September 8 (D).
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most important
is most important for the nurse to provide this client?
a. Elevate lower legs while resting
b. Increase caloric intake by 200 to 300 calories per day
c. Increase water intake to 8 full glasses per day
d. Take prescribed multivitamin and mineral supplements - answer :d. Take prescribed multivitamin and
mineral supplements
, A client who has had a spontaneous abortion or still birth in the last 1.5 years should take multivitamin
and mineral supplements (D) and maintain a balanced diet because the previous pregnancy may have
left her nutritionally depleted.
The total bilirubin level of a 36-hour, breastfeeding newborns is 14 mg/dl. Based on this finding, which
intervention should the nurse implement?
a. Provide phototherapy for 30 minutes q8h
b. Feed the newborn sterile water hourly
c. Encourage the mother to breastfeed frequently
d. Assess the newborn's blood glucose level - answer :c. Encourage the mother to breastfeed frequently
The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life. This infant's bilirubin is beginning to
climb and the infant should be monitored to prevent further complications. Breast milk provides calories
and enhances GI motility, which will assist the bowel in eliminating bilirubin (C).
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
a. Blood glucose level of 45 mg/dl
b. Blood pressure of 82/45 mmHg
c. Non-bulging anterior fontanel
d. Central cyanosis when crying - answer :d. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to
extrauterine life which should be reported to the healthcare provider for determination of a possible
underlying cardiovascular problem.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit.
Which nursing plan is best in assisting this mother to bond with her newborn infant?
a. Encourage the mother to provide total care for her infant
b. Provide privacy so the mother can develop a relationship with the infant
c. Encourage the father to provide most of the infant's care during hospitalization
d. Meet the mother's physical needs and demonstrate warmth toward the infant - answer :d. Meet the
mother's physical needs and demonstrate warmth toward the infant
Grand Canyon University |NSG 320 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose
last menstrual period started on December 1. Which date is most accurate?
a. August 1
b. August 10
c. September 3
d. September 8 - answer :d. September 8
Calculation of a client's EDC provides baseline data to monitor fetal gestation. Nagele's rule uses the
formula: subtract 3 months and add 7 days to the first day of the last normal menstrual period, so
December 1 minus 3 months + 7 days is September 8 (D).
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most important
is most important for the nurse to provide this client?
a. Elevate lower legs while resting
b. Increase caloric intake by 200 to 300 calories per day
c. Increase water intake to 8 full glasses per day
d. Take prescribed multivitamin and mineral supplements - answer :d. Take prescribed multivitamin and
mineral supplements
, A client who has had a spontaneous abortion or still birth in the last 1.5 years should take multivitamin
and mineral supplements (D) and maintain a balanced diet because the previous pregnancy may have
left her nutritionally depleted.
The total bilirubin level of a 36-hour, breastfeeding newborns is 14 mg/dl. Based on this finding, which
intervention should the nurse implement?
a. Provide phototherapy for 30 minutes q8h
b. Feed the newborn sterile water hourly
c. Encourage the mother to breastfeed frequently
d. Assess the newborn's blood glucose level - answer :c. Encourage the mother to breastfeed frequently
The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life. This infant's bilirubin is beginning to
climb and the infant should be monitored to prevent further complications. Breast milk provides calories
and enhances GI motility, which will assist the bowel in eliminating bilirubin (C).
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
a. Blood glucose level of 45 mg/dl
b. Blood pressure of 82/45 mmHg
c. Non-bulging anterior fontanel
d. Central cyanosis when crying - answer :d. Central cyanosis when crying
An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to
extrauterine life which should be reported to the healthcare provider for determination of a possible
underlying cardiovascular problem.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit.
Which nursing plan is best in assisting this mother to bond with her newborn infant?
a. Encourage the mother to provide total care for her infant
b. Provide privacy so the mother can develop a relationship with the infant
c. Encourage the father to provide most of the infant's care during hospitalization
d. Meet the mother's physical needs and demonstrate warmth toward the infant - answer :d. Meet the
mother's physical needs and demonstrate warmth toward the infant
