MOTHER BABY HESI - #1 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm
labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? -
Answers Tachycardia and a feeling of nervousness.
side effects of magnesium sulfate - Answers Depressed reflexes and increased respirations. A flushed,
warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - Answers stimulates beta- adrenergic
receptors in the uterine muscle to stop contractions
primary side effect. Terbutaline sulfate (Brethine), a - Answers Tachycardia and a feeling of
nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - Answers Drowsiness and bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take? - Answers Observe the mother for other attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's interactions
with her infant - Answers Observe the mother for other attachment behaviors. helps the nurse
determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress, or impact the
mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective? - Answers Changes in
apical heart rate from the 180s to the 140s.
Epogen - Answers given to prevent or treat anemia, stimulates erythropoietin production, resulting in
an increase in RBCs. Since the body has not had to compensate for anemia with an increased heart
rate, changes in heart rate from high to normal
Epogen and RR - Answers Respiratory rate should decrease rather than increase
Epogen and urinary output - Answers is not related to Epogen
Epogen and bilirubin - Answers is usually related to resolution of hyperbilirubinemia, treated with
phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain? - Answers Date of last normal
menstrual period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal heart
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the nurse respond? -
Answers Regression in behaviors in the older child is a typical reaction so he needs attention at this
time.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood
between the periosteum and skull which does not cross the suture line is a newborn variation known
as - Answers a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), a slight abnormal variation of the newborn, usually arises within the first 24
hours after delivery. Trauma from delivery causes capillary bleeding between the periosteum and the
skull
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is
most effective to prevent nipple soreness? - Answers Correctly place the infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if
the neonate is small for gestational age (SGA)? (Select all that apply.) - Answers A. Admission weight
of 4 pounds, 15 ounces (2244 grams). B. Head to heel length of 17 inches (42.5 cm). C. Frontal
occipital circumference of 12.5 inches (31.25 cm).
, appropriate for gestational age (AGA) newborn - Answers should fall between the measurement
ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-35 cm).
SGA neonate's parameters - Answers Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces.
riteria for physical maturity score Ballard (Dubowitz) scale. - Answers Full flexion of all extremities in
resting supine position.
A pregnant client tells the nurse that the first day of her last menstrual period
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣ delivery? - Answers May 29, 2007.
␣␣␣␣␣␣␣␣ rule is used to calculate the expected date of delivery, and is obtained by subtracting 3
months and adding 7 days beginning from the first day of the last normal menstrual period.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended
for which purpose? - Answers Screen for neural tube defects
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention
should the nurse implement first? - Answers Obtain a specimen for urine analysis
Obtaining a urine analysis (C) should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage
of labor. Which assessment findings are of greatest concern? - Answers Edema, basilar rales, and an
irregular pulse.
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? - Answers A sterile glove An
amnihook. Lubricant
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first? - Answers Bathe the infant with an antimicrobial soap
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain
of tingling fingers and dizziness. What action should the nurse take? - Answers Have the client breathe
into her cupped hands.
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care? - Answers Patellar reflex 4+. A 4+ reflex in a client with pregnancy-induced
hypertension (A) indicates hyperreflexia, which is an indication of an impending seizure.
A 4+ reflex in a client with pregnancy-induced hypertension (A) indicates hyperreflexia, which is an
indication of an impending seizure. - Answers Check the infant's oxygen saturation rate.
The nurse should encourage the laboring client to begin pushing when - Answers the cervix is
completely dilated.
The nurse is planning preconception care for a new female client. Which information should the nurse
provide the client? - Answers Encourage healthy lifestyles for families desiring pregnancy.
Planning for pregnancy begins with healthy lifestyles in the family (D) which is an intervention in
preconception care that targets an overall goal for a client preparing for pregnancy.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare
provider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent? - Answers Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder (C) from a subdiaphragmatic collection
of peritoneal dye/gas.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea,
fatigue, and a moist cough. Which question is most important for the nurse to ask this client? -
Answers Do you have a history of rheumatic fever?
Clients with a history of rheumatic fever (D) may develop mitral valve prolapse, which increases the
risk for cardiac decompensation due to the increased blood volume that occurs during pregnancy, so
obtaining information about this client's health history is a priority
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most
important for the nurse to provide this client? - Answers Take prescribed multivitamin and mineral
supplements.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm
labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? -
Answers Tachycardia and a feeling of nervousness.
side effects of magnesium sulfate - Answers Depressed reflexes and increased respirations. A flushed,
warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - Answers stimulates beta- adrenergic
receptors in the uterine muscle to stop contractions
primary side effect. Terbutaline sulfate (Brethine), a - Answers Tachycardia and a feeling of
nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - Answers Drowsiness and bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take? - Answers Observe the mother for other attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's interactions
with her infant - Answers Observe the mother for other attachment behaviors. helps the nurse
determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress, or impact the
mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective? - Answers Changes in
apical heart rate from the 180s to the 140s.
Epogen - Answers given to prevent or treat anemia, stimulates erythropoietin production, resulting in
an increase in RBCs. Since the body has not had to compensate for anemia with an increased heart
rate, changes in heart rate from high to normal
Epogen and RR - Answers Respiratory rate should decrease rather than increase
Epogen and urinary output - Answers is not related to Epogen
Epogen and bilirubin - Answers is usually related to resolution of hyperbilirubinemia, treated with
phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain? - Answers Date of last normal
menstrual period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal heart
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the nurse respond? -
Answers Regression in behaviors in the older child is a typical reaction so he needs attention at this
time.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized
edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood
between the periosteum and skull which does not cross the suture line is a newborn variation known
as - Answers a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), a slight abnormal variation of the newborn, usually arises within the first 24
hours after delivery. Trauma from delivery causes capillary bleeding between the periosteum and the
skull
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is
most effective to prevent nipple soreness? - Answers Correctly place the infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the
neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if
the neonate is small for gestational age (SGA)? (Select all that apply.) - Answers A. Admission weight
of 4 pounds, 15 ounces (2244 grams). B. Head to heel length of 17 inches (42.5 cm). C. Frontal
occipital circumference of 12.5 inches (31.25 cm).
, appropriate for gestational age (AGA) newborn - Answers should fall between the measurement
ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-35 cm).
SGA neonate's parameters - Answers Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces.
riteria for physical maturity score Ballard (Dubowitz) scale. - Answers Full flexion of all extremities in
resting supine position.
A pregnant client tells the nurse that the first day of her last menstrual period
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣ delivery? - Answers May 29, 2007.
␣␣␣␣␣␣␣␣ rule is used to calculate the expected date of delivery, and is obtained by subtracting 3
months and adding 7 days beginning from the first day of the last normal menstrual period.
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended
for which purpose? - Answers Screen for neural tube defects
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention
should the nurse implement first? - Answers Obtain a specimen for urine analysis
Obtaining a urine analysis (C) should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage
of labor. Which assessment findings are of greatest concern? - Answers Edema, basilar rales, and an
irregular pulse.
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What
equipment should the nurse have available at the client's bedside? - Answers A sterile glove An
amnihook. Lubricant
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first? - Answers Bathe the infant with an antimicrobial soap
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain
of tingling fingers and dizziness. What action should the nurse take? - Answers Have the client breathe
into her cupped hands.
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care? - Answers Patellar reflex 4+. A 4+ reflex in a client with pregnancy-induced
hypertension (A) indicates hyperreflexia, which is an indication of an impending seizure.
A 4+ reflex in a client with pregnancy-induced hypertension (A) indicates hyperreflexia, which is an
indication of an impending seizure. - Answers Check the infant's oxygen saturation rate.
The nurse should encourage the laboring client to begin pushing when - Answers the cervix is
completely dilated.
The nurse is planning preconception care for a new female client. Which information should the nurse
provide the client? - Answers Encourage healthy lifestyles for families desiring pregnancy.
Planning for pregnancy begins with healthy lifestyles in the family (D) which is an intervention in
preconception care that targets an overall goal for a client preparing for pregnancy.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare
provider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent? - Answers Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder (C) from a subdiaphragmatic collection
of peritoneal dye/gas.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea,
fatigue, and a moist cough. Which question is most important for the nurse to ask this client? -
Answers Do you have a history of rheumatic fever?
Clients with a history of rheumatic fever (D) may develop mitral valve prolapse, which increases the
risk for cardiac decompensation due to the increased blood volume that occurs during pregnancy, so
obtaining information about this client's health history is a priority
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most
important for the nurse to provide this client? - Answers Take prescribed multivitamin and mineral
supplements.
