Maternity HESI Study 2025 _ Practice Questions & Verified Answers 2026-03-05
Maternity HESI Study 2026 |
Practice Questions & Verified
Answersswers
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,Maternity HESI Study 2026-03-05
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Terms in this set (107)
Page 2 Maternity HESI Study.pdf
, Maternity HESI Study 2026-03-05
When assessing a newborn infant's heart rate, which technique is most important for the nurse to use?
1. Quiet the infant before counting the heart rate.
2. Listen at the apex of the heart.
3. Count the heart rate for at least one full minute.
4. Palpate the umbilical cord
3. Count the heart rate for at least one full minute.
It is most important for the nurse to count the heart rate for at least one full minute (C) so that irregularities
or murmurs can be detected. (A) is not necessary for the heart rate to be correctly auscultated. The heart
rate can be heard clearly over any point of an infant's chest, not just (B). Immediately after delivery, (D)
will allow the nurse to assess the rate, but (B) is the most accurate method of obtaining a newborn's heart
rate.
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby
jumped in response to the noise. What information should the nurse provide?
1. This is a demonstration of the fetus's acoustical reflex.
2. The fetus can respond to sound by 24-weeks gestation.
3. It is a coincidence the fetus responded at the same time.
4. Report the fetus's behavior to the healthcare provider.
2. The fetus can respond to sound by 24-weeks gestation.
At 24-weeks gestation, the fetus's ability to hear loud environment sounds can illicit a startle response (B).
Acoustic stimulations can evoke a fetal heart rate response and fetal movement, but (A and C) are
inaccurate. (D) is not indicated.
A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse
assess first for signs of internal hemorrhage?
1. Vaginal bleeding.
2. Complaints of abdominal pain.
3. Changes in fetal heart rate patterns.
4. Alteration in maternal blood pressure
3. Changes in fetal heart rate patterns.
Hypoperfusion of the fetus may be present before the onset of clinical signs of maternal compromise or
shock in a pregnant woman, so the external fetal monitor tracings should be assessed first to determine
signs of fetal hypoxia due to internal bleeding in the mother. (A, B, and D) are not the first findings of
internal hemorrhage in the pregnant client.
The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate 48 breaths/minute. Based on these
findings, which action should the nurse take first?
1. Check the infant's arterial blood gases.
2. Notify the pediatrician of the infant's vital signs.
3. Assess the infant's blood glucose level.
4. Encourage the infant to take the breast or sugar water.
3. Assess the infant's blood glucose level.
The nurse should first assess the infant's blood glucose level (C), because the infant is displaying signs of
hypothermia (normal newborn axillary temperature is 96 to 98 F) and hypoglycemia may occur as glucose
is metabolized in an effort to meet cellular energy demands. The infant's respiratory and heart rates are
within normal limits, so (A) is not a priority. (B and D) would be implemented after information regarding
the blood sugar level has been obtained.
Page 3 Maternity HESI Study.pdf
Maternity HESI Study 2026 |
Practice Questions & Verified
Answersswers
Page 1 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ Maternity HESI Study 2025 _ Practice Questions & Verified Answers.pdf
,Maternity HESI Study 2026-03-05
Save
M
a
t
e
r
n
it
y
H
E
S
I
S
t
u
d
y
Students
also
studied
Terms in this set (107)
Page 2 Maternity HESI Study.pdf
, Maternity HESI Study 2026-03-05
When assessing a newborn infant's heart rate, which technique is most important for the nurse to use?
1. Quiet the infant before counting the heart rate.
2. Listen at the apex of the heart.
3. Count the heart rate for at least one full minute.
4. Palpate the umbilical cord
3. Count the heart rate for at least one full minute.
It is most important for the nurse to count the heart rate for at least one full minute (C) so that irregularities
or murmurs can be detected. (A) is not necessary for the heart rate to be correctly auscultated. The heart
rate can be heard clearly over any point of an infant's chest, not just (B). Immediately after delivery, (D)
will allow the nurse to assess the rate, but (B) is the most accurate method of obtaining a newborn's heart
rate.
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby
jumped in response to the noise. What information should the nurse provide?
1. This is a demonstration of the fetus's acoustical reflex.
2. The fetus can respond to sound by 24-weeks gestation.
3. It is a coincidence the fetus responded at the same time.
4. Report the fetus's behavior to the healthcare provider.
2. The fetus can respond to sound by 24-weeks gestation.
At 24-weeks gestation, the fetus's ability to hear loud environment sounds can illicit a startle response (B).
Acoustic stimulations can evoke a fetal heart rate response and fetal movement, but (A and C) are
inaccurate. (D) is not indicated.
A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse
assess first for signs of internal hemorrhage?
1. Vaginal bleeding.
2. Complaints of abdominal pain.
3. Changes in fetal heart rate patterns.
4. Alteration in maternal blood pressure
3. Changes in fetal heart rate patterns.
Hypoperfusion of the fetus may be present before the onset of clinical signs of maternal compromise or
shock in a pregnant woman, so the external fetal monitor tracings should be assessed first to determine
signs of fetal hypoxia due to internal bleeding in the mother. (A, B, and D) are not the first findings of
internal hemorrhage in the pregnant client.
The nurse assesses a male newborn and determines that he has the following vital signs: axillary
temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate 48 breaths/minute. Based on these
findings, which action should the nurse take first?
1. Check the infant's arterial blood gases.
2. Notify the pediatrician of the infant's vital signs.
3. Assess the infant's blood glucose level.
4. Encourage the infant to take the breast or sugar water.
3. Assess the infant's blood glucose level.
The nurse should first assess the infant's blood glucose level (C), because the infant is displaying signs of
hypothermia (normal newborn axillary temperature is 96 to 98 F) and hypoglycemia may occur as glucose
is metabolized in an effort to meet cellular energy demands. The infant's respiratory and heart rates are
within normal limits, so (A) is not a priority. (B and D) would be implemented after information regarding
the blood sugar level has been obtained.
Page 3 Maternity HESI Study.pdf
