HESI OBSTETRICS/MATERNITY PRACTICE Exam
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(2026) UPDATE |2026!! STUDY GUIDE EXAM
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Terms in this set (34)
Which nursing intervention is most a. Lying prone with a pillow on the abdomen
helpful in relieving postpartum
uterine contractions or "afterpains?" Lying prone (A) keeps the fundus contracted and
a. Lying prone with a pillow on the is especially useful with multiparas, who
abdomen commonly experience afterpains due to lack of
b. Using a breast pump uterine tone.
c. Massaging the abdomen
d. Giving oxytocic medications
A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells the
nurse that her bag of water has A vaginal exam (A) should be performed after
broken. The nurse identifies the the rupture of membranes to determine the
presence of meconium fluid on the presence of a prolapsed cord.
perineum and determines the fetal
heart rate is between 140 to 150
beats/minute. What action should
the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every
2 hours
c. Prepare for an immediate
cesarean birth
d. Obtain sterile suction equipment
,When explaining "postpartum a. Mood swings
blues" to a client who is 1 day c. Tearfulness
postpartum, which symptoms
should the nurse include in the "Postpartum blues" is a common emotional
teaching plan? (Select all that response related to the rapid decrease in
apply.) placental hormones after delivery and include
a. Mood swings mood swings (A), tearfulness (C), feeling low,
b. Panic attacks emotional, and fatigued.
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant
A client at 30-weeks gestation, c. Obtain a specimen for urine analysis
complaining of pressure over the
pubic area, is admitted for Obtaining a urine analysis (C) should be done
observation. She is contracting first because preterm clients with uterine
irregularly and demonstrates irritability and contractions are often suffering
underlying uterine irritability. from a urinary tract infection, and this should be
Vaginal examination reveals that her ruled out first.
cervix is closed, thick, and high.
Based on these data, which
intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count
(CBC) drawn
c. Obtain a specimen for urine
analysis
d. Place the client on strict bedrest
, A client in active labor complains of b. Extend the leg and dorsiflex the foot
cramps in her leg. What intervention
should the nurse implement? Dorsiflexing the foot by puching the sole of the
a. Ask the client if she takes a daily foot forward or by stnading (if the client is
calcium tablet capable) (B), and putting the heel of the foot on
b. Extend the leg and dorsiflex the the floor is the best means of relieving leg
foot cramps.
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
The nurse is caring for a woman a. Edema, basilar rales, and an irregular pulse
with a previously diagnosed heart
disease who is in the second stage Edema, basilar rales, and an irregular pulse (A)
of labor. Which assessment findings indicate cardiac decompensation and require
are of greatest concern? immediate intervention.
a. edema, basilar rales, and an
irregular pulse
b. Increased urinary output, and
tachycardia
c. Shortness of breath, bradycardia,
and hypertension
d. Regular heart rate, and
hypertension
Questions & Answers | 100% Verified solutions
(2026) UPDATE |2026!! STUDY GUIDE EXAM
Save
Terms in this set (34)
Which nursing intervention is most a. Lying prone with a pillow on the abdomen
helpful in relieving postpartum
uterine contractions or "afterpains?" Lying prone (A) keeps the fundus contracted and
a. Lying prone with a pillow on the is especially useful with multiparas, who
abdomen commonly experience afterpains due to lack of
b. Using a breast pump uterine tone.
c. Massaging the abdomen
d. Giving oxytocic medications
A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells the
nurse that her bag of water has A vaginal exam (A) should be performed after
broken. The nurse identifies the the rupture of membranes to determine the
presence of meconium fluid on the presence of a prolapsed cord.
perineum and determines the fetal
heart rate is between 140 to 150
beats/minute. What action should
the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every
2 hours
c. Prepare for an immediate
cesarean birth
d. Obtain sterile suction equipment
,When explaining "postpartum a. Mood swings
blues" to a client who is 1 day c. Tearfulness
postpartum, which symptoms
should the nurse include in the "Postpartum blues" is a common emotional
teaching plan? (Select all that response related to the rapid decrease in
apply.) placental hormones after delivery and include
a. Mood swings mood swings (A), tearfulness (C), feeling low,
b. Panic attacks emotional, and fatigued.
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant
A client at 30-weeks gestation, c. Obtain a specimen for urine analysis
complaining of pressure over the
pubic area, is admitted for Obtaining a urine analysis (C) should be done
observation. She is contracting first because preterm clients with uterine
irregularly and demonstrates irritability and contractions are often suffering
underlying uterine irritability. from a urinary tract infection, and this should be
Vaginal examination reveals that her ruled out first.
cervix is closed, thick, and high.
Based on these data, which
intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count
(CBC) drawn
c. Obtain a specimen for urine
analysis
d. Place the client on strict bedrest
, A client in active labor complains of b. Extend the leg and dorsiflex the foot
cramps in her leg. What intervention
should the nurse implement? Dorsiflexing the foot by puching the sole of the
a. Ask the client if she takes a daily foot forward or by stnading (if the client is
calcium tablet capable) (B), and putting the heel of the foot on
b. Extend the leg and dorsiflex the the floor is the best means of relieving leg
foot cramps.
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
The nurse is caring for a woman a. Edema, basilar rales, and an irregular pulse
with a previously diagnosed heart
disease who is in the second stage Edema, basilar rales, and an irregular pulse (A)
of labor. Which assessment findings indicate cardiac decompensation and require
are of greatest concern? immediate intervention.
a. edema, basilar rales, and an
irregular pulse
b. Increased urinary output, and
tachycardia
c. Shortness of breath, bradycardia,
and hypertension
d. Regular heart rate, and
hypertension
