HESI OBSTETRICS MATERNITY PRACTICE
UPDATED EXAM SCRIPT ALL TESTED
QUESTIONS AND ANSWERS REVIEW SHEET
EXPERT APPROVED
⩥ A new mother who has just had her first baby says to the nurse, "I saw
the baby in the recovery room. She sure has a funny looking head."
Which response by the nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with
heads like your baby's.
C. That is normal; the head will return to a round shape within 7 to 10
days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth
canal.
Answer: C. That is normal; the head will return to a round shape within
7 to 10 days.
⩥ An expectant father tells the nurse he fears that his wife "is losing her
mind." He states she is constantly rubbing her abdomen and talking to
the baby, and that she actually reprimands the baby when it moves too
much. What recommendation should the nurse make to this expectant
father?
,A. Reassure him that these are normal reactions to pregnancy and
suggest that he discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal
symptoms of ambivalence about the pregnancy and no action is needed.
C. Ask him to observe his wife's behavior carefully for the next few
weeks and report any similar behavior to the nurse at the next prenatal
visit.
D.Let him know that these behaviors are part of normal maternal/fetal
bonding which occur once the mother feels fetal movement.
Answer: D.Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother feels fetal
movement.
⩥ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating
enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine
6 to 10 times a day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still
hungry.
D.If you're concerned, you might consider bottle feeding so that you can
monitor her intake.
Answer: B.Your milk is sufficient if the baby is voiding pale straw-
colored urine 6 to 10 times a day.
,⩥ After each feeding, a 3-day-old newborn is spitting up large amounts
of Enfamil® Newborn Formula, a nonfat cow's milk formula. The
pediatric healthcare provider changes the neonate's formula to Similac®
Soy Isomil® Formula, a soy protein isolate based infant formula. What
information should the nurse provide to the mother about the newly
prescribed formula?
A.The new formula is a coconut milk formula used with babies with
impaired fat absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed
with diarrhea.
C. The new formula is a casein protein source that is low in
phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
Answer: D. Similac® Soy Isomil® Formula is a soy-based formula that
contains sucrose.
⩥ 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.
⩥ Which nursing intervention is most helpful in relieving postpartum
uterine contractions or "afterpains?"
A. Lying prone with a pillow on the abdomen.
B. Using a breast pump.
C. Massaging the abdomen.
D. Giving oxytocic medications.
Answer: A. Lying prone with a pillow on the abdomen.
⩥ hich maternal behavior is the nurse most likely to see when a new
mother receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines
the infant completely.
b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant
to her own body.
She eagerly reaches for the infant and then holds the infant close to her
own body.
UPDATED EXAM SCRIPT ALL TESTED
QUESTIONS AND ANSWERS REVIEW SHEET
EXPERT APPROVED
⩥ A new mother who has just had her first baby says to the nurse, "I saw
the baby in the recovery room. She sure has a funny looking head."
Which response by the nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with
heads like your baby's.
C. That is normal; the head will return to a round shape within 7 to 10
days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth
canal.
Answer: C. That is normal; the head will return to a round shape within
7 to 10 days.
⩥ An expectant father tells the nurse he fears that his wife "is losing her
mind." He states she is constantly rubbing her abdomen and talking to
the baby, and that she actually reprimands the baby when it moves too
much. What recommendation should the nurse make to this expectant
father?
,A. Reassure him that these are normal reactions to pregnancy and
suggest that he discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal
symptoms of ambivalence about the pregnancy and no action is needed.
C. Ask him to observe his wife's behavior carefully for the next few
weeks and report any similar behavior to the nurse at the next prenatal
visit.
D.Let him know that these behaviors are part of normal maternal/fetal
bonding which occur once the mother feels fetal movement.
Answer: D.Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother feels fetal
movement.
⩥ A new mother asks the nurse, "How do I know that my daughter is
getting enough breast milk?" Which explanation should the nurse
provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating
enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine
6 to 10 times a day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still
hungry.
D.If you're concerned, you might consider bottle feeding so that you can
monitor her intake.
Answer: B.Your milk is sufficient if the baby is voiding pale straw-
colored urine 6 to 10 times a day.
,⩥ After each feeding, a 3-day-old newborn is spitting up large amounts
of Enfamil® Newborn Formula, a nonfat cow's milk formula. The
pediatric healthcare provider changes the neonate's formula to Similac®
Soy Isomil® Formula, a soy protein isolate based infant formula. What
information should the nurse provide to the mother about the newly
prescribed formula?
A.The new formula is a coconut milk formula used with babies with
impaired fat absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed
with diarrhea.
C. The new formula is a casein protein source that is low in
phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
Answer: D. Similac® Soy Isomil® Formula is a soy-based formula that
contains sucrose.
⩥ 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.
⩥ Which nursing intervention is most helpful in relieving postpartum
uterine contractions or "afterpains?"
A. Lying prone with a pillow on the abdomen.
B. Using a breast pump.
C. Massaging the abdomen.
D. Giving oxytocic medications.
Answer: A. Lying prone with a pillow on the abdomen.
⩥ hich maternal behavior is the nurse most likely to see when a new
mother receives her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines
the infant completely.
b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant
to her own body.
She eagerly reaches for the infant and then holds the infant close to her
own body.
