HESI OB/MATERNITY Practice Quiz
At 14-weeks gestation, a client arrives at the c. increase the
rate of IV fluids Emergency Center complaining of a dull
pain in the right lower quadrant of her
abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty
minutes after admission, the client
reports feeling a sharp abdominal
pain and a shoulder pain.
Assessment findings include
diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of
86/48. Which action should the nurse
implement next?
a.Check the hematocrit results.
b.Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.
,A woman who thinks she could be pregnant a. a home pregnancy test can be used
right after your first calls her neighbor, a nurse, to ask wen she missed period
could use a home pregnancy test to
diagnose pregnancy. Which response
is best?
a.a home pregnancy test can be
used right after your first missed
period
b. these tests are most accurate
after you have missed your second
period
c. home pregnancy tests often
give false positives and should not
be trusted
d. the test can provide accurate
information when used right after
ovulation
A newborn, whose mother is HIV positive, is c. a
persistent cold scheduled for follow-up assessments. The
nurse knows that the most likely
presenting symptom for a pediatric
client with AIDS is:
a.shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly
Twenty minutes after a continuous epidural c. place the woman in a lateral
position anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to
90/60. What action should the nurse
take?
a.notify the healthcare
provider or anesthesiologist
b. continue to assess the blood
pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant d. anterior fontanel closes at 12 to 18 months and the
posterior parents, the nurse plans to include by the end of the second month
information about when the parents
can expect the infant's fontanels to
close. The nurse bases the
explanation on knowledge that for
the normal newborn, the
a.anterior fontanel closes at 2 to 4
months and the posterior by the end
of the first week
b. anterior fontanel closes at 5 to 7
months and the posterior by the
end of the week
c. anterior fontanel closes at 8 to 11
months and the posterior by the end
of the second week
d. anterior fontanel closes at 12 to 18
months and the posterior by the end
of the second month
,A client in active labor is admitted with a. patellar reflex
4+ preeclampsia. Which assessment finding is
most significant in planning this
client's care?
a.patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
A 4 week old premature infant has been c. changes in apical rate from the 180s to
the 140s receiving epoetin alfa for the last three
weeks. Which assessment finding
indicates to the nurse that the drug is
effective?
a.slowly increasing urine output
over the last week
b. respiratory rate changes from the
40s to the 60s
c. changes in apical heart rate from
the 180 to the 140s
d. change in indirect bilirubin from 12
mg/dl to 8 mg/dl
A pregnant client tells the nurse that the first b.
May 9, 2007 day of her last menstrual period was
August
2, 2006. Based on Nagele's rule, what is
the estimated date of delivery?
a.April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
The nurse is performing a AGA on a full- a, b,
c term newborn during the first hour of
transition using the Dubowitz scale.
Based on this assessment, the nurse
determines
that the neonate has a maturity
rating of 40 weeks. Which findings
should the nurse identify to
determine if the neonate is SGA?
(Select all that apply.)
a.admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins
and abundant vernix
e.anterior plantar crease and
smooth heel surfaces
f.full flexion of all extremities in
resting supine position
, The nurse assess a client admitted to the c. monitor for bleeding from IV
sites labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm,
cervix 1 cm dilated and uneffaced.
Based on these assessment findings,
what intervention should the nurse
implement?
a.insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
Immediately after birth a newborn infant is a. initiate positive pressure
ventilation suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous
respirations and the nurse assess an
apical heart rate of 80 bpm and
respirations 20.
What action should the nurse perform next?
a.initiate positive pressure ventilation
b. intervene after one minute
APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
A client with no prenatal care arrives at the c. date of last normal menstrual
period labor unit screaming, "The baby is coming!"
The nurse performs a vaginal
examination that reveals the cervix is
3 cm dilated and
75% effaced. What additional
information is most important for the
nurse to obtain?
a.gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
A mutigravida client at 41 weeks gestation a.
biophysical profile present in the labor and delivery unit
after a
non-stress test indicated that the fetus
is experiencing some difficulties in
utero.
Which diagnostic test should the nurse
prepare the client for additional
information about fetal status?
a.biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-
fetoprotein screening
d. percutaneous umbilical blood sampling
At 14-weeks gestation, a client arrives at the c. increase the
rate of IV fluids Emergency Center complaining of a dull
pain in the right lower quadrant of her
abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty
minutes after admission, the client
reports feeling a sharp abdominal
pain and a shoulder pain.
Assessment findings include
diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of
86/48. Which action should the nurse
implement next?
a.Check the hematocrit results.
b.Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.
,A woman who thinks she could be pregnant a. a home pregnancy test can be used
right after your first calls her neighbor, a nurse, to ask wen she missed period
could use a home pregnancy test to
diagnose pregnancy. Which response
is best?
a.a home pregnancy test can be
used right after your first missed
period
b. these tests are most accurate
after you have missed your second
period
c. home pregnancy tests often
give false positives and should not
be trusted
d. the test can provide accurate
information when used right after
ovulation
A newborn, whose mother is HIV positive, is c. a
persistent cold scheduled for follow-up assessments. The
nurse knows that the most likely
presenting symptom for a pediatric
client with AIDS is:
a.shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly
Twenty minutes after a continuous epidural c. place the woman in a lateral
position anesthetic is administered, a laboring client's
blood pressure drops from 120/80 to
90/60. What action should the nurse
take?
a.notify the healthcare
provider or anesthesiologist
b. continue to assess the blood
pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural
In developing a teaching plan for expectant d. anterior fontanel closes at 12 to 18 months and the
posterior parents, the nurse plans to include by the end of the second month
information about when the parents
can expect the infant's fontanels to
close. The nurse bases the
explanation on knowledge that for
the normal newborn, the
a.anterior fontanel closes at 2 to 4
months and the posterior by the end
of the first week
b. anterior fontanel closes at 5 to 7
months and the posterior by the
end of the week
c. anterior fontanel closes at 8 to 11
months and the posterior by the end
of the second week
d. anterior fontanel closes at 12 to 18
months and the posterior by the end
of the second month
,A client in active labor is admitted with a. patellar reflex
4+ preeclampsia. Which assessment finding is
most significant in planning this
client's care?
a.patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute
A 4 week old premature infant has been c. changes in apical rate from the 180s to
the 140s receiving epoetin alfa for the last three
weeks. Which assessment finding
indicates to the nurse that the drug is
effective?
a.slowly increasing urine output
over the last week
b. respiratory rate changes from the
40s to the 60s
c. changes in apical heart rate from
the 180 to the 140s
d. change in indirect bilirubin from 12
mg/dl to 8 mg/dl
A pregnant client tells the nurse that the first b.
May 9, 2007 day of her last menstrual period was
August
2, 2006. Based on Nagele's rule, what is
the estimated date of delivery?
a.April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007
The nurse is performing a AGA on a full- a, b,
c term newborn during the first hour of
transition using the Dubowitz scale.
Based on this assessment, the nurse
determines
that the neonate has a maturity
rating of 40 weeks. Which findings
should the nurse identify to
determine if the neonate is SGA?
(Select all that apply.)
a.admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins
and abundant vernix
e.anterior plantar crease and
smooth heel surfaces
f.full flexion of all extremities in
resting supine position
, The nurse assess a client admitted to the c. monitor for bleeding from IV
sites labor and delivery unit and obtains the
following data: BP 110/68, FHR 110 bpm,
cervix 1 cm dilated and uneffaced.
Based on these assessment findings,
what intervention should the nurse
implement?
a.insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers
Immediately after birth a newborn infant is a. initiate positive pressure
ventilation suctioned, dried, and placed under a radiant
warmer. The infant has spontaneous
respirations and the nurse assess an
apical heart rate of 80 bpm and
respirations 20.
What action should the nurse perform next?
a.initiate positive pressure ventilation
b. intervene after one minute
APGAR is assessed
c. initiate CPR on the infant
d. assess the infant's blood glucose level
A client with no prenatal care arrives at the c. date of last normal menstrual
period labor unit screaming, "The baby is coming!"
The nurse performs a vaginal
examination that reveals the cervix is
3 cm dilated and
75% effaced. What additional
information is most important for the
nurse to obtain?
a.gravidity and parity
b. time and amount of last oral intake
c. date of last normal menstrual period
d. frequency and intensity of contractions
A mutigravida client at 41 weeks gestation a.
biophysical profile present in the labor and delivery unit
after a
non-stress test indicated that the fetus
is experiencing some difficulties in
utero.
Which diagnostic test should the nurse
prepare the client for additional
information about fetal status?
a.biophysical profile
b. ultrasound for fetal abnormalities
c. maternal serum alpha-
fetoprotein screening
d. percutaneous umbilical blood sampling
