Page 1 of 931
HESI MATERNITY (OB) OBSTETRICS EXAM PEDIATRICS
(MATERNITY) TEST BANK COMPLETE 2000 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR
1
,Page 2 of 931
HESI MATERNITY EXAM
QUESTION: A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - ANSWER-C.Ensure that the baby is
positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of the infant on
the breast for latching on. The baby's body is in alignment with the ears, shoulders, and hips in
a straight line, with the nose, cheeks, and chin touching the breast. Option A helps prevent
chafing, and nonbinding support aids in prevention of discomfort from the stretching of the
Cooper ligament. Option B is important but is not necessary for all women. Option D helps
soften an engorged breast and encourages correct infant latching on but is not the best answer.
2
,Page 3 of 931
QUESTION: A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you can monitor intake." -
ANSWER-B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten
times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the
infant is adequately hydrated. Although a weight gain of 30 g/day is indicative of adequate
nutrition, most home scales do not measure this accurately, and the suggestion will likely make
the mother anxious. Option C causes nipple confusion and diminishes the mother's milk
production. Option D does not address the client's question.
3
,Page 4 of 931
QUESTION: A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. -
ANSWER-A.Breastfeed the infant, ensuring that both breasts are completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is related to breast engorgement, and
breastfeeding during mastitis facilitates the complete emptying of engorged breasts,
eliminating the pressure on the inflamed breast tissue. Option B is less painful but does not
facilitate complete emptying of the breast tissue. Option C will not relieve the engorgement on
the affected side. Option D will not decrease antibiotic effects on the infant.
4
,Page 5 of 931
QUESTION: A 38-week primigravida who works as a secretary and sits at a computer 8 hours
each day tells the nurse that her feet have begun to swell. Which instruction will aid in the
prevention of pooling of blood in the lower extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - ANSWER-C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will relieve pressure on the pelvic veins and increase
venous return. Option A would increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive clothing is a problem.
5
,Page 6 of 931
QUESTION: Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized swelling on the right side of his head. In a newborn, what is the most likely
cause of this accumulation of blood between the periosteum and skull that does not cross the
suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - ANSWER-A.Cephalhematoma,
which is caused by forceps trauma
Rationale: Cephalhematoma, 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 skull. Option C is a cranial distortion lasting 5 to 7 days, caused by pressure on
the cranium during vaginal delivery, and is a common variation of the newborn. Options B and
D both involve intracranial bleeding and could not be detected by physical assessment alone.
6
,Page 7 of 931
QUESTION: Prior to discharge, what instructions should the nurse give to parents regarding the
newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - ANSWER-C.Allow the cord to air-dry as much
as possible.
Rationale:Recent studies have indicated that air drying or plain water application may be equal
to or more effective than alcohol in the cord healing process. Options A, B, and D are incorrect
because they promote moisture and increase the potential for infection.
QUESTION: A mother expresses fear about changing the infant's diaper after circumcision.
What information should the nurse include in the teaching plan?
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A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. -
ANSWER-C.Place petroleum ointment around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any
urine or feces, and petroleum ointment should be applied to prevent the diaper from sticking
to the healing surface. Prepackaged wipes often contain other products that may irritate the
site. The yellow exudate, which covers the glans penis as the area heals and epithelializes, is not
an infective process and should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding with sterile gauze squares and
call the health care provider.
QUESTION: A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of
gestation in preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
8
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subcutaneously, to stop her labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - ANSWER-C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of nervousness. Option A is not a side effect. Options B and D are side effects of
magnesium sulfate.
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that she
is constantly rubbing her abdomen and talking to the baby and that she actually reprimands the
9
, Page 10 of 931
baby when it moves too much. Which recommendation should the nurse make to this
expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - ANSWER-D) Reassure him
that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence.
No intervention is needed. Quickening, the first perception of fetal movement, occurs at 17 to
20 weeks of gestation and begins a new phase of prenatal bonding during the second trimester.
Options A and C are not necessary because the behaviors displayed are normal.
QUESTION: The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which information?
10
HESI MATERNITY (OB) OBSTETRICS EXAM PEDIATRICS
(MATERNITY) TEST BANK COMPLETE 2000 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR
1
,Page 2 of 931
HESI MATERNITY EXAM
QUESTION: A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - ANSWER-C.Ensure that the baby is
positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of the infant on
the breast for latching on. The baby's body is in alignment with the ears, shoulders, and hips in
a straight line, with the nose, cheeks, and chin touching the breast. Option A helps prevent
chafing, and nonbinding support aids in prevention of discomfort from the stretching of the
Cooper ligament. Option B is important but is not necessary for all women. Option D helps
soften an engorged breast and encourages correct infant latching on but is not the best answer.
2
,Page 3 of 931
QUESTION: A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you can monitor intake." -
ANSWER-B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten
times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the
infant is adequately hydrated. Although a weight gain of 30 g/day is indicative of adequate
nutrition, most home scales do not measure this accurately, and the suggestion will likely make
the mother anxious. Option C causes nipple confusion and diminishes the mother's milk
production. Option D does not address the client's question.
3
,Page 4 of 931
QUESTION: A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect on the infant. -
ANSWER-A.Breastfeed the infant, ensuring that both breasts are completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is related to breast engorgement, and
breastfeeding during mastitis facilitates the complete emptying of engorged breasts,
eliminating the pressure on the inflamed breast tissue. Option B is less painful but does not
facilitate complete emptying of the breast tissue. Option C will not relieve the engorgement on
the affected side. Option D will not decrease antibiotic effects on the infant.
4
,Page 5 of 931
QUESTION: A 38-week primigravida who works as a secretary and sits at a computer 8 hours
each day tells the nurse that her feet have begun to swell. Which instruction will aid in the
prevention of pooling of blood in the lower extremities?
A.Wear support stockings.
B.Reduce salt in the diet.
C.Move about every hour.
D.Avoid constrictive clothing. - ANSWER-C.Move about every hour.
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will relieve pressure on the pelvic veins and increase
venous return. Option A would increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive clothing is a problem.
5
,Page 6 of 931
QUESTION: Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized swelling on the right side of his head. In a newborn, what is the most likely
cause of this accumulation of blood between the periosteum and skull that does not cross the
suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage - ANSWER-A.Cephalhematoma,
which is caused by forceps trauma
Rationale: Cephalhematoma, 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 skull. Option C is a cranial distortion lasting 5 to 7 days, caused by pressure on
the cranium during vaginal delivery, and is a common variation of the newborn. Options B and
D both involve intracranial bleeding and could not be detected by physical assessment alone.
6
,Page 7 of 931
QUESTION: Prior to discharge, what instructions should the nurse give to parents regarding the
newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - ANSWER-C.Allow the cord to air-dry as much
as possible.
Rationale:Recent studies have indicated that air drying or plain water application may be equal
to or more effective than alcohol in the cord healing process. Options A, B, and D are incorrect
because they promote moisture and increase the potential for infection.
QUESTION: A mother expresses fear about changing the infant's diaper after circumcision.
What information should the nurse include in the teaching plan?
7
,Page 8 of 931
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. -
ANSWER-C.Place petroleum ointment around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any
urine or feces, and petroleum ointment should be applied to prevent the diaper from sticking
to the healing surface. Prepackaged wipes often contain other products that may irritate the
site. The yellow exudate, which covers the glans penis as the area heals and epithelializes, is not
an infective process and should not be removed. If bleeding occurs at home, the client should
be instructed to apply gentle pressure to the site of the bleeding with sterile gauze squares and
call the health care provider.
QUESTION: A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of
gestation in preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
8
,Page 9 of 931
subcutaneously, to stop her labor contractions. What are the primary side effects of terbutaline
sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - ANSWER-C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of nervousness. Option A is not a side effect. Options B and D are side effects of
magnesium sulfate.
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that she
is constantly rubbing her abdomen and talking to the baby and that she actually reprimands the
9
, Page 10 of 931
baby when it moves too much. Which recommendation should the nurse make to this
expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - ANSWER-D) Reassure him
that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence.
No intervention is needed. Quickening, the first perception of fetal movement, occurs at 17 to
20 weeks of gestation and begins a new phase of prenatal bonding during the second trimester.
Options A and C are not necessary because the behaviors displayed are normal.
QUESTION: The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which information?
10
