HESI OB/MATERNITY PRACTICE QUIZ
QUESTIONS AND CORRECT ANSWERS
VERIFIED LATEST 2023-2024 GRADE A +
At 14-weeks’ gestation, a client arrives at the 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. - ANSWER>>>c. increase the
rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a
nurse, to ask wen she 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 - ANSWER>>>a. a home pregnancy test can be used
right after your first missed period
,A newborn, whose mother is HIV positive, is 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 - ANSWER>>>c. a persistent cold
Twenty minutes after a continuous epidural 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 - ANSWER>>>c. place the woman
in a lateral position
In developing a teaching plan for expectant parents, the nurse
plans to include 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 - ANSWER>>>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 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 - ANSWER>>>a. patellar reflex 4+
A 4 week old premature infant has been 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 -
ANSWER>>>c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first 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 - ANSWER>>>b. May 9, 2007
The nurse is performing a AGA on a full-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 -
ANSWER>>>a, b, c
, The nurse assess a client admitted to the 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 - ANSWER>>>c. monitor for
bleeding from IV sites
Immediately after birth a newborn infant is 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 - ANSWER>>>a. initiate
positive pressure ventilation
A client with no prenatal care arrives at the 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 - ANSWER>>>c. date
of last normal menstrual period
A mutigravida client at 41 weeks gestation 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?
QUESTIONS AND CORRECT ANSWERS
VERIFIED LATEST 2023-2024 GRADE A +
At 14-weeks’ gestation, a client arrives at the 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. - ANSWER>>>c. increase the
rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a
nurse, to ask wen she 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 - ANSWER>>>a. a home pregnancy test can be used
right after your first missed period
,A newborn, whose mother is HIV positive, is 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 - ANSWER>>>c. a persistent cold
Twenty minutes after a continuous epidural 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 - ANSWER>>>c. place the woman
in a lateral position
In developing a teaching plan for expectant parents, the nurse
plans to include 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 - ANSWER>>>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 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 - ANSWER>>>a. patellar reflex 4+
A 4 week old premature infant has been 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 -
ANSWER>>>c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first 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 - ANSWER>>>b. May 9, 2007
The nurse is performing a AGA on a full-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 -
ANSWER>>>a, b, c
, The nurse assess a client admitted to the 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 - ANSWER>>>c. monitor for
bleeding from IV sites
Immediately after birth a newborn infant is 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 - ANSWER>>>a. initiate
positive pressure ventilation
A client with no prenatal care arrives at the 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 - ANSWER>>>c. date
of last normal menstrual period
A mutigravida client at 41 weeks gestation 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?
