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Exam (elaborations)

HESI Maternity Exam Questions and Correct Answers & Latest Updated

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Which piece of equipment does the nurse use to assess the fetal heartbeat? o :## Electronic Doppler A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and fatigue, and tuberculosis is suspected. A sputum culture reveals Mycobacterium tuberculosis. The nurse, providing instructions to the mother regarding therapeutic management of the disease, tells the mother that: o :## The mother may need to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a total of 9 months A nurse assists a pregnant client who is in the second trimester into lithotomy position on the examining table in the obstetrician's office. The client suddenly becomes dizzy, lightheaded, nauseated, and pale. The nurse immediately: o :## Positions the client on her side A nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The nurse notes that the client's oxygen saturation on pulse oximetry is 92%. The nurse first: o :## Instructs the client to take several deep breaths A nurse is performing an assessment of a pregnant woman to determine whether labor has begun. For which sign of true labor does the nurse assess the client? 2 | P a g e : 2 0 2 4 / 2 0 2 5 G r a d e A + Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update o :## Contractions that begin in the lower abdomen and back and radiate over the entire abdomen Placental abruption is suspected in a client who is experiencing vaginal bleeding. On assessment, which of the following findings would the nurse expect to note? o :## Uterine tender to palpation A clinic nurse is performing an assessment of an HIV-positive pregnant woman during the 32nd week of gestation. Which finding requires further follow-up? o :## Increased shortness of breath and bilateral crackles in the lungs A nurse is changing the diaper of a 1-day-old full-term female newborn. The nurse notes that the labia are edematous and darker than the surrounding skin and that a white mucous vaginal discharge is present. On the basis of these findings, the nurse determines that the appropriate action is: o :## Documenting the findings (normal findings) A nurse assessing a pregnant woman in labor notes the presence of early decelerations on the fetal monitor tracing. Which of the following situations would the nurse suspect in light of this observation? o :## Pressure on the fetal head during a contraction

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Uploaded on
August 25, 2024
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Written in
2024/2025
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Exam (elaborations)
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1|Page: 2024/2025 Grade A+




HESI Maternity Exam Questions and Correct
Answers & Latest Updated
Which piece of equipment does the nurse use to assess the fetal heartbeat?


o :## Electronic Doppler



A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and

fatigue, and tuberculosis is suspected. A sputum culture reveals Mycobacterium

tuberculosis. The nurse, providing instructions to the mother regarding therapeutic

management of the disease, tells the mother that:


o :## The mother may need to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a
total of 9 months



A nurse assists a pregnant client who is in the second trimester into lithotomy position on

the examining table in the obstetrician's office. The client suddenly becomes dizzy,

lightheaded, nauseated, and pale. The nurse immediately:


o :## Positions the client on her side



A nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The

nurse notes that the client's oxygen saturation on pulse oximetry is 92%. The nurse first:


o :## Instructs the client to take several deep breaths



A nurse is performing an assessment of a pregnant woman to determine whether labor has

begun. For which sign of true labor does the nurse assess the client?




Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update

,2|Page: 2024/2025 Grade A+

o :## Contractions that begin in the lower abdomen and back and radiate over the entire
abdomen



Placental abruption is suspected in a client who is experiencing vaginal bleeding. On

assessment, which of the following findings would the nurse expect to note?


o :## Uterine tender to palpation



A clinic nurse is performing an assessment of an HIV-positive pregnant woman during the

32nd week of gestation. Which finding requires further follow-up?


o :## Increased shortness of breath and bilateral crackles in the lungs



A nurse is changing the diaper of a 1-day-old full-term female newborn. The nurse notes

that the labia are edematous and darker than the surrounding skin and that a white mucous

vaginal discharge is present. On the basis of these findings, the nurse determines that the

appropriate action is:


o :## Documenting the findings (normal findings)



A nurse assessing a pregnant woman in labor notes the presence of early decelerations on

the fetal monitor tracing. Which of the following situations would the nurse suspect in light

of this observation?


o :## Pressure on the fetal head during a contraction



A rubella antibody screen is performed in a pregnant client, and the results indicate that the

client is not immune to rubella. The nurse tells the client that:




Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update

, 3|Page: 2024/2025 Grade A+

o :## A rubella vaccine must be administered after childbirth



A nurse is told that a newborn with myelomeningocele will be admitted to the newborn

nursery. In which position does the nurse plan to place the infant?


o :## Prone (to prevent pressure on the sac until surgical repair can be performed)



Normal respiratory rate for a newborn infant


o :## 30 to 60 breaths/min



A nurse is caring for a client experiencing a partial placental abruption. The client is

uncooperative, refusing any interventions until her husband arrives at the hospital. The

nurse analyzes the client's behavior as most likely the result of:


o :## Anxiety and the need for support



A client in the third trimester of pregnancy is complaining of urinary frequency, and the

nurse instructs the client in measures to alleviate the discomfort. Which statement by the

client indicates an understanding of these self-care measures?


o :## "I need to drink at least 2000 mL of fluid a day."



A pregnant woman at 38 weeks' gestation arrives at the emergency department, reporting

bright-red vaginal bleeding but denying pain. On the basis of this information, the nurse

determines that the client may be experiencing:


o :## Placenta previa




Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update

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