MATERNITY HESI EXIT
NEWEST COMPLETE 200
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES |ALREADY
GRADED A NEW
VERSION!!
Question 1
Question: A nurse is assessing a 32-week pregnant client. Which finding would require
immediate intervention?
A) Fetal heart rate of 150 bpm
B) Positive fetal movement
C) Severe abdominal pain and vaginal bleeding
D) Mild edema in the lower extremities
, Answer: C) Severe abdominal pain and vaginal bleeding
Rationale: Severe abdominal pain combined with vaginal bleeding could indicate a serious
complication, such as placental abruption or placenta previa. These conditions can pose risks to
both the mother and fetus, and immediate evaluation and intervention are required.
Question 2
Question: A woman in labor is receiving an epidural anesthetic. Which side effect should the
nurse monitor for after the administration of the epidural?
A) Increased blood pressure
B) Urinary retention
C) Hyperactivity
D) Elevated temperature
Answer: B) Urinary retention
Rationale: Epidural anesthesia can cause loss of sensation and motor function in the lower
body, which may lead to urinary retention. The nurse should monitor the patient's ability to void
and may need to perform intermittent catheterization if retention occurs.
Question 3
Question: A nurse is teaching a pregnant woman about nutrition during pregnancy. Which
statement by the client indicates a need for further teaching?
A) "I need to increase my intake of folic acid."
B) "I should avoid fish due to mercury."
C) "I can skip breakfast if I'm not hungry."
D) "I need to consume more iron-rich foods."
Answer: C) "I can skip breakfast if I'm not hungry."
Rationale: Skipping meals, especially breakfast, is not recommended during pregnancy, as it
can lead to inadequate nutrition for both the mother and fetus. Consistent meal patterns are
important for maintaining stable blood sugar levels and ensuring adequate nutrient intake.
Question 4
Question: During a postpartum assessment, the nurse notes that the client's uterus is firm and
located at the umbilicus. What should the nurse do next?
NEWEST COMPLETE 200
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES |ALREADY
GRADED A NEW
VERSION!!
Question 1
Question: A nurse is assessing a 32-week pregnant client. Which finding would require
immediate intervention?
A) Fetal heart rate of 150 bpm
B) Positive fetal movement
C) Severe abdominal pain and vaginal bleeding
D) Mild edema in the lower extremities
, Answer: C) Severe abdominal pain and vaginal bleeding
Rationale: Severe abdominal pain combined with vaginal bleeding could indicate a serious
complication, such as placental abruption or placenta previa. These conditions can pose risks to
both the mother and fetus, and immediate evaluation and intervention are required.
Question 2
Question: A woman in labor is receiving an epidural anesthetic. Which side effect should the
nurse monitor for after the administration of the epidural?
A) Increased blood pressure
B) Urinary retention
C) Hyperactivity
D) Elevated temperature
Answer: B) Urinary retention
Rationale: Epidural anesthesia can cause loss of sensation and motor function in the lower
body, which may lead to urinary retention. The nurse should monitor the patient's ability to void
and may need to perform intermittent catheterization if retention occurs.
Question 3
Question: A nurse is teaching a pregnant woman about nutrition during pregnancy. Which
statement by the client indicates a need for further teaching?
A) "I need to increase my intake of folic acid."
B) "I should avoid fish due to mercury."
C) "I can skip breakfast if I'm not hungry."
D) "I need to consume more iron-rich foods."
Answer: C) "I can skip breakfast if I'm not hungry."
Rationale: Skipping meals, especially breakfast, is not recommended during pregnancy, as it
can lead to inadequate nutrition for both the mother and fetus. Consistent meal patterns are
important for maintaining stable blood sugar levels and ensuring adequate nutrient intake.
Question 4
Question: During a postpartum assessment, the nurse notes that the client's uterus is firm and
located at the umbilicus. What should the nurse do next?
