HESI OB/MATERNITY Practice Quiz with
correct answers
28 year old client in active labor complains of cramps in her leg.What intervention
should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. - CORRECT ANSWERS-B. Extend the leg and
dorsiflex the foot.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation in
preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg
subcutaneous. Which assessment is the highest priority for the nurse to monitor during
the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - CORRECT ANSWERS-B.Maternal and fetal heart rates.
31) During the prenatal visit, the client states that she has been experiencing heartburn
frequently. The LPN provides instruction on the cause and prevention of heartburn.
When she ask to verbalize understanding of the information, which of the following
statements by the client indicates further instruction may be necessary?
A. "The sphincter that normally prevents stomach contents from going back up into the
esophagus is relaxed."
B. "I should try to avoid drinking fluids while I'm eating."
C. "Eating six or seven small meals a day may help my symptoms."
D. "I'll eat enough to ensure that I am full at every meal." - CORRECT ANSWERS-D
Explanation
It suggests that the instruction might need to be reinforced on preventing stomach
distention.
,A 23-year-old client who is receiving Medicaid benefits is pregnant with her first child.
Based on knowledge of the statistics related to infant mortality, which plan should the
nurse implement with this client?
a.Refer the client to a social worker to arrange for home care.
b.Recommend perinatal care from an obstetrician, not a nurse-midwife.
c.Teach the client why keeping prenatal care appointments is important.
d.Advise the client that neonatal intensive care may be needed. - CORRECT
ANSWERS-c.Teach the client why keeping prenatal care appointments is important.
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the
thorax, back, and abdomen. What action should the nurse implement?
a.Notify the healthcare provider.
b.Move the newborn to an isolation nursery.
c.Document the finding in the infant's record.
d.Obtain a culture of the vesicles. - CORRECT ANSWERS-c.Document the finding in
the infant's record.
A 25-year-old client with diabetes type I visits the clinic to discuss her and her
husband's desire to start a family. This diabetic client
A. should be discouraged from becoming pregnant
B. has a greater risk of complications during pregnancy
C. should be informed about treatment for infertility
D. will be able to carry out a completely normal pregnancy - CORRECT ANSWERS-B.
Explanation
Clients with DM are at greater risk for developing maternal and fetal complications
during pregnancy.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation
in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
subcutaneously to stop her labor contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate?
A. Drowsiness and bradycardia.
B. Depressed reflexes and increased respirations.
C. Tachycardia and a feeling of nervousness.
D. A flushed, warm feeling and a dry mouth - CORRECT ANSWERS-C. Tachycardia
and a feeling of nervousness.
A 28 year old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
a. massage the calf and foot
b. extend the leg and dorsiflex the foot
c. lower the leg off the side of the bed
d. elevate the leg above the heart - CORRECT ANSWERS-b. extend the leg and
dorsiflex the foot
,A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart. - CORRECT ANSWERS-B. Extend the leg and
dorsiflex the foot
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl tells
the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage both
children when I get home." How should the nurse respond?
a.Tell the older child that he is a big boy now and should love his new sister.
b.Ask friends and relatives not to bring gifts to the older sibling because you do not want
to spoil him.
c.Let the older child stay with his grandparents for the first six weeks to allow him to
adjust to the newborn.
d.Regression in behaviors in the older child is a typical reaction so he needs attention at
this time. - CORRECT ANSWERS-...
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data indicates to the nurse that
the client is experiencing magnesium sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - CORRECT ANSWERS-D.Urine output 90 ml/4 hours.
A 36 weeks gestation pregnant woman is complaining of urinary urgency and
frequency. The nurse explained that the enlarging fetus is pressing the bladder which
causes frequent urination. This is normally occuring during the first and third trimesters
of pregnancy. The nurse advices the patient to do the following measures to prevent
urinary frequency. Select all the necessary measures that the nurse can provide to the
patient.
A. Drink 2 quarts of fluid during the day
B. Engaging in a regular exercise
C. Performing Kegel exercises
D. Soaking in a warm sitz bath
E. Limiting fluid intake during the evening - CORRECT ANSWERS-A, C, E
A 38 week primigravida who works as a secretary and sits at a computer 8 hrs each day
tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling blood in the lower extremities?
a. avoid constrictive clothing
b. move every hour
c. wear support stockings
, d. reduce salt in her diet - CORRECT ANSWERS-b. move every hour
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 would be most
effective in preventing pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing. - CORRECT ANSWERS-...
A 4 week old premature infant has been receiving epoetin alfa for the last 3 weeks.
WHich assessment finding indicates to the nurse that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl. - CORRECT ANSWERS-C.
changes in apica HR from the 180 to the 140
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 - CORRECT ANSWERS-c.
changes in apical rate from the 180s to the 140s
A 40 week gestation primigravida client is being induced with an ocytocin secondary
infusion and complains of pain in her lower back. Which intervention should the nurse
implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - CORRECT ANSWERS-D. apply firm pressure to
sacral area
A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for with pattern
of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. -
CORRECT ANSWERS-A. transition labor with contractions every 2 mins, lasting 90
seconds each.
correct answers
28 year old client in active labor complains of cramps in her leg.What intervention
should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. - CORRECT ANSWERS-B. Extend the leg and
dorsiflex the foot.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation in
preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg
subcutaneous. Which assessment is the highest priority for the nurse to monitor during
the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - CORRECT ANSWERS-B.Maternal and fetal heart rates.
31) During the prenatal visit, the client states that she has been experiencing heartburn
frequently. The LPN provides instruction on the cause and prevention of heartburn.
When she ask to verbalize understanding of the information, which of the following
statements by the client indicates further instruction may be necessary?
A. "The sphincter that normally prevents stomach contents from going back up into the
esophagus is relaxed."
B. "I should try to avoid drinking fluids while I'm eating."
C. "Eating six or seven small meals a day may help my symptoms."
D. "I'll eat enough to ensure that I am full at every meal." - CORRECT ANSWERS-D
Explanation
It suggests that the instruction might need to be reinforced on preventing stomach
distention.
,A 23-year-old client who is receiving Medicaid benefits is pregnant with her first child.
Based on knowledge of the statistics related to infant mortality, which plan should the
nurse implement with this client?
a.Refer the client to a social worker to arrange for home care.
b.Recommend perinatal care from an obstetrician, not a nurse-midwife.
c.Teach the client why keeping prenatal care appointments is important.
d.Advise the client that neonatal intensive care may be needed. - CORRECT
ANSWERS-c.Teach the client why keeping prenatal care appointments is important.
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the
thorax, back, and abdomen. What action should the nurse implement?
a.Notify the healthcare provider.
b.Move the newborn to an isolation nursery.
c.Document the finding in the infant's record.
d.Obtain a culture of the vesicles. - CORRECT ANSWERS-c.Document the finding in
the infant's record.
A 25-year-old client with diabetes type I visits the clinic to discuss her and her
husband's desire to start a family. This diabetic client
A. should be discouraged from becoming pregnant
B. has a greater risk of complications during pregnancy
C. should be informed about treatment for infertility
D. will be able to carry out a completely normal pregnancy - CORRECT ANSWERS-B.
Explanation
Clients with DM are at greater risk for developing maternal and fetal complications
during pregnancy.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation
in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
subcutaneously to stop her labor contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate?
A. Drowsiness and bradycardia.
B. Depressed reflexes and increased respirations.
C. Tachycardia and a feeling of nervousness.
D. A flushed, warm feeling and a dry mouth - CORRECT ANSWERS-C. Tachycardia
and a feeling of nervousness.
A 28 year old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
a. massage the calf and foot
b. extend the leg and dorsiflex the foot
c. lower the leg off the side of the bed
d. elevate the leg above the heart - CORRECT ANSWERS-b. extend the leg and
dorsiflex the foot
,A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart. - CORRECT ANSWERS-B. Extend the leg and
dorsiflex the foot
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl tells
the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage both
children when I get home." How should the nurse respond?
a.Tell the older child that he is a big boy now and should love his new sister.
b.Ask friends and relatives not to bring gifts to the older sibling because you do not want
to spoil him.
c.Let the older child stay with his grandparents for the first six weeks to allow him to
adjust to the newborn.
d.Regression in behaviors in the older child is a typical reaction so he needs attention at
this time. - CORRECT ANSWERS-...
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data indicates to the nurse that
the client is experiencing magnesium sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - CORRECT ANSWERS-D.Urine output 90 ml/4 hours.
A 36 weeks gestation pregnant woman is complaining of urinary urgency and
frequency. The nurse explained that the enlarging fetus is pressing the bladder which
causes frequent urination. This is normally occuring during the first and third trimesters
of pregnancy. The nurse advices the patient to do the following measures to prevent
urinary frequency. Select all the necessary measures that the nurse can provide to the
patient.
A. Drink 2 quarts of fluid during the day
B. Engaging in a regular exercise
C. Performing Kegel exercises
D. Soaking in a warm sitz bath
E. Limiting fluid intake during the evening - CORRECT ANSWERS-A, C, E
A 38 week primigravida who works as a secretary and sits at a computer 8 hrs each day
tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling blood in the lower extremities?
a. avoid constrictive clothing
b. move every hour
c. wear support stockings
, d. reduce salt in her diet - CORRECT ANSWERS-b. move every hour
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 would be most
effective in preventing pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing. - CORRECT ANSWERS-...
A 4 week old premature infant has been receiving epoetin alfa for the last 3 weeks.
WHich assessment finding indicates to the nurse that the drug is effective.
A.slowly increasing urinary output over the last week
B.rr changes from 40s to the 60s
C. changes in apical HR from the 180 to the 140
D.Change in indirect bilirubin from 12mg/dl to 8mg/dl. - CORRECT ANSWERS-C.
changes in apica HR from the 180 to the 140
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 - CORRECT ANSWERS-c.
changes in apical rate from the 180s to the 140s
A 40 week gestation primigravida client is being induced with an ocytocin secondary
infusion and complains of pain in her lower back. Which intervention should the nurse
implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - CORRECT ANSWERS-D. apply firm pressure to
sacral area
A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for with pattern
of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. -
CORRECT ANSWERS-A. transition labor with contractions every 2 mins, lasting 90
seconds each.
