HESI RN Maternity Assignment Exam Questions With
Complete Solutions
A 31-year-old woman uses an over-the-counter (OTC)
pregnancy test that is positive one week after a missed period.
At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is
under stress at work, and is not sleeping well. The client's
physical examination and ultrasound do not indicate that she is
pregnant. How should the nurse explain the most likely cause
for obtaining false-positive pregnancy test results?
-having an irregular menstrual cycle
-using an anticonvulsant for epilepsy
-taking the pregnancy test too early
-being under too much stress at work Correct Answers B.
Using an anticonvulsant for epilepsy
A 36 week gestation client with pregnancy induced hypertension
is receiving an IV infusion of magnesium sulfate. Which
assessment finding should the nurse report to the healthcare
provider?
-BP of 100/60 mmHg
-FHR of 120-125 bpm
contractions occurring every 30 minutes
-respiratory rate of 11 breaths/min Correct Answers D.
Respiratory rate of 11 breaths/minute
A client at 25-weeks gestation tells the nurse that she dropped a
cooking utensil last week and her baby jumped in response to
the noise. What information should the nurse provide?
-this is a demonstration of the fetus acoustical reflux
,-the fetus can respond to sound by 24 weeks
-it is a coincidence the fetus responded at the same time
-report behavior to HCP Correct Answers B. The fetus can
respond to sound by 24-weeks gestation
A client at 28 weeks gestation arrives at the labor and delivery
unit with a complaint of bright red, painless vaginal bleeding.
For which diagnostic procedure should the nurse prepare the
client?
-contraction stress test
-internal fetal monitoring
-abdominal ultrasound
-lecithin-sphingmyelin ratio Correct Answers C. Abdominal
ultrasound
A client at 28 weeks gestation experiences blunt abdominal
trauma. Which parameter should the nurse assess first for signs
of internal hemorrhage?
-vaginal bleeding
-complaints of abdominal pain
-changes is FHR patterns
-alteration in maternal bp Correct Answers C. Changes in fetal
heart rate patterns
A client at 28 weeks gestation is concerned about her weight
gain of 17 pounds. What information should the nurse provide
this client?
-not necessary to keep such a close eye on weight gain
-try to exercise more bc too much weight has been gained
-increase calories in you diet to gain more weight per week
,-the weight gain is acceptable for the number of weeks pregnant
Correct Answers D. The weight gain is acceptable for the
number of weeks pregnant
A client at 29 weeks gestation with possible placental
insufficiency is being prepared for prenatal testing. Information
about which diagnostic study should the nurse provide
information to the client?
-amniocentesis
-ultrasonography
-chorionic villus sampling
-maternal serum alpha-fetoprotein Correct Answers B.
Ultrasonography
A client at 35 weeks gestation visits the clinic for a prenatal
check up. Which complaint by the client warrants further
assessment by the nurse?
-periodic abdominal pain
-ankle edema in the afternoon
-backache with prolonged standing
-shortness of breath when climbing stairs Correct Answers A.
Periodic abdominal pain
A client at 39 weeks gestation is admitted to the labor and
delivery unit. Her obstetrical history includes 3 live births at 39
weeks, 34 weeks, and 35 weeks. Using GTPAL, what is the
most accurate summary of her history?
-3-1-1-1-3
-4-1-2-0-3
-3-0-3-0-3
-4-3-1-0-2 Correct Answers B. 4-1-2-0-3
, A client at 8-months gestation tells the nurse that she knows her
baby listens to her, but her husband thinks she is imagining
things. What information should the nurse provide?
-many women imagine what their baby is like by interpreting
fetal movements
-the fetus in utero is capable of hearing and does respond to the
mothers voice
-the HCP should address her concerns about her baby hearing
function
-the interaction b/w the mothers voice and the fetus's response
ensures bonding Correct Answers B. The fetus in utero is
capable of hearing and does respond to the mother's voice
A client at 8-weeks gestation asks the nurse about the risk fora
congenital heart defect (CHD) in her baby. Which response best
explains when a CHD may occur?
-it depends on what the causative factors are for a CHD
-we don't really know what or when CHDs occur
-they usually occur in the first trimester of pregnancy
-the heart develops in the third to fifth weeks after conception
Correct Answers D. The heart develops in the third to fifth
weeks after conception
A client comes in to the clinic for her six week postpartum
check up and complains that her left breast is eythematous and
painful. The client asks, "Can I still breastfeed my baby?" What
is the best response for the nurse to provide?
-advise to stop breastfeeding until the infection clears
-inform the client to continue breastfeeding
-begin all feedings with the infected breast
Complete Solutions
A 31-year-old woman uses an over-the-counter (OTC)
pregnancy test that is positive one week after a missed period.
At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is
under stress at work, and is not sleeping well. The client's
physical examination and ultrasound do not indicate that she is
pregnant. How should the nurse explain the most likely cause
for obtaining false-positive pregnancy test results?
-having an irregular menstrual cycle
-using an anticonvulsant for epilepsy
-taking the pregnancy test too early
-being under too much stress at work Correct Answers B.
Using an anticonvulsant for epilepsy
A 36 week gestation client with pregnancy induced hypertension
is receiving an IV infusion of magnesium sulfate. Which
assessment finding should the nurse report to the healthcare
provider?
-BP of 100/60 mmHg
-FHR of 120-125 bpm
contractions occurring every 30 minutes
-respiratory rate of 11 breaths/min Correct Answers D.
Respiratory rate of 11 breaths/minute
A client at 25-weeks gestation tells the nurse that she dropped a
cooking utensil last week and her baby jumped in response to
the noise. What information should the nurse provide?
-this is a demonstration of the fetus acoustical reflux
,-the fetus can respond to sound by 24 weeks
-it is a coincidence the fetus responded at the same time
-report behavior to HCP Correct Answers B. The fetus can
respond to sound by 24-weeks gestation
A client at 28 weeks gestation arrives at the labor and delivery
unit with a complaint of bright red, painless vaginal bleeding.
For which diagnostic procedure should the nurse prepare the
client?
-contraction stress test
-internal fetal monitoring
-abdominal ultrasound
-lecithin-sphingmyelin ratio Correct Answers C. Abdominal
ultrasound
A client at 28 weeks gestation experiences blunt abdominal
trauma. Which parameter should the nurse assess first for signs
of internal hemorrhage?
-vaginal bleeding
-complaints of abdominal pain
-changes is FHR patterns
-alteration in maternal bp Correct Answers C. Changes in fetal
heart rate patterns
A client at 28 weeks gestation is concerned about her weight
gain of 17 pounds. What information should the nurse provide
this client?
-not necessary to keep such a close eye on weight gain
-try to exercise more bc too much weight has been gained
-increase calories in you diet to gain more weight per week
,-the weight gain is acceptable for the number of weeks pregnant
Correct Answers D. The weight gain is acceptable for the
number of weeks pregnant
A client at 29 weeks gestation with possible placental
insufficiency is being prepared for prenatal testing. Information
about which diagnostic study should the nurse provide
information to the client?
-amniocentesis
-ultrasonography
-chorionic villus sampling
-maternal serum alpha-fetoprotein Correct Answers B.
Ultrasonography
A client at 35 weeks gestation visits the clinic for a prenatal
check up. Which complaint by the client warrants further
assessment by the nurse?
-periodic abdominal pain
-ankle edema in the afternoon
-backache with prolonged standing
-shortness of breath when climbing stairs Correct Answers A.
Periodic abdominal pain
A client at 39 weeks gestation is admitted to the labor and
delivery unit. Her obstetrical history includes 3 live births at 39
weeks, 34 weeks, and 35 weeks. Using GTPAL, what is the
most accurate summary of her history?
-3-1-1-1-3
-4-1-2-0-3
-3-0-3-0-3
-4-3-1-0-2 Correct Answers B. 4-1-2-0-3
, A client at 8-months gestation tells the nurse that she knows her
baby listens to her, but her husband thinks she is imagining
things. What information should the nurse provide?
-many women imagine what their baby is like by interpreting
fetal movements
-the fetus in utero is capable of hearing and does respond to the
mothers voice
-the HCP should address her concerns about her baby hearing
function
-the interaction b/w the mothers voice and the fetus's response
ensures bonding Correct Answers B. The fetus in utero is
capable of hearing and does respond to the mother's voice
A client at 8-weeks gestation asks the nurse about the risk fora
congenital heart defect (CHD) in her baby. Which response best
explains when a CHD may occur?
-it depends on what the causative factors are for a CHD
-we don't really know what or when CHDs occur
-they usually occur in the first trimester of pregnancy
-the heart develops in the third to fifth weeks after conception
Correct Answers D. The heart develops in the third to fifth
weeks after conception
A client comes in to the clinic for her six week postpartum
check up and complains that her left breast is eythematous and
painful. The client asks, "Can I still breastfeed my baby?" What
is the best response for the nurse to provide?
-advise to stop breastfeeding until the infection clears
-inform the client to continue breastfeeding
-begin all feedings with the infected breast
