HESI OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS AND
ANSWERS
Clientyteachingyisyanyimportantypartyofytheymaternityynurse'syrole.yWhichyfactoryhasythey
greatestyinfluenceyonysuccessfulyteachingyofytheygravidyclient?y-yanswer--
A.yTheyclient'syreadinessytoylearn
Ay38-
weekyprimagravidaywhoyworksyasyaysecretaryyandysitsyatyaycomputery8yhoursyaydayytell
sytheynurseythatyheryfeetyhaveybegunytoyswell.yWhichyinstructionywouldybeymostyeffecti
veyinypreventingypoolingyofybloodyinytheyloweryextremities?y-yanswer--
C.yMoveyaboutyeveryyhour
Duringyayprenatalyvisit,ytheynurseydiscussesywithyayclientytheyeffectsyofysmokingyonythey
fetus.yWhenycomparedywithynonsmokers,ymothersywhoysmokeyduringypregnancyytendy
toyproduceyinfantsywhoyhavey-yanswer--B.ylowerybirthyweights
Ay26-year-old,ygraviday2,yparay1yclientyisyadmittedytoytheyhospitalyaty28-
weeksygestationyinypretermylabor.ySheyisygiveny3ydosesyofyterbutalineysulfatey(Brethine
)y0.25ymgysubcutaneouslyytoystopyherylaborycontractions.yTheynurseyplansytoymonitoryf
orywhichyprimaryysideyeffectyofyterbutalineysulfate?y-yanswer--
C.yTachycardiayandyayfeelingyofynervousness
Aymotherywhoyisybreastfeedingyherybabyyreceivesyinstructionsyfromytheynurse.yWhichyi
nstructionyisymostyeffectiveytoypreventynippleysoreness?y-yanswer--
C.ycorrectlyyplaceytheyinfantyonytheybreast
AyfullytermyinfantyisytransferredytoytheynurseryyfromyLy&yD.yWhichyinformationyisymostyi
mportantyforytheynurseytoyreceiveywhenyplanningyimmediateycareyforytheynewborn?y-
yanswer--B.yInfant'syconditionyatybirthyandytreatmentyreceived.
Inydevelopingyayteachingyplanyforyexpectantyparents,ytheynurseyplansytoyincludeyinform
ationyaboutywhenytheyparentsycanyexpectytheyinfant'syfontanelsytoyclose.yTheynurseyba
sesytheyexplanationyonyknowledgeythatyforytheynormalynewborn,ythey-yanswer--
D.yanterioryfontanelyclosesyaty12-
18ymosyandytheyposterioryfontanelybyytheyendyofytheysecondymonth.
Whenyassessingyayclientywhoyisy12-
weeksygestation,ytheynurseyrecommendsytheysheyandyheryhusbandyconsideryattending
ychildbirthypreparationyclasses.y
, Whatyisytheybestytimeyforytheycoupleytoyattendytheseyclasses?y-yanswer--
D.yAty30yweeksygestation.
Theynurseyshouldyencourageytheylaboringyclientytoybeginypushingywheny-yanswer--
C.ytheycervixyisycompletelyydilated
Theynurseyisycounselingyaycoupleywhoyhasysoughtyinformationyaboutyconceiving.yForyt
eachingypurposes,ytheynurseyshouldyknowythatyovulationyusuallyyoccursy-yanswer--
A.ytwoyweeksybeforeymenstruation.
Theynurseyinstructsyaylaboringyclientytoyuseyaccelerated-
blowybreathing.yTheyclientybeginsytoycomplainyofytinglingyfingersyandydizziness.yWhatya
ctionyshouldytheynurseytake?y-yanswer--
C.yhaveytheyclientybreathyintoyherycuppedyhands
Whenypreparingyaynewbornycareyforyexpectantyparents,ywhatycontentyshouldytheynurse
yteachyconcerningytheynewbornyinfantybornyatytermygestation?y-yanswer--
C.yVernixyisyaywhite,ycheesyysubstance,ypredominatelyylocatedyinytheyskinyfolds.
Twenty-fouryhoursyafteryadmissionytoytheynewbornynursery,yayfull-
termymaleyinfantydevelopsylocalizedyedemayonytheyrightysideyofyhisyhead.yTheynurseykn
owsythat,yinytheynewborn,yanyaccumulationyofybloodybetweenytheyperiosteumyandyskully
whichydoesynotycrossytheysutureylineyisyaynewbornyvariationyknownyasy-yanswer--
A.yaycephalhematoma,ycausedybyyforcepsytraumayandymayylastyupytoy8yweeks.
Anyexpectantyfatherytellsytheynurseyheyfearsythatyhisywifey"isylosingyherymind".yHeystate
sysheyisyconstantlyyrubbingyheryabdomenyandytalkingytoytheybabyyandythatysheyactuallyy
reprimandsytheybabyywhenyitymovesytooymuch.yWhatyrecommendationyshouldytheynurs
eymakeytoytheyexpectantyfather?y-yanswer--
D.yLetyhimyknowythatytheseybehaviorsyareypartyofynormalymaternal/
fetalybondingywhichyoccursyonceytheymotheryfeelsyfetalymovement.
Aynewymotheryasksytheynurse,y"HowydoyIyknowymyydaughteryisygettingyenoughybreasty
milk?yWhichyexplanationywillytheynurseyprovide?y-yanswer--
B.y"yourymilkyisysufficientyifytheybabyyisyvoidingypaleystraw-coloredyuriney6-
10ytimesyayday.
Aynewymotherywhoyhasyjustyhadyheryfirstybabyysaysytoytheynurse,y"Iysawytheybabyyinythe
yrecoveryyroom.ySheyhasyayfunnyylookingyhead".yWhichyresponseybyytheynurseyisytheyb
est?y-yanswer--C.yThatyisynormal,ytheyheadywillyreturnytoyayroundyshapeywithiny7-
10ydays.
Ayclientywhoygaveybirthytoyayhealthyy8ypoundyinfanty3yhoursyagoyisyadmittedytoytheypost
partumyunit.yWhichynursingyplanyisybestyinyassistingytheymotherytoybondywithyherynewb
ornyinfant?y-yanswer--
D.yMeetytheymother'syphysicalyneedsyandydemonstrateywarmthytowardytheyinfant.
Aycouple,yconcernedybecauseytheywomanyhasynotybeenyableytoyconceive,yisyreferredyt
oyayhealthcareyprovideryforyayfertilityyworkupyandyayhysterosalpingographyyisyschedule
PRACTICE EXAM QUESTIONS AND
ANSWERS
Clientyteachingyisyanyimportantypartyofytheymaternityynurse'syrole.yWhichyfactoryhasythey
greatestyinfluenceyonysuccessfulyteachingyofytheygravidyclient?y-yanswer--
A.yTheyclient'syreadinessytoylearn
Ay38-
weekyprimagravidaywhoyworksyasyaysecretaryyandysitsyatyaycomputery8yhoursyaydayytell
sytheynurseythatyheryfeetyhaveybegunytoyswell.yWhichyinstructionywouldybeymostyeffecti
veyinypreventingypoolingyofybloodyinytheyloweryextremities?y-yanswer--
C.yMoveyaboutyeveryyhour
Duringyayprenatalyvisit,ytheynurseydiscussesywithyayclientytheyeffectsyofysmokingyonythey
fetus.yWhenycomparedywithynonsmokers,ymothersywhoysmokeyduringypregnancyytendy
toyproduceyinfantsywhoyhavey-yanswer--B.ylowerybirthyweights
Ay26-year-old,ygraviday2,yparay1yclientyisyadmittedytoytheyhospitalyaty28-
weeksygestationyinypretermylabor.ySheyisygiveny3ydosesyofyterbutalineysulfatey(Brethine
)y0.25ymgysubcutaneouslyytoystopyherylaborycontractions.yTheynurseyplansytoymonitoryf
orywhichyprimaryysideyeffectyofyterbutalineysulfate?y-yanswer--
C.yTachycardiayandyayfeelingyofynervousness
Aymotherywhoyisybreastfeedingyherybabyyreceivesyinstructionsyfromytheynurse.yWhichyi
nstructionyisymostyeffectiveytoypreventynippleysoreness?y-yanswer--
C.ycorrectlyyplaceytheyinfantyonytheybreast
AyfullytermyinfantyisytransferredytoytheynurseryyfromyLy&yD.yWhichyinformationyisymostyi
mportantyforytheynurseytoyreceiveywhenyplanningyimmediateycareyforytheynewborn?y-
yanswer--B.yInfant'syconditionyatybirthyandytreatmentyreceived.
Inydevelopingyayteachingyplanyforyexpectantyparents,ytheynurseyplansytoyincludeyinform
ationyaboutywhenytheyparentsycanyexpectytheyinfant'syfontanelsytoyclose.yTheynurseyba
sesytheyexplanationyonyknowledgeythatyforytheynormalynewborn,ythey-yanswer--
D.yanterioryfontanelyclosesyaty12-
18ymosyandytheyposterioryfontanelybyytheyendyofytheysecondymonth.
Whenyassessingyayclientywhoyisy12-
weeksygestation,ytheynurseyrecommendsytheysheyandyheryhusbandyconsideryattending
ychildbirthypreparationyclasses.y
, Whatyisytheybestytimeyforytheycoupleytoyattendytheseyclasses?y-yanswer--
D.yAty30yweeksygestation.
Theynurseyshouldyencourageytheylaboringyclientytoybeginypushingywheny-yanswer--
C.ytheycervixyisycompletelyydilated
Theynurseyisycounselingyaycoupleywhoyhasysoughtyinformationyaboutyconceiving.yForyt
eachingypurposes,ytheynurseyshouldyknowythatyovulationyusuallyyoccursy-yanswer--
A.ytwoyweeksybeforeymenstruation.
Theynurseyinstructsyaylaboringyclientytoyuseyaccelerated-
blowybreathing.yTheyclientybeginsytoycomplainyofytinglingyfingersyandydizziness.yWhatya
ctionyshouldytheynurseytake?y-yanswer--
C.yhaveytheyclientybreathyintoyherycuppedyhands
Whenypreparingyaynewbornycareyforyexpectantyparents,ywhatycontentyshouldytheynurse
yteachyconcerningytheynewbornyinfantybornyatytermygestation?y-yanswer--
C.yVernixyisyaywhite,ycheesyysubstance,ypredominatelyylocatedyinytheyskinyfolds.
Twenty-fouryhoursyafteryadmissionytoytheynewbornynursery,yayfull-
termymaleyinfantydevelopsylocalizedyedemayonytheyrightysideyofyhisyhead.yTheynurseykn
owsythat,yinytheynewborn,yanyaccumulationyofybloodybetweenytheyperiosteumyandyskully
whichydoesynotycrossytheysutureylineyisyaynewbornyvariationyknownyasy-yanswer--
A.yaycephalhematoma,ycausedybyyforcepsytraumayandymayylastyupytoy8yweeks.
Anyexpectantyfatherytellsytheynurseyheyfearsythatyhisywifey"isylosingyherymind".yHeystate
sysheyisyconstantlyyrubbingyheryabdomenyandytalkingytoytheybabyyandythatysheyactuallyy
reprimandsytheybabyywhenyitymovesytooymuch.yWhatyrecommendationyshouldytheynurs
eymakeytoytheyexpectantyfather?y-yanswer--
D.yLetyhimyknowythatytheseybehaviorsyareypartyofynormalymaternal/
fetalybondingywhichyoccursyonceytheymotheryfeelsyfetalymovement.
Aynewymotheryasksytheynurse,y"HowydoyIyknowymyydaughteryisygettingyenoughybreasty
milk?yWhichyexplanationywillytheynurseyprovide?y-yanswer--
B.y"yourymilkyisysufficientyifytheybabyyisyvoidingypaleystraw-coloredyuriney6-
10ytimesyayday.
Aynewymotherywhoyhasyjustyhadyheryfirstybabyysaysytoytheynurse,y"Iysawytheybabyyinythe
yrecoveryyroom.ySheyhasyayfunnyylookingyhead".yWhichyresponseybyytheynurseyisytheyb
est?y-yanswer--C.yThatyisynormal,ytheyheadywillyreturnytoyayroundyshapeywithiny7-
10ydays.
Ayclientywhoygaveybirthytoyayhealthyy8ypoundyinfanty3yhoursyagoyisyadmittedytoytheypost
partumyunit.yWhichynursingyplanyisybestyinyassistingytheymotherytoybondywithyherynewb
ornyinfant?y-yanswer--
D.yMeetytheymother'syphysicalyneedsyandydemonstrateywarmthytowardytheyinfant.
Aycouple,yconcernedybecauseytheywomanyhasynotybeenyableytoyconceive,yisyreferredyt
oyayhealthcareyprovideryforyayfertilityyworkupyandyayhysterosalpingographyyisyschedule
