2024 HESI MATERNITY OB; EXAM VERSION 2 NEWEST
QUESTIONS AND CORRECT ANSWERS [VERIFIED]
A client at a prenatal class requests information on how the gender of a baby is determined. Which
statement made by the nurse would be most accurate? - CORRECT ANSWER-Gender is determined at
conception and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm
Rationale:
Sex determination is also determined at fertilization and depends on whether the ovum is fertilized by a
Y-bearing sperm or an X-bearing sperm. Approximately half of sperm carry the XX chromosome and the
other half carries XY. An XX zygote will become a female and an XY zygote will become a male. That is
why it is scientifically correct to say that the sex of the infant is determined by the father and not by the
mother. Gender is determined before the embryo stage and at conception by sperm carrying Y or X
bearing chromosomes.
A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis.
The nurse expects to prepare the client for which evaluatory method to confirm this suspicion? -
CORRECT ANSWER-transvaginal ultrasound
Rationale:
The only certain method of diagnosing endometriosis is by seeing it. Therefore, the nurse would expect
to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic examination and transvaginal
ultrasound are done to assess for endometriosis but do not confirm its presence. Hysterosalpingography
aids in identifying tubal problems resulting in infertility.
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the
primary care provider to prescribe as a first-line treatment? - CORRECT ANSWER-NSAIDs
Rationale:
Although progestins, antiestrogens, and gonadotrophin-releasing analogues are used as treatment
options for endometriosis, NSAIDS are considered the first-line treatment to reduce pain.
A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis.
After teaching the partner about this test, which client statement indicates that the client has
,understood the instructions? - CORRECT ANSWER-I have to abstain from sexual activity for about 1 to 2
days before the sample.
Rationale:
Semen analysis is the most important indicator of male fertility. The man should abstain from sexual
activity for 24 to 48 hours before giving the sample. For a semen examination, the man is asked to
produce a specimen by ejaculating into a specimen container and delivering it to the laboratory for
analysis within 1 to 2 hours. When the specimen is brought to the laboratory, it is analyzed for volume,
viscosity, number of sperm, sperm viability, motility, and sperm shape.
A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse
teaches the couple about fertilization and initial development, stating that the zygote formed by the
union of the ovum and sperm consists of how many chromosomes? - CORRECT ANSWER-46
Rationale:
With fertilization, the ovum, containing 23 chromosomes, and the sperm, containing 23 chromosomes,
join, forming a zygote with a diploid number or 46 chromosomes.
After discussing various methods of contraception with a client and her partner, the nurse determines
that the teaching was successful when they identify which contraceptive method as providing protection
against sexually transmitted infections (STIs)? - CORRECT ANSWER-condoms
Rationale:
Condoms are a barrier method of contraception. In addition to providing a physical barrier for sperm,
they also protect against STIs. Oral contraceptives, tubal ligation, and intrauterine systems provide no
protection against STIs.
After teaching a group of adolescent girls about female reproductive development, the nurse determines
that teaching was successful when the girls state that menarche is defined as a woman's first: - CORRECT
ANSWER-menstrual period
Rationale:
Menarche is defined as the establishment of menstruation. It does not refer to the woman's first sexual
experience, full hormonal cycle, or sign of breast development.
, After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching
was successful when the group identifies which hormone as important for the production of breast milk
after birth? - CORRECT ANSWER-prolactin
Rationale:
After birth and expulsion of the placenta, prolactin stimulates the production of milk. Placental estrogen
and progesterone stimulate the development of the mammary glands during pregnancy. Gonadotropin-
releasing hormone induces the release of follicle-stimulating hormone and luteinizing hormone to assist
with ovulation.
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines
that the teaching was successful when the woman identifies which hormone produced as being the basis
for pregnancy tests? - CORRECT ANSWER-Human chorionic gonadotropin (hCG)
Rationale:
The placenta produces hCG, which is the basis for pregnancy tests. This hormone preserves the corpus
luteum and its progesterone production so that the endometrial lining is maintained. Human placental
lactogen modulates fetal and maternal metabolism and participates in the development of the breasts
for lactation. Estrogen causes enlargement of the woman's breasts, uterus, and external genitalia and
stimulates myometrial contractility. Progesterone maintains the endometrium.
A nurse is conducting an in-service program for a group of nurses on the health of women and their
families, incorporating information from Healthy People 2020. The nurse determines that additional
discussion and clarification is needed when the group makes which statement? - CORRECT ANSWER-
Immunizations may be the cause of some illnesses being seen currently
Rationale:
Obesity, drug use, and smoking are major concerns. Physical activity and environmental quality are also
on the list of leading health indicators in the Healthy People 2020 Report. The students that understood
that immunizations are the causes of diseases need clarification since maintenance of immunizations is
one of the health indicators listed in the report.
A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program,
the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was
QUESTIONS AND CORRECT ANSWERS [VERIFIED]
A client at a prenatal class requests information on how the gender of a baby is determined. Which
statement made by the nurse would be most accurate? - CORRECT ANSWER-Gender is determined at
conception and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm
Rationale:
Sex determination is also determined at fertilization and depends on whether the ovum is fertilized by a
Y-bearing sperm or an X-bearing sperm. Approximately half of sperm carry the XX chromosome and the
other half carries XY. An XX zygote will become a female and an XY zygote will become a male. That is
why it is scientifically correct to say that the sex of the infant is determined by the father and not by the
mother. Gender is determined before the embryo stage and at conception by sperm carrying Y or X
bearing chromosomes.
A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis.
The nurse expects to prepare the client for which evaluatory method to confirm this suspicion? -
CORRECT ANSWER-transvaginal ultrasound
Rationale:
The only certain method of diagnosing endometriosis is by seeing it. Therefore, the nurse would expect
to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic examination and transvaginal
ultrasound are done to assess for endometriosis but do not confirm its presence. Hysterosalpingography
aids in identifying tubal problems resulting in infertility.
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the
primary care provider to prescribe as a first-line treatment? - CORRECT ANSWER-NSAIDs
Rationale:
Although progestins, antiestrogens, and gonadotrophin-releasing analogues are used as treatment
options for endometriosis, NSAIDS are considered the first-line treatment to reduce pain.
A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis.
After teaching the partner about this test, which client statement indicates that the client has
,understood the instructions? - CORRECT ANSWER-I have to abstain from sexual activity for about 1 to 2
days before the sample.
Rationale:
Semen analysis is the most important indicator of male fertility. The man should abstain from sexual
activity for 24 to 48 hours before giving the sample. For a semen examination, the man is asked to
produce a specimen by ejaculating into a specimen container and delivering it to the laboratory for
analysis within 1 to 2 hours. When the specimen is brought to the laboratory, it is analyzed for volume,
viscosity, number of sperm, sperm viability, motility, and sperm shape.
A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse
teaches the couple about fertilization and initial development, stating that the zygote formed by the
union of the ovum and sperm consists of how many chromosomes? - CORRECT ANSWER-46
Rationale:
With fertilization, the ovum, containing 23 chromosomes, and the sperm, containing 23 chromosomes,
join, forming a zygote with a diploid number or 46 chromosomes.
After discussing various methods of contraception with a client and her partner, the nurse determines
that the teaching was successful when they identify which contraceptive method as providing protection
against sexually transmitted infections (STIs)? - CORRECT ANSWER-condoms
Rationale:
Condoms are a barrier method of contraception. In addition to providing a physical barrier for sperm,
they also protect against STIs. Oral contraceptives, tubal ligation, and intrauterine systems provide no
protection against STIs.
After teaching a group of adolescent girls about female reproductive development, the nurse determines
that teaching was successful when the girls state that menarche is defined as a woman's first: - CORRECT
ANSWER-menstrual period
Rationale:
Menarche is defined as the establishment of menstruation. It does not refer to the woman's first sexual
experience, full hormonal cycle, or sign of breast development.
, After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching
was successful when the group identifies which hormone as important for the production of breast milk
after birth? - CORRECT ANSWER-prolactin
Rationale:
After birth and expulsion of the placenta, prolactin stimulates the production of milk. Placental estrogen
and progesterone stimulate the development of the mammary glands during pregnancy. Gonadotropin-
releasing hormone induces the release of follicle-stimulating hormone and luteinizing hormone to assist
with ovulation.
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines
that the teaching was successful when the woman identifies which hormone produced as being the basis
for pregnancy tests? - CORRECT ANSWER-Human chorionic gonadotropin (hCG)
Rationale:
The placenta produces hCG, which is the basis for pregnancy tests. This hormone preserves the corpus
luteum and its progesterone production so that the endometrial lining is maintained. Human placental
lactogen modulates fetal and maternal metabolism and participates in the development of the breasts
for lactation. Estrogen causes enlargement of the woman's breasts, uterus, and external genitalia and
stimulates myometrial contractility. Progesterone maintains the endometrium.
A nurse is conducting an in-service program for a group of nurses on the health of women and their
families, incorporating information from Healthy People 2020. The nurse determines that additional
discussion and clarification is needed when the group makes which statement? - CORRECT ANSWER-
Immunizations may be the cause of some illnesses being seen currently
Rationale:
Obesity, drug use, and smoking are major concerns. Physical activity and environmental quality are also
on the list of leading health indicators in the Healthy People 2020 Report. The students that understood
that immunizations are the causes of diseases need clarification since maintenance of immunizations is
one of the health indicators listed in the report.
A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program,
the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was
