RN HESI Maternity 2024-2024 exam Newest
Set
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to
the nurse that the medication is having the desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema - Answer-D. Reduction of edema
The nurse is conducting postpartum teaching with a mother who is breastfeeding here infant. When
discussing birth control, which method should the nurse recommend to this client as beneficial for her
to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. - Answer-B. Condoms and contraceptive foam
or gel
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - Answer-A. Avoid alcohol because it is excreted in
breast milk.
,The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse
would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - Answer-A. Pain in the lower back that radiates to
abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - Answer-C. Ensure that the baby is
positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer-C.
Place petroleum ointment around the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her mind." He states that she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the nurse make to this expectant father?
A. Suggest that his wife seek professional counseling to deal with her symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
,C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - Answer-D. Reassure him that normal
maternal-fetal bonding is occurring.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - Answer-A. Avoid alcohol because it is excreted in
breast milk.
The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse
would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - Answer-A. Pain in the lower back that radiates to
abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - Answer-C. Ensure that the baby is
positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
, A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer-C.
Place petroleum ointment around the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her mind." He states that she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the nurse make to this expectant father?
A. Suggest that his wife seek professional counseling to deal with her symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - Answer-D. Reassure him that normal
maternal-fetal bonding is occurring.
One day after a vaginal delivery of a full-term baby, a postpartum client's white blood cell count is
15,000/mm2. What action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma. - Answer-A. Check he differential,
since the WBC is normal for this client.
The parents of a newborn tell the nurse that their baby is already trying to walk. How should the nurse
respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex. - Answer-D. Explain the newborn's normal stepping
reflex.
Set
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to
the nurse that the medication is having the desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema - Answer-D. Reduction of edema
The nurse is conducting postpartum teaching with a mother who is breastfeeding here infant. When
discussing birth control, which method should the nurse recommend to this client as beneficial for her
to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. - Answer-B. Condoms and contraceptive foam
or gel
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - Answer-A. Avoid alcohol because it is excreted in
breast milk.
,The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse
would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - Answer-A. Pain in the lower back that radiates to
abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - Answer-C. Ensure that the baby is
positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer-C.
Place petroleum ointment around the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her mind." He states that she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the nurse make to this expectant father?
A. Suggest that his wife seek professional counseling to deal with her symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
,C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - Answer-D. Reassure him that normal
maternal-fetal bonding is occurring.
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important
to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - Answer-A. Avoid alcohol because it is excreted in
breast milk.
The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse
would indicate that the client is in true labor? (Select all that apply.)
A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - Answer-A. Pain in the lower back that radiates to
abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - Answer-C. Ensure that the baby is
positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after circumcision. What information should
the nurse include in the teaching plan?
, A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent infection.
C. Place petroleum ointment around the glans with each diaper change and cleansing.
D. Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. - Answer-C.
Place petroleum ointment around the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her mind." He states that she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the nurse make to this expectant father?
A. Suggest that his wife seek professional counseling to deal with her symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - Answer-D. Reassure him that normal
maternal-fetal bonding is occurring.
One day after a vaginal delivery of a full-term baby, a postpartum client's white blood cell count is
15,000/mm2. What action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma. - Answer-A. Check he differential,
since the WBC is normal for this client.
The parents of a newborn tell the nurse that their baby is already trying to walk. How should the nurse
respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex. - Answer-D. Explain the newborn's normal stepping
reflex.
