HESI A2: MOBILITY PREP EXAM
QUESTIONS AND ANSWERS
A client's membranes rupture while her labor is being augmented with an oxytocin
infusion. The nurse observes variable decelerations in the fetal heart rate on the fetal
monitor strip. Which action should the nurse initiate next?
1. Changing the client's position
2. Taking the client's blood pressure
3. Stopping the client's oxytocin infusion
4. Preparing the client for an immediate birth - Answer-Changing the client's position
because decels are usually the result of cord compression; a change in position will
relieve the pressure on the cord.
During her first visit to the prenatal clinic a client is found to be obese. During the
ensuing 5 months, the client has been unsuccessful in adhering to her nutritional plan.
Which finding indicates to the nurse that the client has been successful during the sixth
month?
1. Weight loss of 1lb
2. Weight gain of 2lb
3. No weight change from the last month
4. The client's statement that she lost weight last week - Answer-Weight gain of 2lb
because the client needs to gain some weight to meet the fetus' nutritional needs and
2lb of weight gain is appropriate. Weight loss is contraindicated in pregnancy because it
may interfere with fetal G&D
A nurse administers two serial intramuscular injections of betamethasone to a woman at
32 weeks gestation who has been admitted in preterm labor. The nurse knows that this
medication is given to accomplish what purpose?
1. Stop the process of labor
2. Increase placental perfusion
3. Stimulate surfactant production
4. Reduce intensity of contractions - Answer-Stimulate surfactant production because
betamethasone is a corticosteroid.
A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a
recent immigrant from Asia, and the nurse explores the foods that the client usually
eats. Which foods should the nurse counsel the client to avoid during pregnancy?
Select all that apply.
1. Yogurt
2. Oily Fish
3. Apricots
4. Raw Shellfish
5. Herbal Supplements
, 6. Soft-scrambled Eggs - Answer-4, 5, & 6 (Raw Shellfish, Herbal Supplements, and
Soft-scrambled Eggs)
A newborn who is born at 36 weeks' gestation weighs 8 lb 13 oz (3997 g). How should
the nurse document this finding?
1. LGA and Term
2. LGA and Preterm
3. AGA and Term
4. AGA and Preterm - Answer-LGA and preterm. Less than 37 weeks = preterm and
expected weight at 36 weeks is between 4lb 3oz and 7lb 1oz
A newborn's mother is being treated with clemastine while breast-feeding. Which
physiologic factors alter the pharmacokinetic properties of this drug in the neonate?
Select all that apply.
1. Decreased fat content
2. Increased protein binding
3. Immature blood-brain barrier
4. Increased first pass elimination
5. Decreased GFR - Answer-1, 3, & 5 (Decreased fat content, Immature blood-brain
barrier, and Decreased GFR). In neonates, fat content is low due to a large amount of
total body water. As a result, the drug readily enters the brain due to the immature
blood-brain barrier. Neonates have immature kidneys which means a decreased GFR.
A client at 7 weeks' gestation tells the nurse in the prenatal clinic that she has been
bothered by episodes of nausea throughout the day. Which interventions should the
nurse recommend? Select all that apply.
1. Focus on and repeat a rhythmic chant
2. Sit upright for 30 mins after meals
3. Take low-sodium antacids after meals
4. Drink carbonated beverages with meals
5. Eat small, frequent meals and eat dry crackers in between - Answer-1 & 5 (Focus on
and repeat a rhythmic chant and Eat small, frequent meals and eat dry crackers in
between). Focusing helps mitigate odors, tastes, and thoughts that may cause nausea.
Avoiding an empty stomach decreases the occurrence of nausea associated with
pregnancy. Sitting upright and taking antacids will prevent heartburn but not nausea.
A nurse is caring for a group of postpartum clients. Which client is at the highest risk for
disseminated intravascular coagulation (DIC)?
1. Gravids 3 with twins
2. Gravida 5 with endometreosis
3. Gravida 2 who had a 9lb baby boy
4. Gravida 1 who has had an intrauterine fetal death - Answer-Gravida 1 who has had
an intrauterine fetal death; intrauterine fetal death is a risk factor for DIC as well as
abruptio placentae, amniotic fluid embolism, sepsis, and liver disease.
QUESTIONS AND ANSWERS
A client's membranes rupture while her labor is being augmented with an oxytocin
infusion. The nurse observes variable decelerations in the fetal heart rate on the fetal
monitor strip. Which action should the nurse initiate next?
1. Changing the client's position
2. Taking the client's blood pressure
3. Stopping the client's oxytocin infusion
4. Preparing the client for an immediate birth - Answer-Changing the client's position
because decels are usually the result of cord compression; a change in position will
relieve the pressure on the cord.
During her first visit to the prenatal clinic a client is found to be obese. During the
ensuing 5 months, the client has been unsuccessful in adhering to her nutritional plan.
Which finding indicates to the nurse that the client has been successful during the sixth
month?
1. Weight loss of 1lb
2. Weight gain of 2lb
3. No weight change from the last month
4. The client's statement that she lost weight last week - Answer-Weight gain of 2lb
because the client needs to gain some weight to meet the fetus' nutritional needs and
2lb of weight gain is appropriate. Weight loss is contraindicated in pregnancy because it
may interfere with fetal G&D
A nurse administers two serial intramuscular injections of betamethasone to a woman at
32 weeks gestation who has been admitted in preterm labor. The nurse knows that this
medication is given to accomplish what purpose?
1. Stop the process of labor
2. Increase placental perfusion
3. Stimulate surfactant production
4. Reduce intensity of contractions - Answer-Stimulate surfactant production because
betamethasone is a corticosteroid.
A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a
recent immigrant from Asia, and the nurse explores the foods that the client usually
eats. Which foods should the nurse counsel the client to avoid during pregnancy?
Select all that apply.
1. Yogurt
2. Oily Fish
3. Apricots
4. Raw Shellfish
5. Herbal Supplements
, 6. Soft-scrambled Eggs - Answer-4, 5, & 6 (Raw Shellfish, Herbal Supplements, and
Soft-scrambled Eggs)
A newborn who is born at 36 weeks' gestation weighs 8 lb 13 oz (3997 g). How should
the nurse document this finding?
1. LGA and Term
2. LGA and Preterm
3. AGA and Term
4. AGA and Preterm - Answer-LGA and preterm. Less than 37 weeks = preterm and
expected weight at 36 weeks is between 4lb 3oz and 7lb 1oz
A newborn's mother is being treated with clemastine while breast-feeding. Which
physiologic factors alter the pharmacokinetic properties of this drug in the neonate?
Select all that apply.
1. Decreased fat content
2. Increased protein binding
3. Immature blood-brain barrier
4. Increased first pass elimination
5. Decreased GFR - Answer-1, 3, & 5 (Decreased fat content, Immature blood-brain
barrier, and Decreased GFR). In neonates, fat content is low due to a large amount of
total body water. As a result, the drug readily enters the brain due to the immature
blood-brain barrier. Neonates have immature kidneys which means a decreased GFR.
A client at 7 weeks' gestation tells the nurse in the prenatal clinic that she has been
bothered by episodes of nausea throughout the day. Which interventions should the
nurse recommend? Select all that apply.
1. Focus on and repeat a rhythmic chant
2. Sit upright for 30 mins after meals
3. Take low-sodium antacids after meals
4. Drink carbonated beverages with meals
5. Eat small, frequent meals and eat dry crackers in between - Answer-1 & 5 (Focus on
and repeat a rhythmic chant and Eat small, frequent meals and eat dry crackers in
between). Focusing helps mitigate odors, tastes, and thoughts that may cause nausea.
Avoiding an empty stomach decreases the occurrence of nausea associated with
pregnancy. Sitting upright and taking antacids will prevent heartburn but not nausea.
A nurse is caring for a group of postpartum clients. Which client is at the highest risk for
disseminated intravascular coagulation (DIC)?
1. Gravids 3 with twins
2. Gravida 5 with endometreosis
3. Gravida 2 who had a 9lb baby boy
4. Gravida 1 who has had an intrauterine fetal death - Answer-Gravida 1 who has had
an intrauterine fetal death; intrauterine fetal death is a risk factor for DIC as well as
abruptio placentae, amniotic fluid embolism, sepsis, and liver disease.
