MATERNITY HESI EXIT 2025 VERSION B/HESI EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
Which medication would the nurse identify as a potential cause for the formation of abnormally small
eyes in the newborn if used during pregnancy?
a. estrogens
b. nitrofurantoin
c. methotrexate
d. valproic acid(answer)b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in the newborn.
Sex hormone supplements, such as estrogens, may cause congenital defects of female reproductive
organs. Methotrexate can cause congenital abnormalities (central nervous system and limbs
malformations) and fetal death. Valproic acid is high teratogenic and cause neural tube defects, atrial
septal defect, cleft palate, hypospadias, polydactyly, and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol(answer)a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may cause adverse
effects to the neonate. Labetalol and propanolol are safe to administer during lactation. Metoprolol is
considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for infertility?
a. estrogen
,MATERNITY HESI EXIT 2025 VERSION B/HESI EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
b. luteinizing hormone
c. follicle-stimulating hormone
d. gonadotropin-releasing hormone(answer)d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-releasing
hormones act at the hypothalamus level; therefore this hormone does not need to be monitored.
Menotropins is a standardized mixture of follicle-stimulating hormone and luteinizing; these hormones
should be monitored. Also, estrogen levels need to be monitored because the luteinizing hormone
directly stimulates the production of estrogen
Which birth control agent requires administration once every three months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms(answer)b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three months.
Progressed-only oral contraceptive pills should be taken on a daily basis because of a higher incidence of
ovulatory cycles. Combination biphasic and monophasic forms are administered as either a 21 or 28 day
course.
Which medication with the nurse identify as being used both for cervical ripening during labor and has a
stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
, MATERNITY HESI EXIT 2025 VERSION B/HESI EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
d. dinoprostone(answer)c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is used to prevent
postmenopausal osteoporosis. Clomiphene is used for ovulation. Dinoprostone can be used for cervical
ripening, but this medication does not act as a stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during embryonic
period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development(answer)b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period or the first
trimester. During the fetal period, exposure to a teratogen causes delays in growth and development of
the fetus. Death of the conceptus occurs if exposed to a lethal dose of teratogen during the pre-
implantation period. Exposure to a teratogen during the fetal period (second or third trimester) causes
disruption of brain development.
Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
d. methylergonovine(answer)d. methylergonovine
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
Which medication would the nurse identify as a potential cause for the formation of abnormally small
eyes in the newborn if used during pregnancy?
a. estrogens
b. nitrofurantoin
c. methotrexate
d. valproic acid(answer)b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in the newborn.
Sex hormone supplements, such as estrogens, may cause congenital defects of female reproductive
organs. Methotrexate can cause congenital abnormalities (central nervous system and limbs
malformations) and fetal death. Valproic acid is high teratogenic and cause neural tube defects, atrial
septal defect, cleft palate, hypospadias, polydactyly, and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol(answer)a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may cause adverse
effects to the neonate. Labetalol and propanolol are safe to administer during lactation. Metoprolol is
considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for infertility?
a. estrogen
,MATERNITY HESI EXIT 2025 VERSION B/HESI EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
b. luteinizing hormone
c. follicle-stimulating hormone
d. gonadotropin-releasing hormone(answer)d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-releasing
hormones act at the hypothalamus level; therefore this hormone does not need to be monitored.
Menotropins is a standardized mixture of follicle-stimulating hormone and luteinizing; these hormones
should be monitored. Also, estrogen levels need to be monitored because the luteinizing hormone
directly stimulates the production of estrogen
Which birth control agent requires administration once every three months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms(answer)b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three months.
Progressed-only oral contraceptive pills should be taken on a daily basis because of a higher incidence of
ovulatory cycles. Combination biphasic and monophasic forms are administered as either a 21 or 28 day
course.
Which medication with the nurse identify as being used both for cervical ripening during labor and has a
stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
, MATERNITY HESI EXIT 2025 VERSION B/HESI EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|A+GRADE
d. dinoprostone(answer)c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is used to prevent
postmenopausal osteoporosis. Clomiphene is used for ovulation. Dinoprostone can be used for cervical
ripening, but this medication does not act as a stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during embryonic
period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development(answer)b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period or the first
trimester. During the fetal period, exposure to a teratogen causes delays in growth and development of
the fetus. Death of the conceptus occurs if exposed to a lethal dose of teratogen during the pre-
implantation period. Exposure to a teratogen during the fetal period (second or third trimester) causes
disruption of brain development.
Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
d. methylergonovine(answer)d. methylergonovine
