HESI RN MATERNITY EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Total (complete) placenta previa involves the placenta covering the
entire cervical os (opening). The onset of uterine contractions places
the client at risk for dilation and placental separation, which causes
painless hemorrhaging. The risk of hemorrhage is the priority.
One hour after giving birth to an 8-pound infant, a client's lochia rubra
has increased from small to large and her fundus is boggy despite
massage. The client's pulse is 84 beats/minute and blood pressure is
156/96. The healthcare provider prescribes Methergine 0.2 mg IM X 1.
What action should the nurse take immediately?
a) Give the medication as prescribed and monitor for efficacy.
b) Encourage the client to breastfeed rather than bottle feed.
c) Have the client empty her bladder and massage the fundus.
D) Call the healthcare provider to question the prescription. - CORRECT
ANSWER - >c) Call the healthcare provider to question the prescription.
Methergine is used to treat postpartum hemorrhage, but is
contraindicated for clients with elevated blood pressure, so the nurse
should contact the healthcare provider and question the prescription
because the client's elevated blood pressure.
The nurse observes a new mother is rooming-in and caring for her
newborn infant. Which observation indicates the need for further
teaching?
a) Cuddles the baby close to her.
b) Rocks and soothes the infant in her arms.
c) Places the infant prone in the bassinet.
d) Wraps the baby in a warm blanket after bathing.
,Submit - CORRECT ANSWER - >c) Places the infant prone in the
bassinet.
The mother should be instructed to avoid placing the infant prone
which is associated with an increased incidence of sudden infant death
syndrome (SIDS).
On admission to the prenatal clinic, a 23-year-old woman tells the
nurse that her last menstrual period began on February 15, and that
previously her periods were regular. Her pregnancy test is positive. This
client's expected date of delivery (EDD) would be
a) November 22.
b) November 8.
c) December 22.
d) October 22. - CORRECT ANSWER - >a) November 22.
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-
weeks gestation in preterm labor. She is started on an IV solution of
terbutaline (Brethine). Which assessment is the highest priority for the
nurse to monitor during the administration of this drug?
a) Maternal blood pressure and respirations.
b) Maternal and fetal heart rates.
c) Hourly urinary output.
d) Deep tendon reflexes. - CORRECT ANSWER - >b) Maternal and fetal
heart rates.
Terbutaline has effects on receptors. It acts as a sympathomimetic
agent stimulating beta 1 receptors which cause tachycardia as a side
effect and that is a reason why monitoring maternal and fetal heart
rates is most important when terbutaline is being administered. It also
,affects beta 2 receptors which relaxes the uterus and that is the reason
for its administration.
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2016. Based on Naegele's rule, what is the
estimated date of delivery?
a) April 25, 2017.
b) May 9, 2017.
c) May 29, 2017.
d) June 2, 2017. - CORRECT ANSWER - >b) May 9, 2017.
Twenty minutes after a continuous epidural anesthetic is administered,
a laboring client's blood pressure drops from 120/80 to 90/60. What
action will the nurse take?
a) Notify the healthcare provider or anesthesiologist immediately.
b) Continue to assess the blood pressure q5 minutes.
c) Place the woman in a lateral position.
d) Turn off the continuous epidural. - CORRECT ANSWER - >c) Place the
woman in a lateral position.
The nurse should immediately turn the woman to a lateral position,
place a pillow or wedge under the right hip to deflect the uterus,
increase the rate of the main line IV infusion, and administer oxygen by
face mask at 10-12 L/min. If the blood pressure remains low, especially
if it further decreases, the anesthesiologist/healthcare provider should
be notified immediately.
A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to
augment labor. Which adverse effect should the nurse monitor for
during the infusion of Pitocin?
a) Dehydration.
b) Hyperstimulation.
, c) Galactorrhea.
d) Fetal tachycardia.
Submit - CORRECT ANSWER - >b) Hyperstimulation
Pitocin causes the uterine myofibril to contract, so unless the infusion is
closely monitored, the client is at risk for hyperstimulation which can
lead to tetanic contractions, uterine rupture, and fetal distress or
demise.
The nurse should explain to a 30-year-old primigravida client that alpha
fetoprotein testing is recommended for which purpose?
a) Detect cardiovascular disorders.
B) Screen for neural tube defects.
c) Monitor the placental functioning.
d) Assess for maternal pre-eclampsia.
Submit - CORRECT ANSWER - >b) Screen for neural tube defects.\
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule
out neural tube defects. Elevated AFP may indicate an increased rish of
neural tube defects such as anencephaly and spinal bifida.
A multigravida client at 41-weeks gestation presents in the labor and
delivery unit after a non-stress test indicated that the fetus is
experiencing some difficulties in utero. Which diagnostic test should
the nurse prepare the client for additional information about fetal
status?
a) Biophysical profile (BPP).
b) Ultrasound for fetal anomalies.
c) Maternal serum alpha-fetoprotein (AF) screening.
d) Percutaneous umbilical blood sampling (PUBS). - CORRECT ANSWER -
>a) Biophysical profile (BPP).
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Total (complete) placenta previa involves the placenta covering the
entire cervical os (opening). The onset of uterine contractions places
the client at risk for dilation and placental separation, which causes
painless hemorrhaging. The risk of hemorrhage is the priority.
One hour after giving birth to an 8-pound infant, a client's lochia rubra
has increased from small to large and her fundus is boggy despite
massage. The client's pulse is 84 beats/minute and blood pressure is
156/96. The healthcare provider prescribes Methergine 0.2 mg IM X 1.
What action should the nurse take immediately?
a) Give the medication as prescribed and monitor for efficacy.
b) Encourage the client to breastfeed rather than bottle feed.
c) Have the client empty her bladder and massage the fundus.
D) Call the healthcare provider to question the prescription. - CORRECT
ANSWER - >c) Call the healthcare provider to question the prescription.
Methergine is used to treat postpartum hemorrhage, but is
contraindicated for clients with elevated blood pressure, so the nurse
should contact the healthcare provider and question the prescription
because the client's elevated blood pressure.
The nurse observes a new mother is rooming-in and caring for her
newborn infant. Which observation indicates the need for further
teaching?
a) Cuddles the baby close to her.
b) Rocks and soothes the infant in her arms.
c) Places the infant prone in the bassinet.
d) Wraps the baby in a warm blanket after bathing.
,Submit - CORRECT ANSWER - >c) Places the infant prone in the
bassinet.
The mother should be instructed to avoid placing the infant prone
which is associated with an increased incidence of sudden infant death
syndrome (SIDS).
On admission to the prenatal clinic, a 23-year-old woman tells the
nurse that her last menstrual period began on February 15, and that
previously her periods were regular. Her pregnancy test is positive. This
client's expected date of delivery (EDD) would be
a) November 22.
b) November 8.
c) December 22.
d) October 22. - CORRECT ANSWER - >a) November 22.
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-
weeks gestation in preterm labor. She is started on an IV solution of
terbutaline (Brethine). Which assessment is the highest priority for the
nurse to monitor during the administration of this drug?
a) Maternal blood pressure and respirations.
b) Maternal and fetal heart rates.
c) Hourly urinary output.
d) Deep tendon reflexes. - CORRECT ANSWER - >b) Maternal and fetal
heart rates.
Terbutaline has effects on receptors. It acts as a sympathomimetic
agent stimulating beta 1 receptors which cause tachycardia as a side
effect and that is a reason why monitoring maternal and fetal heart
rates is most important when terbutaline is being administered. It also
,affects beta 2 receptors which relaxes the uterus and that is the reason
for its administration.
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2016. Based on Naegele's rule, what is the
estimated date of delivery?
a) April 25, 2017.
b) May 9, 2017.
c) May 29, 2017.
d) June 2, 2017. - CORRECT ANSWER - >b) May 9, 2017.
Twenty minutes after a continuous epidural anesthetic is administered,
a laboring client's blood pressure drops from 120/80 to 90/60. What
action will the nurse take?
a) Notify the healthcare provider or anesthesiologist immediately.
b) Continue to assess the blood pressure q5 minutes.
c) Place the woman in a lateral position.
d) Turn off the continuous epidural. - CORRECT ANSWER - >c) Place the
woman in a lateral position.
The nurse should immediately turn the woman to a lateral position,
place a pillow or wedge under the right hip to deflect the uterus,
increase the rate of the main line IV infusion, and administer oxygen by
face mask at 10-12 L/min. If the blood pressure remains low, especially
if it further decreases, the anesthesiologist/healthcare provider should
be notified immediately.
A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to
augment labor. Which adverse effect should the nurse monitor for
during the infusion of Pitocin?
a) Dehydration.
b) Hyperstimulation.
, c) Galactorrhea.
d) Fetal tachycardia.
Submit - CORRECT ANSWER - >b) Hyperstimulation
Pitocin causes the uterine myofibril to contract, so unless the infusion is
closely monitored, the client is at risk for hyperstimulation which can
lead to tetanic contractions, uterine rupture, and fetal distress or
demise.
The nurse should explain to a 30-year-old primigravida client that alpha
fetoprotein testing is recommended for which purpose?
a) Detect cardiovascular disorders.
B) Screen for neural tube defects.
c) Monitor the placental functioning.
d) Assess for maternal pre-eclampsia.
Submit - CORRECT ANSWER - >b) Screen for neural tube defects.\
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule
out neural tube defects. Elevated AFP may indicate an increased rish of
neural tube defects such as anencephaly and spinal bifida.
A multigravida client at 41-weeks gestation presents in the labor and
delivery unit after a non-stress test indicated that the fetus is
experiencing some difficulties in utero. Which diagnostic test should
the nurse prepare the client for additional information about fetal
status?
a) Biophysical profile (BPP).
b) Ultrasound for fetal anomalies.
c) Maternal serum alpha-fetoprotein (AF) screening.
d) Percutaneous umbilical blood sampling (PUBS). - CORRECT ANSWER -
>a) Biophysical profile (BPP).
