MATERNITY HESI EXAM PREP – REVIEWED QUESTIONS WITH VERIFIED ACCURATE ANSWERS | 100% GUARANTEED PASS

EXPLORED MATERNITY HESI fn fn




QUESTIONS WITH ACCURATE A fn fn fn




NSWER/GUARANTEEDPASS fn fn




The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurs
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e take? - CORRECT ANSWER -Observe the mother for other attachment behaviors.
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The nurse should explain to a 30-year-
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old gravid client that alpha fetoprotein testing is recommended for which purpose? -
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CORRECT ANSWER -Screen for neural tube defects.
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What action should the nurse implement to decrease the client's risk for hemorrhage after a cesarean sectio
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n? - CORRECT ANSWER -Check the firmness of the uterus every 15 minutes.
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The nurse attempts to help an unmarried teenager deal with her feelings following a spontaneous aborti
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on at 8-weeks gestation. What type of emotional response should the nurse anticipate? -
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CORRECT ANSWER -Grief related to her perceptions about the loss of this child.
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The nurse is assessing a 3-
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day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the n
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urse report to the healthcare provider? - CORRECT ANSWER -Yellowish tinge to the skin.
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When assessing a client who is at 12-
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weeks gestation, the nurse recommends that she and her husband consider attending childbirth prepar
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ation classes. When is the best time for the couple to attend these classes? - CORRECT ANSWER -At 30-
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weeks gestation is closest to the time parents would be ready for such classes. Learning is facilitated by
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an interested pupil! The couple is most interested in childbirth toward the end of the pregnancy when t
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hey are psychologically ready for the termination of the pregnancy, and the birth of their child is an im
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mediate concern. fn

,A client at 32-
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weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an imp
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ending convulsion? - CORRECT ANSWER -fn fn fn fn fn




Epigastric pain (C) is indicative of an edematous liver or pancreas which is an early warning sign of an im
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pending convulsion (eclampsia) and requires immediate attention.
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A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the n
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urse to report to the healthcare provider immediately? - CORRECT ANSWER -
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Onset of uterine contractions. fn fn fn




A client who is in the second trimester of pregnancy tells the nurse that she wants to use herbal therapy.
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Which response is best for the nurse to provide? - CORRECT ANSWER -
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It is important that you want to take part in your care.
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A couple, concerned because the woman has not been able to conceive, is referred to a healthcare prov
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ider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure complaint in
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dicates that the fallopian tubes are patent? - CORRECT ANSWER -
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If the tubes are patent (open), pain is referred to the shoulder (C) from a subdiaphragmatic collection of
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peritoneal dye/gas. fn




A client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock. T
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he nurse notes that both perineal pads are completely saturated and the client is lying in a 6-
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inch diameter pool of blood. Which action should the nurse implement next? - CORRECT ANSWER -
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Palpate the firmness of the fundus. fn fn fn fn fn




One hour after giving birth to an 8-
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pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite m
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assage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider pre
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scribes Methergine 0.2 mg IM × 1. What action should the nurse take immediately? -
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CORRECT ANSWER -
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Methergine is contraindicated for clients with elevated blood pressure, so the nurse should contact the
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healthcare provider and question the prescription (D). fn fn fn fn fn fn




A client at 32-
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weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a m
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oist cough. Which question is most important for the nurse to ask this client? - CORRECT ANSWER -
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Do you have a history of rheumatic fever? Clients with a history of rheumatic fever (D) may develop mitr
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al valve prolapse, which increases the risk for cardiac decompensation due to the increased
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,blood volume that occurs during pregnancy, so obtaining information about this client's health history is
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a priority.
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A primigravida at 40-
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weeks gestation is receiving oxytocin (Pitocin) to augment labor. Which adverse effect should the nurse
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monitor for during the infusion of Pitocin? - CORRECT ANSWER -
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Pitocin causes the uterine myofibril to contract, so unless the infusion is closely monitored, the client is
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at risk for hyperstimulation (B) which can lead to tetanic contractions, uterine rupture, and fetal distres
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s or demise.
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A 35-year-
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old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusi
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on. Which assessment data indicates to the nurse that the client is experiencing magnesium sulfate toxic
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ity? - CORRECT ANSWER -
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Urine output 90 ml/4 hours. Urine outputs of less than 100 ml/4 hours (D), absent DTRs, and a respirator
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y rate of less than 12 breaths/minute are cardinal signs of magnesium sulfate toxicity.
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The nurse is planning preconception care for a new female client. Which information should the nurse provid
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e the client? - CORRECT ANSWER -
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Encourage healthy lifestyles for families desiring pregnancy. Planning for pregnancy begins with healthy lifes
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tyles in the family (D) which is an intervention in preconception care that targets an overall goal for a client p
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reparing for pregnancy. fn fn




A multigravida client at 41-weeks gestation presents in the labor and delivery unit after a non-
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stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the
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nurse prepare the client for additional information about fetal status? - CORRECT ANSWER -
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Biophysical profile (BPP). BPP (A) provides data regarding fetal risk surveillance by examining 5 areas: fetal br
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eathing movements, fetal movements, amniotic fluid volume, and fetal tone and heart rate.
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A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse perfo
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rms a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What additio
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nal information is most important for the nurse to obtain? - CORRECT ANSWER -
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Date of last normal menstrual period. Evaluating the gestation of the pregnancy (C) takes priority. If the
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fetus is preterm and the fetal heart pattern is reassuring, the healthcare provider may attempt to prolo
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ng the pregnancy and administer corticosteroids to mature the lungs of the fetus.
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, A client at 28-
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weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal
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bleeding which she describes as bright red. She further states that she is not experiencing any uterine c
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ontractions or abdominal pain. What instruction should the nurse provide? - CORRECT ANSWER -
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Come to the clinic today for an ultrasound. Third trimester painless bleeding is characteristic of a placen
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ta previa. Bright red bleeding may be intermittent, occur in gushes, or be continuous. Rarely is the first i
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ncidence life- fn




threatening, nor cause for hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound (A)
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A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which explana
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tion should the nurse give to this anxious client? - CORRECT ANSWER -
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There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb
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his/her hair.
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During labor, the nurse determines that a full-
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term client is demonstrating late decelerations. In which sequence should the nurse implement these n
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ursing actions? (Arrange in order.) - CORRECT ANSWER - Reposition the client.
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Provide oxygen via face mask. fn fn fn fn fn




Increase IV fluid. fn fn




Call the healthcare provider.
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An off- fn




duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screami
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ng for someone to help his wife. Which intervention has the highest priority? - CORRECT ANSWER -
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Put the newborn to breast. Putting the newborn to breast (D) will help contract the uterus and prevent
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a postpartum hemorrhage--this intervention has the highest priority.
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A 40-fn




week gestation primigravida client is being induced with an oxytocin (Pitocin) secondary infusion and co
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mplains of pain in her lower back. Which intervention should the nurse implement? -
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CORRECT ANSWER -
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Apply firm pressure to sacral area. The discomfort of back labor can be minimized by the application of
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firm pressure to the sacral area
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A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag of water has
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broken. The nurse identifies the presence of meconium fluid on the perineum and determines the fetal
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