RN HESI MATERNAL NEWBORN STUDY
SET QUESTIONS AND CORRECT
VERIFIED ANSWERS
AA2nurseA2isA2admittingA2aA2clientA2toA2theA2laborA2andA2deliveryA2unitA2whenA2theA2clientA2
states,A2"myA2waterA2justA2broke",A2whichA2ofA2theA2followingA2isA2theA2priorityA2interventio
nA2forA2theA2nurseA2toA2take?A2
a.A2PerformA2NitrazineA2testingA2
b.A2AssessA2theA2amnioticA2fluidA2
c.A2CheckA2cervicalA2dilationA2
d.A2MonitorA2theA2fetalA2heartA2rateA2-A2Ans--d.A2MonitorA2theA2fetalA2heartA2rate
RuptureA2ofA2theA2membranesA2placesA2theA2fetusA2atA2riskA2forA2umbilicalA2cordA2prolaps
e.
AA2nurseA2isA2caringA2forA2aA2clientA2undergoingA2anA2oxytocin-
stimulatedA2contractionA2test.A2TheA2nurseA2notesA2threeA2contractionsA2inA210A2minA2with
A2lateA2decelerationsA2occurringA2withA2twoA2ofA2theA2contractions.A2WhichA2ofA2theA2follo
wingA2findingsA2shouldA2theA2nurseA2reportA2toA2theA2provider?
a.A2ReactiveA2
b.A2NonreactiveA2
c.A2PositiveA2
d.A2NegativeA2-A2Ans--c.A2PositiveA2
IndicatesA2anA2adverseA2reactionA2byA2theA2fetusA2andA2shouldA2beA2reportedA2toA2theA2pr
ovider
AA2nurseA2isA2providingA2familyA2planningA2educationA2toA2aA2clientA2whoA2hasA2decidedA2t
oA2useA2aA2diaphragm.A2WhichA2ofA2theA2followingA2shouldA2theA2nurseA2includeA2inA2theA2
planA2ofA2care?A2
a.A2YouA2shouldA2replaceA2theA2diaphragmA2everyA23A2yearsA2
b.A2YouA2shouldA2leaveA2theA2diaphragmA2inA2placeA2forA2atA2leastA26A2hoursA2afterA2interc
ourseA2
c.A2YouA2shouldA2useA2anA2oilA2basedA2productA2asA2aA2lubricantA2whenA2insertingA2theA2d
iaphragmA2
d.A2YouA2shouldA2insertA2theA2diaphragmA2whenA2yourA2bladderA2isA2fullA2-A2Ans--
b.A2YouA2shouldA2leaveA2theA2diaphragmA2inA2placeA2forA2atA2leastA26A2hoursA2afterA2interc
ourse
,AA2nurseA2isA2admittingA2aA2clientA2whoA2isA2inA2labor.A2TheA2clientA2admitsA2toA2recentA2c
ocaineA2use.A2ForA2whichA2ofA2theA2followingA2complicationsA2shouldA2theA2nurseA2assess
?A2
a.A2AbruptioA2placenta
b.A2PlacentaA2previaA2
c.A2PreeclampsiaA2
d.A2MaternalA2bradycardiaA2-A2Ans--a.A2AbruptioA2placentaA2
CocaineA2increasesA2theA2riskA2forA2vasoconstrictionA2andA2possibleA2abruptioA2placenta
AA2nurseA2isA2providingA2dietaryA2teachingA2toA2aA2clientA2whoA2hasA2hyperemesisA2gravid
arum.A2WhichA2ofA2theA2followingA2statementsA2byA2theA2clientA2indicatesA2anA2understan
dingA2ofA2theA2teaching?A2
a.A2IA2shouldA2eatA2toA2tasteA2insteadA2ofA2tryingA2toA2balanceA2myA2meals
b.A2IA2willA2avoidA2havingA2aA2snackA2atA2bedtimeA2
c.A2IA2willA2haveA28A2ozA2ofA2hotA2teaA2withA2eachA2mealA2
d.A2IA2shouldA2pairA2myA2sweetsA2withA2aA2starchA2insteadA2ofA2eatingA2themA2aloneA2-
A2Ans--a.A2IA2shouldA2eatA2toA2tasteA2insteadA2ofA2tryingA2toA2balanceA2myA2meals
EatA2toA2tasteA2toA2avoidA2nausea
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2inA2activeA2laborA2andA2reportsA2backA2pain.A
2TheA2nurseA2performsA2aA2vaginalA2examA2andA2determinesA2theA2clientA2isA28cmA2dilate
d,A2100%A2effaced,A2andA2-
2A2station.A2TheA2fetusA2isA2inA2theA2occiputA2posteriorA2position.A2WhichA2ofA2theA2followin
gA2isA2anA2appropriateA2intervention?A2
a.A2PerformA2effleurageA2duringA2contractionsA2
b.A2PlaceA2theA2clientA2inA2lithotomyA2positionA2
c.A2AssistA2theA2clientA2toA2theA2handsA2andA2kneesA2position
d.A2ApplyA2aA2fetalA2scalpA2electrodeA2-A2Ans--
c.A2AssistA2theA2clientA2toA2theA2handsA2andA2kneesA2positionA2
HelpsA2relieveA2backA2painA2andA2helpA2theA2fetusA2rotate
AA2nurseA2isA2assessingA2aA2clientA2duringA2aA2weeklyA2prenatalA2visitA2thatA2isA2atA238A2w
eeksA2ofA2gestation.A2WhichA2ofA2theA2followingA2clientA2findingsA2shouldA2theA2nurseA2rep
ortA2toA2theA2provider?A2
a.A2BloodA2pressureA2136/88A2
b.A2ReportA2ofA2insomniaA2
c.A2WeightA2gainA2ofA22.2A2kgA2
d.A2ReportA2ofA2Braxton-HicksA2contractionsA2-A2Ans--c.A2WeightA2gainA2ofA22.2A2kg
,AboveA2theA2expectedA2referenceA2rangeA2andA2couldA2indicateA2complications
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2pregnantA2andA2hasA2epilepsy.A2TheA2nurse
A2observesA2theA2clientA2havingA2aA2seizure.A2AfterA2turningA2theA2client'sA2headA2toA2oneA
2side,A2whichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2takeA2next?A2
a.A2MonitorA2theA2fetalA2heartA2rateA2
b.A2AssessA2uterineA2activityA2
c.A2AdministerA2oxygenA2viaA2aA2non-rebreatherA2maskA2
d.A2StartA2aA2bolusA2ofA2IVA2fluidsA2-A2Ans--c.A2AdministerA2oxygenA2viaA2aA2non-
rebreatherA2mask
AA2nurseA2isA2providingA2dischargeA2instructionsA2toA2aA2clientA2whoA2hadA2aA2vaginalA2del
iveryA2andA2isA2breastfeedingA2herA2newborn.A2WhichA2ofA2theA2followingA2statementsA2in
dicatesA2anA2understandingA2ofA2theA2teaching?A2
a.A2IA2willA2needA2toA2eatA2anA2additionalA2330A2caloriesA2aA2dayA2whileA2I'mA2breastfeedin
g
b.A2IA2willA2changeA2myA2perinealA2padA2atA2leastA2twiceA2aA2dayA2
c.A2IA2willA2massageA2myA2uterusA2dailyA2forA27A2daysA2
d.A2IA2willA2breastfeedA2myA2babyA2everyA22A2hoursA2-A2Ans--
a.A2IA2willA2needA2toA2eatA2anA2additionalA2330A2caloriesA2aA2dayA2whileA2I'mA2breastfeedin
g
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2atA238A2weeksA2ofA2gestation.A2WhichA2ofA2t
heA2followingA2actionsA2shouldA2theA2nurseA2takeA2priorA2toA2applyingA2anA2externalA2trans
ducerA2forA2fetalA2monitoring?A2
a.A2AssessmentA2ofA2dilationA2andA2effacementA2
b.A2LeopoldA2maneuvers
c.A2SterileA2speculumA2examA2
d.A2NitrazineA2testA2-A2Ans--b.A2LeopoldA2maneuvers
HelpsA2theA2nurseA2assessA2theA2positionA2ofA2theA2fetusA2toA2bestA2determineA2theA2opti
malA2placementA2forA2theA2fetalA2monitoringA2transducer.
AA2clientA2whoA2isA2pregnantA2presentsA2toA2aA2prenatalA2clinicA2forA2herA2firstA2visit.A2SheA
2tellsA2theA2nurseA2thatA2herA2lastA2normalA2menstrualA2periodA2beganA2OctA213.A2UsingA2
Nagele'sA2rule,A2theA2nurseA2shouldA2determineA2theA2client'sA2estimatedA2dateA2ofA2deliv
eryA2asA2whichA2ofA2theA2following?A2
a.A2JulyA26A2
b.A2JulyA213A2
c.A2JulyA220
d.A2JulyA227A2-A2Ans--c.A2JulyA220
, AddA2aA2year,A2subtractA23A2months,A2addA27A2days
AA2nurseA2isA2caringA2forA2aA2clientA2undergoingA2anA2oxytocin-
stimulatedA2contractionA2test.A2TheA2nurseA2notesA2threeA2contractionsA2inA210A2minA2with
A2lateA2decelerationsA2occurringA2withA2twoA2ofA2theA2contractions.A2WhichA2ofA2theA2follo
wingA2findingsA2shouldA2theA2nurseA2reportA2toA2theA2provider?A2
a.A2ReactiveA2
b.A2NonreactiveA2
c.A2Positive
d.A2NegativeA2-A2Ans--c.A2Positive
IndicatesA2anA2adverseA2reactionA2byA2theA2fetusA2andA2shouldA2beA2reportedA2toA2theA2pr
ovider
AA2nurseA2isA2preparingA2toA2collectA2aA2bloodA2specimenA2fromA2aA2newbornA2viaA2aA2hee
lA2stick.A2WhichA2ofA2theA2followingA2techniquesA2shouldA2theA2nurseA2useA2toA2helpA2mini
mizeA2theA2painA2ofA2theA2procedureA2forA2theA2newborn?A2
a.A2WarmA2theA2heelA2priorA2toA2theA2punctureA2
b.A2RequestA2aA2prescriptionA2forA2IMA2analgesicA2
c.A2UseA2aA2manualA2lanceA2bladeA2toA2pierceA2theA2skinA2
d.A2SwaddleA2theA2newbornA2afterA2theA2heelA2punctureA2-A2Ans--
d.A2SwaddleA2theA2newbornA2afterA2theA2heelA2punctureA2
EffectiveA2techniqueA2toA2diminishA2theA2painA2experienceA2forA2theA2newborn.
AA2nurseA2isA2conductingA2anA2initialA2prenatalA2visitA2forA2aA2clientA2whoA2isA2atA26A2weeks
A2gestation.A2WhichA2ofA2theA2followingA2laboratoryA2testsA2shouldA2beA2performed?A2
a.A224A2hourA2urineA2forA2protein
b.A2GroupA2BA2streptococcusA2cultureA2
c.A23-hrA2glucoseA2toleranceA2
d.A2RubellaA2titerA2-A2Ans--d.A2RubellaA2titerA2
ObtainedA2atA2theA2initialA2prenatalA2visitA2toA2determineA2immunityA2toA2rubella
AA2nurseA2isA2caringA2forA2aA2newbornA2whoA2wasA2transferredA2toA2theA2nurseryA230A2min
A2afterA2delivery.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2takeA2first?A2
a.A2ConfirmA2theA2newborn'sA2ApgarA2scoreA2
b.A2VerifyA2theA2newborn'sA2identification
c.A2AdministerA2vitaminA2KA2IMA2toA2theA2newbornA2
d.A2DetermineA2theA2obstetricalA2riskA2factorsA2-A2Ans--
b.A2VerifyA2theA2newborn'sA2identification
SET QUESTIONS AND CORRECT
VERIFIED ANSWERS
AA2nurseA2isA2admittingA2aA2clientA2toA2theA2laborA2andA2deliveryA2unitA2whenA2theA2clientA2
states,A2"myA2waterA2justA2broke",A2whichA2ofA2theA2followingA2isA2theA2priorityA2interventio
nA2forA2theA2nurseA2toA2take?A2
a.A2PerformA2NitrazineA2testingA2
b.A2AssessA2theA2amnioticA2fluidA2
c.A2CheckA2cervicalA2dilationA2
d.A2MonitorA2theA2fetalA2heartA2rateA2-A2Ans--d.A2MonitorA2theA2fetalA2heartA2rate
RuptureA2ofA2theA2membranesA2placesA2theA2fetusA2atA2riskA2forA2umbilicalA2cordA2prolaps
e.
AA2nurseA2isA2caringA2forA2aA2clientA2undergoingA2anA2oxytocin-
stimulatedA2contractionA2test.A2TheA2nurseA2notesA2threeA2contractionsA2inA210A2minA2with
A2lateA2decelerationsA2occurringA2withA2twoA2ofA2theA2contractions.A2WhichA2ofA2theA2follo
wingA2findingsA2shouldA2theA2nurseA2reportA2toA2theA2provider?
a.A2ReactiveA2
b.A2NonreactiveA2
c.A2PositiveA2
d.A2NegativeA2-A2Ans--c.A2PositiveA2
IndicatesA2anA2adverseA2reactionA2byA2theA2fetusA2andA2shouldA2beA2reportedA2toA2theA2pr
ovider
AA2nurseA2isA2providingA2familyA2planningA2educationA2toA2aA2clientA2whoA2hasA2decidedA2t
oA2useA2aA2diaphragm.A2WhichA2ofA2theA2followingA2shouldA2theA2nurseA2includeA2inA2theA2
planA2ofA2care?A2
a.A2YouA2shouldA2replaceA2theA2diaphragmA2everyA23A2yearsA2
b.A2YouA2shouldA2leaveA2theA2diaphragmA2inA2placeA2forA2atA2leastA26A2hoursA2afterA2interc
ourseA2
c.A2YouA2shouldA2useA2anA2oilA2basedA2productA2asA2aA2lubricantA2whenA2insertingA2theA2d
iaphragmA2
d.A2YouA2shouldA2insertA2theA2diaphragmA2whenA2yourA2bladderA2isA2fullA2-A2Ans--
b.A2YouA2shouldA2leaveA2theA2diaphragmA2inA2placeA2forA2atA2leastA26A2hoursA2afterA2interc
ourse
,AA2nurseA2isA2admittingA2aA2clientA2whoA2isA2inA2labor.A2TheA2clientA2admitsA2toA2recentA2c
ocaineA2use.A2ForA2whichA2ofA2theA2followingA2complicationsA2shouldA2theA2nurseA2assess
?A2
a.A2AbruptioA2placenta
b.A2PlacentaA2previaA2
c.A2PreeclampsiaA2
d.A2MaternalA2bradycardiaA2-A2Ans--a.A2AbruptioA2placentaA2
CocaineA2increasesA2theA2riskA2forA2vasoconstrictionA2andA2possibleA2abruptioA2placenta
AA2nurseA2isA2providingA2dietaryA2teachingA2toA2aA2clientA2whoA2hasA2hyperemesisA2gravid
arum.A2WhichA2ofA2theA2followingA2statementsA2byA2theA2clientA2indicatesA2anA2understan
dingA2ofA2theA2teaching?A2
a.A2IA2shouldA2eatA2toA2tasteA2insteadA2ofA2tryingA2toA2balanceA2myA2meals
b.A2IA2willA2avoidA2havingA2aA2snackA2atA2bedtimeA2
c.A2IA2willA2haveA28A2ozA2ofA2hotA2teaA2withA2eachA2mealA2
d.A2IA2shouldA2pairA2myA2sweetsA2withA2aA2starchA2insteadA2ofA2eatingA2themA2aloneA2-
A2Ans--a.A2IA2shouldA2eatA2toA2tasteA2insteadA2ofA2tryingA2toA2balanceA2myA2meals
EatA2toA2tasteA2toA2avoidA2nausea
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2inA2activeA2laborA2andA2reportsA2backA2pain.A
2TheA2nurseA2performsA2aA2vaginalA2examA2andA2determinesA2theA2clientA2isA28cmA2dilate
d,A2100%A2effaced,A2andA2-
2A2station.A2TheA2fetusA2isA2inA2theA2occiputA2posteriorA2position.A2WhichA2ofA2theA2followin
gA2isA2anA2appropriateA2intervention?A2
a.A2PerformA2effleurageA2duringA2contractionsA2
b.A2PlaceA2theA2clientA2inA2lithotomyA2positionA2
c.A2AssistA2theA2clientA2toA2theA2handsA2andA2kneesA2position
d.A2ApplyA2aA2fetalA2scalpA2electrodeA2-A2Ans--
c.A2AssistA2theA2clientA2toA2theA2handsA2andA2kneesA2positionA2
HelpsA2relieveA2backA2painA2andA2helpA2theA2fetusA2rotate
AA2nurseA2isA2assessingA2aA2clientA2duringA2aA2weeklyA2prenatalA2visitA2thatA2isA2atA238A2w
eeksA2ofA2gestation.A2WhichA2ofA2theA2followingA2clientA2findingsA2shouldA2theA2nurseA2rep
ortA2toA2theA2provider?A2
a.A2BloodA2pressureA2136/88A2
b.A2ReportA2ofA2insomniaA2
c.A2WeightA2gainA2ofA22.2A2kgA2
d.A2ReportA2ofA2Braxton-HicksA2contractionsA2-A2Ans--c.A2WeightA2gainA2ofA22.2A2kg
,AboveA2theA2expectedA2referenceA2rangeA2andA2couldA2indicateA2complications
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2pregnantA2andA2hasA2epilepsy.A2TheA2nurse
A2observesA2theA2clientA2havingA2aA2seizure.A2AfterA2turningA2theA2client'sA2headA2toA2oneA
2side,A2whichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2takeA2next?A2
a.A2MonitorA2theA2fetalA2heartA2rateA2
b.A2AssessA2uterineA2activityA2
c.A2AdministerA2oxygenA2viaA2aA2non-rebreatherA2maskA2
d.A2StartA2aA2bolusA2ofA2IVA2fluidsA2-A2Ans--c.A2AdministerA2oxygenA2viaA2aA2non-
rebreatherA2mask
AA2nurseA2isA2providingA2dischargeA2instructionsA2toA2aA2clientA2whoA2hadA2aA2vaginalA2del
iveryA2andA2isA2breastfeedingA2herA2newborn.A2WhichA2ofA2theA2followingA2statementsA2in
dicatesA2anA2understandingA2ofA2theA2teaching?A2
a.A2IA2willA2needA2toA2eatA2anA2additionalA2330A2caloriesA2aA2dayA2whileA2I'mA2breastfeedin
g
b.A2IA2willA2changeA2myA2perinealA2padA2atA2leastA2twiceA2aA2dayA2
c.A2IA2willA2massageA2myA2uterusA2dailyA2forA27A2daysA2
d.A2IA2willA2breastfeedA2myA2babyA2everyA22A2hoursA2-A2Ans--
a.A2IA2willA2needA2toA2eatA2anA2additionalA2330A2caloriesA2aA2dayA2whileA2I'mA2breastfeedin
g
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2atA238A2weeksA2ofA2gestation.A2WhichA2ofA2t
heA2followingA2actionsA2shouldA2theA2nurseA2takeA2priorA2toA2applyingA2anA2externalA2trans
ducerA2forA2fetalA2monitoring?A2
a.A2AssessmentA2ofA2dilationA2andA2effacementA2
b.A2LeopoldA2maneuvers
c.A2SterileA2speculumA2examA2
d.A2NitrazineA2testA2-A2Ans--b.A2LeopoldA2maneuvers
HelpsA2theA2nurseA2assessA2theA2positionA2ofA2theA2fetusA2toA2bestA2determineA2theA2opti
malA2placementA2forA2theA2fetalA2monitoringA2transducer.
AA2clientA2whoA2isA2pregnantA2presentsA2toA2aA2prenatalA2clinicA2forA2herA2firstA2visit.A2SheA
2tellsA2theA2nurseA2thatA2herA2lastA2normalA2menstrualA2periodA2beganA2OctA213.A2UsingA2
Nagele'sA2rule,A2theA2nurseA2shouldA2determineA2theA2client'sA2estimatedA2dateA2ofA2deliv
eryA2asA2whichA2ofA2theA2following?A2
a.A2JulyA26A2
b.A2JulyA213A2
c.A2JulyA220
d.A2JulyA227A2-A2Ans--c.A2JulyA220
, AddA2aA2year,A2subtractA23A2months,A2addA27A2days
AA2nurseA2isA2caringA2forA2aA2clientA2undergoingA2anA2oxytocin-
stimulatedA2contractionA2test.A2TheA2nurseA2notesA2threeA2contractionsA2inA210A2minA2with
A2lateA2decelerationsA2occurringA2withA2twoA2ofA2theA2contractions.A2WhichA2ofA2theA2follo
wingA2findingsA2shouldA2theA2nurseA2reportA2toA2theA2provider?A2
a.A2ReactiveA2
b.A2NonreactiveA2
c.A2Positive
d.A2NegativeA2-A2Ans--c.A2Positive
IndicatesA2anA2adverseA2reactionA2byA2theA2fetusA2andA2shouldA2beA2reportedA2toA2theA2pr
ovider
AA2nurseA2isA2preparingA2toA2collectA2aA2bloodA2specimenA2fromA2aA2newbornA2viaA2aA2hee
lA2stick.A2WhichA2ofA2theA2followingA2techniquesA2shouldA2theA2nurseA2useA2toA2helpA2mini
mizeA2theA2painA2ofA2theA2procedureA2forA2theA2newborn?A2
a.A2WarmA2theA2heelA2priorA2toA2theA2punctureA2
b.A2RequestA2aA2prescriptionA2forA2IMA2analgesicA2
c.A2UseA2aA2manualA2lanceA2bladeA2toA2pierceA2theA2skinA2
d.A2SwaddleA2theA2newbornA2afterA2theA2heelA2punctureA2-A2Ans--
d.A2SwaddleA2theA2newbornA2afterA2theA2heelA2punctureA2
EffectiveA2techniqueA2toA2diminishA2theA2painA2experienceA2forA2theA2newborn.
AA2nurseA2isA2conductingA2anA2initialA2prenatalA2visitA2forA2aA2clientA2whoA2isA2atA26A2weeks
A2gestation.A2WhichA2ofA2theA2followingA2laboratoryA2testsA2shouldA2beA2performed?A2
a.A224A2hourA2urineA2forA2protein
b.A2GroupA2BA2streptococcusA2cultureA2
c.A23-hrA2glucoseA2toleranceA2
d.A2RubellaA2titerA2-A2Ans--d.A2RubellaA2titerA2
ObtainedA2atA2theA2initialA2prenatalA2visitA2toA2determineA2immunityA2toA2rubella
AA2nurseA2isA2caringA2forA2aA2newbornA2whoA2wasA2transferredA2toA2theA2nurseryA230A2min
A2afterA2delivery.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA2takeA2first?A2
a.A2ConfirmA2theA2newborn'sA2ApgarA2scoreA2
b.A2VerifyA2theA2newborn'sA2identification
c.A2AdministerA2vitaminA2KA2IMA2toA2theA2newbornA2
d.A2DetermineA2theA2obstetricalA2riskA2factorsA2-A2Ans--
b.A2VerifyA2theA2newborn'sA2identification