RN HESI MATERNITY UPDATED LATEST ANSWERS
AND QUESTIONS SET A+
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration. - ✔✔B. Fetal growth and gestational age.
✔✔A 38-week primigravida is admitted to labor and delivery after a non-reactive stress
test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin)
infusion. Which finding is most important for the nurse to report to the healthcare
provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - ✔✔D. A pattern of fetal late decelerations.
✔✔In determining the one minute Apgar score of a male infant the nurse asses a heart
rate of 120 per min....respiration.. He has a loud cry with stimualtion, good muscle tone,
color is acrocyanotic . What should the nurse assign?
A. 7
B. 8
, C. 9
D. 10 - ✔✔C. 9
✔✔The nurses assessment on a preterm infant reveals decreased muscle tone , sign of
respiratory distress , irritability , mottled cool skin.Which intervention should the nurse
implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water - ✔✔A. Position a radiant warmer on the
crib
✔✔Vaginal prostiglandin gel is used to induce labor women who are 42 weeks of
gestation. Thirty minutes after insertion of the gel , the client complains of vaginal
warmth, and is experiencing 90 second contractions with fetal heart deceleration. What
action should the nurse implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
D. Turn to a side lying position - ✔✔D. Turn to a side lying position
✔✔A primigravida at 40 weeks gestation is contraction q2 minutes her cervix is 9cm
dilated and 100% effaced. The fetus heart rate is 120 beats per minute. The client is
screaming and her husband is alarmed. What intervention should the nurse do?A.
Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic - ✔✔B. Have delivery table set up
✔✔The nurse is assessing a client at 29 weeks gestation. Which assessment measure
would provide the most accurate determination of fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler - ✔✔A. Ultrasound
✔✔A client at 28 weeks gestation is admitted to the obstetrical unit following her
involvement in a motor vehicle collision. While stabilizing the patient , the nurse obtains
fetal monitor reading. Which action should the nurse take if the fetus is tachycardic is on
the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - ✔✔D. Contact
the healthcare provider after initiating oxygen per face mask
AND QUESTIONS SET A+
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration. - ✔✔B. Fetal growth and gestational age.
✔✔A 38-week primigravida is admitted to labor and delivery after a non-reactive stress
test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin)
infusion. Which finding is most important for the nurse to report to the healthcare
provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations. - ✔✔D. A pattern of fetal late decelerations.
✔✔In determining the one minute Apgar score of a male infant the nurse asses a heart
rate of 120 per min....respiration.. He has a loud cry with stimualtion, good muscle tone,
color is acrocyanotic . What should the nurse assign?
A. 7
B. 8
, C. 9
D. 10 - ✔✔C. 9
✔✔The nurses assessment on a preterm infant reveals decreased muscle tone , sign of
respiratory distress , irritability , mottled cool skin.Which intervention should the nurse
implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water - ✔✔A. Position a radiant warmer on the
crib
✔✔Vaginal prostiglandin gel is used to induce labor women who are 42 weeks of
gestation. Thirty minutes after insertion of the gel , the client complains of vaginal
warmth, and is experiencing 90 second contractions with fetal heart deceleration. What
action should the nurse implement first
A. Assess maternal vital signs
B. Notify the healthcare provider
C. Increase the IV infusion rate
D. Turn to a side lying position - ✔✔D. Turn to a side lying position
✔✔A primigravida at 40 weeks gestation is contraction q2 minutes her cervix is 9cm
dilated and 100% effaced. The fetus heart rate is 120 beats per minute. The client is
screaming and her husband is alarmed. What intervention should the nurse do?A.
Notify rapid response
B. Have delivery table set up
C. Ask husband to step out
D. Administer a PRN narcotic - ✔✔B. Have delivery table set up
✔✔The nurse is assessing a client at 29 weeks gestation. Which assessment measure
would provide the most accurate determination of fetal position?
A. Ultrasound
B. Vaginal examination
C. Leopolds maneuver
D. Doppler - ✔✔A. Ultrasound
✔✔A client at 28 weeks gestation is admitted to the obstetrical unit following her
involvement in a motor vehicle collision. While stabilizing the patient , the nurse obtains
fetal monitor reading. Which action should the nurse take if the fetus is tachycardic is on
the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Explain that there is no indication the fetal heart rate is due to trauma
C. Evaluate the presence of preterm labor by performing a vaginal
D. Contact the healthcare provider after initiating oxygen per face mask - ✔✔D. Contact
the healthcare provider after initiating oxygen per face mask
