RN HESI Maternity exam latest update
2023/2024 with questions & veried
answers
An infant born to a heorin addict mother is admitted to the neonatal care
unit. . What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses
the parents in the grieving process which intervention is most for the
nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
,C. time of first void
D. number of vessels in the cord
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40-weeks
gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
The parents of a male newborn have signed an informed consent for
circumcision. What priority intervention should the nurse implement upon
completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets.
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V"
shaped appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position -
,A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the
rate of 3 grams/hour. How many ml/hour should the nurse program the
infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The
little boy asks the nurse, "Why is my baby sister eating my mommy's
breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
, The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important
in preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 –
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria, watery eyes,
and a rash in the diaper area. What action is most important for the nurse
to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - ANSWER>>C.
Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand
swelling, complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - ANSWER>>D. Magnesium sulfate
2023/2024 with questions & veried
answers
An infant born to a heorin addict mother is admitted to the neonatal care
unit. . What behaviors can the baby exhibit?
A. Lethargy and a poor suck
B. Facial abnormalities and microcephaly
C. Irritability and high pitched cry
D. Low birth weight and intrauterine growth retardation
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses
the parents in the grieving process which intervention is most for the
nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
,C. time of first void
D. number of vessels in the cord
What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40-weeks
gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
The parents of a male newborn have signed an informed consent for
circumcision. What priority intervention should the nurse implement upon
completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets.
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V"
shaped appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position -
,A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the
rate of 3 grams/hour. How many ml/hour should the nurse program the
infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The
little boy asks the nurse, "Why is my baby sister eating my mommy's
breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
, The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important
in preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 –
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria, watery eyes,
and a rash in the diaper area. What action is most important for the nurse
to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - ANSWER>>C.
Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand
swelling, complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - ANSWER>>D. Magnesium sulfate
