HESI MATERNITY TEST BANK ACTUAL EXAM
LATEST 2024 REAL EXAM 180 QUESTIONS
AND ANSWERS WITH RATIONALES
(COMBINED RED HESI AND OTHER SOURCES)
One hour following a normal vaginal delivery, a newborn infant boy's
axillary temperature is 96° F, his lower lip is shaking, and when the nurse
assesses for a Moro reflex, the boy's hands shake. Which intervention
should the nurse implement first? - CORRECT ANSWER>>>Obtain a
serum glucose level.
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? - CORRECT ANSWER>>>Put the
newborn to the breast immediately
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan? - CORRECT ANSWER>>>Place petroleum ointment around the
glans with each diaper change and cleansing
,A client who delivered by cesarean section 24 hours ago is using a patient-
controlled analgesia (PCA) pump for pain control. Her oral intake has been
ice chips only since surgery. She is now complaining of nausea and
bloating and states that because she has had nothing to eat, she is too
weak to breastfeed her infant. Which nursing diagnosis has the highest
priority? - CORRECT ANSWER>>>Impaired bowel motility related to pain
medication and immobility
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective in preventing nipple soreness? -
CORRECT ANSWER>>>Ensure that the baby is positioned correctly for
latching on.
The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct? - CORRECT
ANSWER>>>Two weeks before menstruation
,A client who is 3 days postpartum and breastfeeding asks the nurse how to
reduce breast engorgement. Which instruction should the nurse provide? -
CORRECT ANSWER>>>Breastfeed the infant every 2 hours.
Which findings are most critical for the nurse to report to the primary health
care provider when caring for the client during the last trimester of her
pregnancy? (Select all that apply.) - CORRECT ANSWER>>>Increased
heartburn that is not relieved with doses of antacids
Chronic headache that has been lingering for a week behind the client's
eyes
Which findings are of most concern to the nurse when caring for a woman
in the first trimester of pregnancy? (Select all that apply.) - CORRECT
ANSWER>>>Cramping with bright red spotting
Lack of tenderness of the breast
Increased right-side flank pain
An expectant father tells the nurse he fears that his wife "is losing her
mind." He states that she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
, much. Which recommendation should the nurse make to this expectant
father? - CORRECT ANSWER>>>Reassure him that normal maternal-
fetal bonding is occurring
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention should the nurse implement first? - CORRECT
ANSWER>>>Provide assistance to the mother to begin breastfeeding as
soon as possible after delivery
A client in active labor is becoming increasingly fearful because her
contractions are occurring more often than she had expected. Her partner
is also becoming anxious. Which of the following should be the focus of the
nurse's response? - CORRECT ANSWER>>>Asking the client and her
partner if they would like the nurse to stay in the room
Prior to discharge, what instructions should the nurse give to parents
regarding the newborn's umbilical cord care at home? - CORRECT
ANSWER>>>Allow the cord to air-dry as much as possible
LATEST 2024 REAL EXAM 180 QUESTIONS
AND ANSWERS WITH RATIONALES
(COMBINED RED HESI AND OTHER SOURCES)
One hour following a normal vaginal delivery, a newborn infant boy's
axillary temperature is 96° F, his lower lip is shaking, and when the nurse
assesses for a Moro reflex, the boy's hands shake. Which intervention
should the nurse implement first? - CORRECT ANSWER>>>Obtain a
serum glucose level.
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? - CORRECT ANSWER>>>Put the
newborn to the breast immediately
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan? - CORRECT ANSWER>>>Place petroleum ointment around the
glans with each diaper change and cleansing
,A client who delivered by cesarean section 24 hours ago is using a patient-
controlled analgesia (PCA) pump for pain control. Her oral intake has been
ice chips only since surgery. She is now complaining of nausea and
bloating and states that because she has had nothing to eat, she is too
weak to breastfeed her infant. Which nursing diagnosis has the highest
priority? - CORRECT ANSWER>>>Impaired bowel motility related to pain
medication and immobility
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective in preventing nipple soreness? -
CORRECT ANSWER>>>Ensure that the baby is positioned correctly for
latching on.
The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct? - CORRECT
ANSWER>>>Two weeks before menstruation
,A client who is 3 days postpartum and breastfeeding asks the nurse how to
reduce breast engorgement. Which instruction should the nurse provide? -
CORRECT ANSWER>>>Breastfeed the infant every 2 hours.
Which findings are most critical for the nurse to report to the primary health
care provider when caring for the client during the last trimester of her
pregnancy? (Select all that apply.) - CORRECT ANSWER>>>Increased
heartburn that is not relieved with doses of antacids
Chronic headache that has been lingering for a week behind the client's
eyes
Which findings are of most concern to the nurse when caring for a woman
in the first trimester of pregnancy? (Select all that apply.) - CORRECT
ANSWER>>>Cramping with bright red spotting
Lack of tenderness of the breast
Increased right-side flank pain
An expectant father tells the nurse he fears that his wife "is losing her
mind." He states that she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
, much. Which recommendation should the nurse make to this expectant
father? - CORRECT ANSWER>>>Reassure him that normal maternal-
fetal bonding is occurring
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention should the nurse implement first? - CORRECT
ANSWER>>>Provide assistance to the mother to begin breastfeeding as
soon as possible after delivery
A client in active labor is becoming increasingly fearful because her
contractions are occurring more often than she had expected. Her partner
is also becoming anxious. Which of the following should be the focus of the
nurse's response? - CORRECT ANSWER>>>Asking the client and her
partner if they would like the nurse to stay in the room
Prior to discharge, what instructions should the nurse give to parents
regarding the newborn's umbilical cord care at home? - CORRECT
ANSWER>>>Allow the cord to air-dry as much as possible
