HESI Obstetrics/Maternity Assignment Exam for 2024 new updated
with correct questions and answers
A client at 28-weeks gestation is concerned about her weight gain of
17 pounds. What information should the nurse provide this client?
It is not necessary to keep such a close watch on weight gain.
Try to exercise more because too much weight has been gained.
Increase the calories in your diet to gain more weight per week.
The weight gain is acceptable for the number of weeks pregnant. -
CORRECT ANSWER-The weight gain is acceptable for the number of
weeks pregnant.
Which action is most important for the nurse to implement for a client
at 36-weeks gestation who is admitted with vaginal bleeding?
Monitor uterine contractions.
Apply disposable pads under the client.
Determine fetal heart rate and maternal vital signs.
Obtain blood samples for hemoglobin hematocrit levels. - CORRECT
ANSWER-Determine fetal heart rate and maternal vital signs.
A newborn infant is jaundiced due to Rh incompatibility. Which
finding is most important for the nurse to report to the healthcare
provider?
Bruising.
Oral intake.
,Hemoglobin.
Bilirubin. - CORRECT ANSWER-Bilirubin.
The nurse observes a male newborn who is displaying a rigid posture
with his eyes tightly closed and grimacing as he is crying after an
invasive procedure. The baby's blood pressure is elevated on the
Dinamap display. What action should the nurse implement?
Obtain a serum glucose level.
Give the infant medication for pain.
Feed the newborn 1 ounce of formula.
Request a genetic consultation. - CORRECT ANSWER-Give the infant
medication for pain.
At 10-weeks gestation, a high-risk multiparous client with a family
history of Down syndrome is admitted for observation following a
chorionic villi sampling (CVS) procedure. What assessment finding
requires immediate intervention?
Uterine cramping.
Abdominal tenderness.
Systolic blood pressure < 100 mmHg.
Intermittent nausea. - CORRECT ANSWER-Uterine cramping.
What assessment finding should the nurse report to the healthcare
provider that is consistent with concealed hemorrhage in an abruptio
placenta?
,Maternal bradycardia.
Hard, board-like abdomen.
Decrease in fundal height.
Decrease in abdominal pain. - CORRECT ANSWER-Hard, board-like
abdomen.
Which client finding should the nurse document as a positive sign of
pregnancy?
Last menstrual cycle occurred 2 months ago.
A urine sample with a positive pregnancy test.
Presence of Braxton Hicks contractions.
Fetal heart tones (FHT) heard with a doppler. - CORRECT ANSWER-
Fetal heart tones (FHT) heard with a doppler.
The nurse is caring for a client in active labor and observes V shape
decelerations in the fetal heart rate occurring with the peak of each
contraction. What action should the nurse implement?
Notify the healthcare provider of fetal status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids. - CORRECT ANSWER-Place
the client in a side-lying position.
, While assessing a newborn the nurse observes diffuse edema of the
soft tissues of the scalp that cross the suture lines. How should the
nurse document this finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum. - CORRECT ANSWER-Caput succedaneum.
The mother of a neonate asks the nurse why it is so important to keep
the infant warm. What information should the nurse provide?
The kidneys and renal function are not fully developed.
Warmth promotes sleep so the infant will grow quickly.
A large body surface area favors heat loss to the environment.
The thick layer of subcutaneous fat is inadequate for insulation. -
CORRECT ANSWER-A large body surface area favors heat loss to the
environment.
A gravid client develops maternal hypotension following regional
anesthesia. What intervention(s) should the nurse implement? (Select
all that apply.)
Select all that apply
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
with correct questions and answers
A client at 28-weeks gestation is concerned about her weight gain of
17 pounds. What information should the nurse provide this client?
It is not necessary to keep such a close watch on weight gain.
Try to exercise more because too much weight has been gained.
Increase the calories in your diet to gain more weight per week.
The weight gain is acceptable for the number of weeks pregnant. -
CORRECT ANSWER-The weight gain is acceptable for the number of
weeks pregnant.
Which action is most important for the nurse to implement for a client
at 36-weeks gestation who is admitted with vaginal bleeding?
Monitor uterine contractions.
Apply disposable pads under the client.
Determine fetal heart rate and maternal vital signs.
Obtain blood samples for hemoglobin hematocrit levels. - CORRECT
ANSWER-Determine fetal heart rate and maternal vital signs.
A newborn infant is jaundiced due to Rh incompatibility. Which
finding is most important for the nurse to report to the healthcare
provider?
Bruising.
Oral intake.
,Hemoglobin.
Bilirubin. - CORRECT ANSWER-Bilirubin.
The nurse observes a male newborn who is displaying a rigid posture
with his eyes tightly closed and grimacing as he is crying after an
invasive procedure. The baby's blood pressure is elevated on the
Dinamap display. What action should the nurse implement?
Obtain a serum glucose level.
Give the infant medication for pain.
Feed the newborn 1 ounce of formula.
Request a genetic consultation. - CORRECT ANSWER-Give the infant
medication for pain.
At 10-weeks gestation, a high-risk multiparous client with a family
history of Down syndrome is admitted for observation following a
chorionic villi sampling (CVS) procedure. What assessment finding
requires immediate intervention?
Uterine cramping.
Abdominal tenderness.
Systolic blood pressure < 100 mmHg.
Intermittent nausea. - CORRECT ANSWER-Uterine cramping.
What assessment finding should the nurse report to the healthcare
provider that is consistent with concealed hemorrhage in an abruptio
placenta?
,Maternal bradycardia.
Hard, board-like abdomen.
Decrease in fundal height.
Decrease in abdominal pain. - CORRECT ANSWER-Hard, board-like
abdomen.
Which client finding should the nurse document as a positive sign of
pregnancy?
Last menstrual cycle occurred 2 months ago.
A urine sample with a positive pregnancy test.
Presence of Braxton Hicks contractions.
Fetal heart tones (FHT) heard with a doppler. - CORRECT ANSWER-
Fetal heart tones (FHT) heard with a doppler.
The nurse is caring for a client in active labor and observes V shape
decelerations in the fetal heart rate occurring with the peak of each
contraction. What action should the nurse implement?
Notify the healthcare provider of fetal status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids. - CORRECT ANSWER-Place
the client in a side-lying position.
, While assessing a newborn the nurse observes diffuse edema of the
soft tissues of the scalp that cross the suture lines. How should the
nurse document this finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum. - CORRECT ANSWER-Caput succedaneum.
The mother of a neonate asks the nurse why it is so important to keep
the infant warm. What information should the nurse provide?
The kidneys and renal function are not fully developed.
Warmth promotes sleep so the infant will grow quickly.
A large body surface area favors heat loss to the environment.
The thick layer of subcutaneous fat is inadequate for insulation. -
CORRECT ANSWER-A large body surface area favors heat loss to the
environment.
A gravid client develops maternal hypotension following regional
anesthesia. What intervention(s) should the nurse implement? (Select
all that apply.)
Select all that apply
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
