1|Page: 2024/2025 Grade A+
HESI maternal Questions and Correct Answers
& Latest Updated
Which medication would the nurse identify as a potential cause for the formation of
abnormally small eyes in the newborn if used during pregnancy?
a. estrogens
b. nitrofurantoin
c. methotrexate
d. valproic acid
o :## b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in
the newborn. Sex hormone supplements, such as estrogens, may cause congenital defects
of female reproductive organs. Methotrexate can cause congenital abnormalities (central
nervous system and limbs malformations) and fetal death. Valproic acid is high teratogenic
and cause neural tube defects, atrial septal defect, cleft palate, hypospadias, polydactyly,
and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating
women?
a. atenolol
b. labetalol
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
c. metoprolol
d. propranolol
o :## a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may
cause adverse effects to the neonate. Labetalol and propanolol are safe to administer during
lactation. Metoprolol is considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for
infertility?
a. estrogen
b. luteinizing hormone
c. follicle-stimulating hormone
d. gonadotropin-releasing hormone
o :## d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-
releasing hormones act at the hypothalamus level; therefore this hormone does not need to
be monitored. Menotropins is a standardized mixture of follicle-stimulating hormone and
luteinizing; these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the production of estrogen
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,3|Page: 2024/2025 Grade A+
Which birth control agent requires administration once every three months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms
o :## b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three
months. Progressed-only oral contraceptive pills should be taken on a daily basis because of
a higher incidence of ovulatory cycles. Combination biphasic and monophasic forms are
administered as either a 21 or 28 day course.
Which medication with the nurse identify as being used both for cervical ripening during
labor and has a stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
d. dinoprostone
o :## c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is
used to prevent postmenopausal osteoporosis. Clomiphene is used for ovulation.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
, 4|Page: 2024/2025 Grade A+
Dinoprostone can be used for cervical ripening, but this medication does not act as a
stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during
embryonic period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development
o :## b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period
or the first trimester. During the fetal period, exposure to a teratogen causes delays in
growth and development of the fetus. Death of the conceptus occurs if exposed to a lethal
dose of teratogen during the pre-implantation period. Exposure to a teratogen during the
fetal period (second or third trimester) causes disruption of brain development.
Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
HESI maternal Questions and Correct Answers
& Latest Updated
Which medication would the nurse identify as a potential cause for the formation of
abnormally small eyes in the newborn if used during pregnancy?
a. estrogens
b. nitrofurantoin
c. methotrexate
d. valproic acid
o :## b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in
the newborn. Sex hormone supplements, such as estrogens, may cause congenital defects
of female reproductive organs. Methotrexate can cause congenital abnormalities (central
nervous system and limbs malformations) and fetal death. Valproic acid is high teratogenic
and cause neural tube defects, atrial septal defect, cleft palate, hypospadias, polydactyly,
and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating
women?
a. atenolol
b. labetalol
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,2|Page: 2024/2025 Grade A+
c. metoprolol
d. propranolol
o :## a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may
cause adverse effects to the neonate. Labetalol and propanolol are safe to administer during
lactation. Metoprolol is considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for
infertility?
a. estrogen
b. luteinizing hormone
c. follicle-stimulating hormone
d. gonadotropin-releasing hormone
o :## d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-
releasing hormones act at the hypothalamus level; therefore this hormone does not need to
be monitored. Menotropins is a standardized mixture of follicle-stimulating hormone and
luteinizing; these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the production of estrogen
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
,3|Page: 2024/2025 Grade A+
Which birth control agent requires administration once every three months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms
o :## b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three
months. Progressed-only oral contraceptive pills should be taken on a daily basis because of
a higher incidence of ovulatory cycles. Combination biphasic and monophasic forms are
administered as either a 21 or 28 day course.
Which medication with the nurse identify as being used both for cervical ripening during
labor and has a stomach protectant?
a. raloxifene
b. clomiphene
c. misoprostol
d. dinoprostone
o :## c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is
used to prevent postmenopausal osteoporosis. Clomiphene is used for ovulation.
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
, 4|Page: 2024/2025 Grade A+
Dinoprostone can be used for cervical ripening, but this medication does not act as a
stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during
embryonic period?
a. delay in growth
b. gross malformations
c. death of the conceptus
d. disruption of brain development
o :## b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period
or the first trimester. During the fetal period, exposure to a teratogen causes delays in
growth and development of the fetus. Death of the conceptus occurs if exposed to a lethal
dose of teratogen during the pre-implantation period. Exposure to a teratogen during the
fetal period (second or third trimester) causes disruption of brain development.
Which medication may be used to treat postpartum hemorrhage?
a. clomiphene
b. menotropins
c. dinoprostone
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
