HESI OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A 3-day old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and
now weighs 6 pound and 15 ounces. Which action should the practical nurse take? -
Answer-Document the weight loss.
A father expresses concern that his 3-day-old infant looks "yellow." Which information
should the practical nurse (PN) provide? - Answer-Physiologic jaundice occurs from a
normal reduction in red blood cells.
Which client is a candidate for the administration of human immune globulin (RhoGame)
after delivery? - Answer-The Rh-negative mother who delivers a Rh-positive baby.
Which medication is prescribed for the prevention of ophthalmia neonatorum? - Answer-
Erythromycin (Ilotycin)
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Answer-Excessive
bleeding on the perineal pad
The practical nurse (PN) quickly moves the crib of a male newborn and notices that his
legs flew, arms fan out, and then return toward his midline. What action should the PN
implement? - Answer-Document the newborn demonstrates a Moro reflex.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2oF under the radiant heat warmer. Which rationale supports the
PN's action? - Answer-The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which client should the practical nurse (PN) closely monitor for severe afterpains? -
Answer-A multigravida who is breastfeeding.
What is the most important action by the practical nurse (PN) in preventing neonatal
infection? - Answer-Hand washing.
A multiparous client's membranes rupture after 8 hours of labor. Which action should
the practical nurse implement at this time? - Answer-Assess the fetal heart rate (FHR)
and pattern.
PRACTICE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A 3-day old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and
now weighs 6 pound and 15 ounces. Which action should the practical nurse take? -
Answer-Document the weight loss.
A father expresses concern that his 3-day-old infant looks "yellow." Which information
should the practical nurse (PN) provide? - Answer-Physiologic jaundice occurs from a
normal reduction in red blood cells.
Which client is a candidate for the administration of human immune globulin (RhoGame)
after delivery? - Answer-The Rh-negative mother who delivers a Rh-positive baby.
Which medication is prescribed for the prevention of ophthalmia neonatorum? - Answer-
Erythromycin (Ilotycin)
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - Answer-Excessive
bleeding on the perineal pad
The practical nurse (PN) quickly moves the crib of a male newborn and notices that his
legs flew, arms fan out, and then return toward his midline. What action should the PN
implement? - Answer-Document the newborn demonstrates a Moro reflex.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2oF under the radiant heat warmer. Which rationale supports the
PN's action? - Answer-The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which client should the practical nurse (PN) closely monitor for severe afterpains? -
Answer-A multigravida who is breastfeeding.
What is the most important action by the practical nurse (PN) in preventing neonatal
infection? - Answer-Hand washing.
A multiparous client's membranes rupture after 8 hours of labor. Which action should
the practical nurse implement at this time? - Answer-Assess the fetal heart rate (FHR)
and pattern.
