Page 1 of 67
HESI MATERNAL EXIT EXAM NEWEST 2024-
2025 WITH ALL 120 QUESTIONS AND
CORRECT DETAILED ANSWERS(VERIFIED
ANSWERS WITH RATIONALES| GRADED A+|
LATEST JUST RELEASED!!| 100% PASS
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 ✔✔✔✔✔✔ANSWER➖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.
,Page 2 of 67
The nurse understands which antihypertensive medication is contraindicated in
lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol ✔✔✔✔✔✔ANSWER➖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 ✔✔✔✔✔✔ANSWER➖d. gonadotropin-
releasing hormone
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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
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 ✔✔✔✔✔✔ANSWER➖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
, Page 4 of 67
b. clomiphene
c. misoprostol
d. dinoprostone ✔✔✔✔✔✔ANSWER➖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. 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 ✔✔✔✔✔✔ANSWER➖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.
HESI MATERNAL EXIT EXAM NEWEST 2024-
2025 WITH ALL 120 QUESTIONS AND
CORRECT DETAILED ANSWERS(VERIFIED
ANSWERS WITH RATIONALES| GRADED A+|
LATEST JUST RELEASED!!| 100% PASS
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 ✔✔✔✔✔✔ANSWER➖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.
,Page 2 of 67
The nurse understands which antihypertensive medication is contraindicated in
lactating women?
a. atenolol
b. labetalol
c. metoprolol
d. propranolol ✔✔✔✔✔✔ANSWER➖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 ✔✔✔✔✔✔ANSWER➖d. gonadotropin-
releasing hormone
,Page 3 of 67
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
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 ✔✔✔✔✔✔ANSWER➖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
, Page 4 of 67
b. clomiphene
c. misoprostol
d. dinoprostone ✔✔✔✔✔✔ANSWER➖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. 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 ✔✔✔✔✔✔ANSWER➖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.
