HESI OB/MATERNITY NEWEST 2024 PRACTICE EXAM/
COMPLETE 160 ACTUAL QUESTIONS WITH 100%
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers
who smoke during pregnancy tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores - Correct Answer - c. lower birth weights
A client LMP began July 5. Her EDD should be which of the following?
A. January 2
B. March 28
C. April 12
D. October 12 - Correct Answer - C
Explanation
To determine the EDD when the date of the client's LMP is known use
Nagele rule. To the first day of the LMP, add 7 days, subtract 3 months, and
add 1 year (if applicable) to arrive at the EDD as follows: 5 + 7 = 12 (July)
minus 3 = 4 (April). Therefore, the client's EDD is April 12.
pg. 1
,A client is pregnant with her third child. Medical history of the client
indicates a previous precipitate labor and birth. Which of the
following interventions would NOT be expected during labor of the
present pregnancy?
A. Use of magnesium sulfate
B. Close monitoring of the fetus for hypoxia
C. The nurse stays at the bedside constantly or as much as possible
D. amnioinfusion will be performed - Correct Answer - D
Explanation
Amnioinfusion is instillation of fluid into the amniotic sac within the uterus to
treat oligohydraminios. This is not done to prevent precipitate labor and
birth.
Which of the following prenatal laboratory test values would the nurse
consider as significant?
A. Hematocrit 33.5%
B. Rubella titer less than 1:8
C. White blood cells 8,000/mm3
D. One hour glucose challenge test 110 g/dL - Correct Answer - B
Explanation
A rubella titer should be 1:8 or greater. Thurs, a finding of a titer less than
1:8 is significant, indicating that the client may not possess immunity to
rubella. A hematocrit of 33.5% a white blood cell count of 8,000/mm3, and a
1 hour glucose challenge test of 110 g/dl are with normal parameters.
During which of the following phase of the menstrual cycle is it ideal
for implantation of a fertilized egg to occur?
A. ischemic phase
B. mentrual phase
pg. 2
,C. proliferative phase
D. secretory phase - Correct Answer - D
The LPN is preparing to administer Solu-medrol 40 mg mixed in 150
mL of sodium chloride via intravenous piggyback. The medication is
to be administered over 30 minutes. Using the tubing with a drop
factor of 15 ggts/mL, what would the LPN calculate the rate to be in
drops per minute?
A. 40
B. 50
C. 75
D. 150 - Correct Answer - C
A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny looking
head." Which response by the nurse is best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10
days
c. it may look funny to you but newborn babies are often born with
heads like your baby's
d. your pelvis was too small so the baby's head had to adjust to the birth
canal - Correct Answer - b. that is normal the head will return to a
round shape within 7 to 10 days
After each feeding, a 3 day old newborn is spitting up large amounts
of newborn formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonates's formula to Similac. What
information should the nurse provide to the mother about the newly
prescribed formula?
pg. 3
, a. Enfamil formula is demineralized whey formula that is needed with
diarrhea
b. The new formula is a coconut milk formula used with babies with
impaired fat absorption
c. the new formula is a casein protein source that is low in
phenylalanine
d. similac is a soy based formula that contains sucrose - Correct Answer
- d. similac is a soy based formula that contains sucrose
A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response
is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy - Correct
Answer - b. it is difficult to consume 18 mg of additional iron by diet alone
When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant - Correct Answer - b, d
The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
a. recognize this is a common reaction in new mothers
pg. 4
COMPLETE 160 ACTUAL QUESTIONS WITH 100%
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers
who smoke during pregnancy tend to produce infants who have
a. a higher rate of congenital abnormalities
b. respiratory distres
c. lower birth weights
d. lower APGAR scores - Correct Answer - c. lower birth weights
A client LMP began July 5. Her EDD should be which of the following?
A. January 2
B. March 28
C. April 12
D. October 12 - Correct Answer - C
Explanation
To determine the EDD when the date of the client's LMP is known use
Nagele rule. To the first day of the LMP, add 7 days, subtract 3 months, and
add 1 year (if applicable) to arrive at the EDD as follows: 5 + 7 = 12 (July)
minus 3 = 4 (April). Therefore, the client's EDD is April 12.
pg. 1
,A client is pregnant with her third child. Medical history of the client
indicates a previous precipitate labor and birth. Which of the
following interventions would NOT be expected during labor of the
present pregnancy?
A. Use of magnesium sulfate
B. Close monitoring of the fetus for hypoxia
C. The nurse stays at the bedside constantly or as much as possible
D. amnioinfusion will be performed - Correct Answer - D
Explanation
Amnioinfusion is instillation of fluid into the amniotic sac within the uterus to
treat oligohydraminios. This is not done to prevent precipitate labor and
birth.
Which of the following prenatal laboratory test values would the nurse
consider as significant?
A. Hematocrit 33.5%
B. Rubella titer less than 1:8
C. White blood cells 8,000/mm3
D. One hour glucose challenge test 110 g/dL - Correct Answer - B
Explanation
A rubella titer should be 1:8 or greater. Thurs, a finding of a titer less than
1:8 is significant, indicating that the client may not possess immunity to
rubella. A hematocrit of 33.5% a white blood cell count of 8,000/mm3, and a
1 hour glucose challenge test of 110 g/dl are with normal parameters.
During which of the following phase of the menstrual cycle is it ideal
for implantation of a fertilized egg to occur?
A. ischemic phase
B. mentrual phase
pg. 2
,C. proliferative phase
D. secretory phase - Correct Answer - D
The LPN is preparing to administer Solu-medrol 40 mg mixed in 150
mL of sodium chloride via intravenous piggyback. The medication is
to be administered over 30 minutes. Using the tubing with a drop
factor of 15 ggts/mL, what would the LPN calculate the rate to be in
drops per minute?
A. 40
B. 50
C. 75
D. 150 - Correct Answer - C
A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny looking
head." Which response by the nurse is best?
a. this is not an unusual shaped head especially for a first baby
b. that is normal the head will return to a round shape within 7 to 10
days
c. it may look funny to you but newborn babies are often born with
heads like your baby's
d. your pelvis was too small so the baby's head had to adjust to the birth
canal - Correct Answer - b. that is normal the head will return to a
round shape within 7 to 10 days
After each feeding, a 3 day old newborn is spitting up large amounts
of newborn formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonates's formula to Similac. What
information should the nurse provide to the mother about the newly
prescribed formula?
pg. 3
, a. Enfamil formula is demineralized whey formula that is needed with
diarrhea
b. The new formula is a coconut milk formula used with babies with
impaired fat absorption
c. the new formula is a casein protein source that is low in
phenylalanine
d. similac is a soy based formula that contains sucrose - Correct Answer
- d. similac is a soy based formula that contains sucrose
A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response
is based on what knowledge?
a. iron absorption is decreased in the GI tract during pregnancy
b. it is difficult to consume 18 mg of additional iron by diet alone
c. iron is needed to prevent megaloblastic anemia in the last trimester
d. supplementary iron is more efficiently utilized during pregnancy - Correct
Answer - b. it is difficult to consume 18 mg of additional iron by diet alone
When explaining postpartum blues to a client who is 1 day
postpartum, which symptoms should the nurse include in the
teaching plan? (select all that apply)
a. panic attacks
b. tearfulness
c. decreased need for sleep
d. mood swings
e. disinterest in the infant - Correct Answer - b, d
The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse take?
a. recognize this is a common reaction in new mothers
pg. 4
