HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS AND
ANSWERS
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - ANSWER-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - ANSWER-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) -
ANSWER-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - ANSWER-
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with
the client? - ANSWER-Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor
vehicle collision (MVC). The client has no complaints of abdominal pain and no
evidence of vaginal bleeding. Which action should the practical nurse (PN) anticipate
implementing for the client? - ANSWER-Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be
going into labor soon?" Which sign should the PN provide that is a common sign? -
ANSWER-Burst of energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction? -
ANSWER-Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby
should sleep every day. What information should the PN provide? - ANSWER-A
newborn sleeps most of the day and gradually will have increasing periods of
wakefulness.
PRACTICE EXAM QUESTIONS AND
ANSWERS
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - ANSWER-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - ANSWER-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) -
ANSWER-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - ANSWER-
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with
the client? - ANSWER-Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor
vehicle collision (MVC). The client has no complaints of abdominal pain and no
evidence of vaginal bleeding. Which action should the practical nurse (PN) anticipate
implementing for the client? - ANSWER-Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be
going into labor soon?" Which sign should the PN provide that is a common sign? -
ANSWER-Burst of energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the
practical nurse (PN) she is having contractions every 5 minutes. The healthcare
provider determines she is dilated 3 cm and in early labor. What action should the
practical nurse (PN) implement when the client groans with each contraction? -
ANSWER-Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby
should sleep every day. What information should the PN provide? - ANSWER-A
newborn sleeps most of the day and gradually will have increasing periods of
wakefulness.
