HESI OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A 30-year old gravida 2. para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on am IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of the drug? - ANSWER-B. maternal and fetal heart rates
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms
are this newborn likely to exhibit? - ANSWER-A. choking, coughing, and cyanosis.
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous abortion at 8-weeks gestation. What type of emotional response should
the nurser anticipate? - ANSWER-A. Grief related to her perceptions about the loss
of this child.
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content int the class? -
ANSWER-C. Feed your baby every 2 to 3 hours or on demand, whichever comes
first.
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a
normal finding? - ANSWER-C. 3 vessels: 2 arteries and a vein.
A new mother is afraid to touch her baby's head for fear of hurting the 'large soft
spot." Which explanation should the nurse give to this anxious client? - ANSWER-D.
There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair.
The nurse caring for a laboring client encourage her to void at least q2h, and records
each time the client empties her bladder.What is the primary reason for
implementing this nursing intervention? - ANSWER-B. An over-distended bladder
could be traumatized during labor, as well as prolong the progress of labor.
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? - ANSWER-B. It is difficult to consume 18 mg of additional iron by diet
alone.
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
she could use a home pregnancy test to diagnose pregnancy. Which response is
appropriate? - ANSWER-A. a home pregnancy test can be used right after your first
missed period.
, A full-term infant is transferred to the nursery from L & D. Which information is most
important for the nurses to receive when planning immediate care for the newborn? -
ANSWER-B. the infant's condition at birth and treatment received.
A client in active labor complains of cramps in her leg. What intervention should the
nurse implement? - ANSWER-B. Extend the leg and dorsiflex the foot.
A client 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination reveals that her cervix is closed, thick, and high.
Based on these data, which intervention should the nurse implement first? -
ANSWER-C. obtain a specimen for urine analysis
A client in active labor is admitted with preeclampsia. Which is assessment finding is
most significant in planning this client's care? - ANSWER-A. Patellar reflex 4+
A 4-week old premature infant has been receiving epoetin alfa for the last 3 weeks.
Which assessment finding indicated to the nurse that the drug is effective? -
ANSWER-C. changes in apical heart rate from the 180s to the 140s
The healthcare provider prescribes terbulatine (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess the
client for which condition? - ANSWER-A. gestational diabetes
A client with no prenatal care arrives at the labor unit screaming, "the baby is
coming". The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important
for the nurse to obtain? - ANSWER-C. date of last normal menstrual period.
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions,
BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement? -
ANSWER-C. monitor bleeding from IV sites.
immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 BPM and respirations of 20 BPM. What action should the
nurse perform next? - ANSWER-A. initiate positive pressure ventilation.
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure? - ANSWER-D. a 40-week
primagravida who presents at 100% effacement, 3 cm dilation, and a -1 station.
The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to
pink and then to white. The client asks, "What if I start having red bleeding after it
changes?" What should the nurse instruct the client to do? - ANSWER-A. Reduce
activity level and notify healthcare provider.
PRACTICE EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A 30-year old gravida 2. para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is started on am IV solution of terbutaline (Brethine).
Which assessment is the highest priority for the nurse to monitor during the
administration of the drug? - ANSWER-B. maternal and fetal heart rates
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms
are this newborn likely to exhibit? - ANSWER-A. choking, coughing, and cyanosis.
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous abortion at 8-weeks gestation. What type of emotional response should
the nurser anticipate? - ANSWER-A. Grief related to her perceptions about the loss
of this child.
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content int the class? -
ANSWER-C. Feed your baby every 2 to 3 hours or on demand, whichever comes
first.
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a
normal finding? - ANSWER-C. 3 vessels: 2 arteries and a vein.
A new mother is afraid to touch her baby's head for fear of hurting the 'large soft
spot." Which explanation should the nurse give to this anxious client? - ANSWER-D.
There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair.
The nurse caring for a laboring client encourage her to void at least q2h, and records
each time the client empties her bladder.What is the primary reason for
implementing this nursing intervention? - ANSWER-B. An over-distended bladder
could be traumatized during labor, as well as prolong the progress of labor.
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? - ANSWER-B. It is difficult to consume 18 mg of additional iron by diet
alone.
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
she could use a home pregnancy test to diagnose pregnancy. Which response is
appropriate? - ANSWER-A. a home pregnancy test can be used right after your first
missed period.
, A full-term infant is transferred to the nursery from L & D. Which information is most
important for the nurses to receive when planning immediate care for the newborn? -
ANSWER-B. the infant's condition at birth and treatment received.
A client in active labor complains of cramps in her leg. What intervention should the
nurse implement? - ANSWER-B. Extend the leg and dorsiflex the foot.
A client 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination reveals that her cervix is closed, thick, and high.
Based on these data, which intervention should the nurse implement first? -
ANSWER-C. obtain a specimen for urine analysis
A client in active labor is admitted with preeclampsia. Which is assessment finding is
most significant in planning this client's care? - ANSWER-A. Patellar reflex 4+
A 4-week old premature infant has been receiving epoetin alfa for the last 3 weeks.
Which assessment finding indicated to the nurse that the drug is effective? -
ANSWER-C. changes in apical heart rate from the 180s to the 140s
The healthcare provider prescribes terbulatine (Brethine) for a client in preterm labor.
Before initiating this prescription, it is most important for the nurse to assess the
client for which condition? - ANSWER-A. gestational diabetes
A client with no prenatal care arrives at the labor unit screaming, "the baby is
coming". The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important
for the nurse to obtain? - ANSWER-C. date of last normal menstrual period.
The nurse assesses a client admitted to the labor and delivery unit and obtains the
following data: dark red vaginal bleeding, uterus slightly tense between contractions,
BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on
these assessment findings, what intervention should the nurse implement? -
ANSWER-C. monitor bleeding from IV sites.
immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 BPM and respirations of 20 BPM. What action should the
nurse perform next? - ANSWER-A. initiate positive pressure ventilation.
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure? - ANSWER-D. a 40-week
primagravida who presents at 100% effacement, 3 cm dilation, and a -1 station.
The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to
pink and then to white. The client asks, "What if I start having red bleeding after it
changes?" What should the nurse instruct the client to do? - ANSWER-A. Reduce
activity level and notify healthcare provider.
