HESI Maternity Questions AND ANSWERS
1. A 25-year-old client has a positive pregnancy take a look at. One yr ago she had a
spontaneous abortion at 3 months of gestation. What will the nurse document within the
consumer's chart regarding her GTPAL?
A. 11001
B. 10010
C. 20010
D. 20100 - ANSWER-C. 20010
This is the patron's 2nd being pregnant or 2d gravid occasion, so option C is
correct. The notation consists of range of pregnancies, full time period, pre-time
period (among 20 and 37 weeks), miscarriages earlier than 20 weeks and living
children. The spontaneous abortion (miscarriage) passed off at 3 months of
gestation (12 weeks), so she is a para 0. Parity cannot be expanded except
delivery occurs at 20 weeks of gestation or beyond. Option A does now not
recollect the cutting-edge being pregnant, nor does choice B, which additionally
counts the miscarriage as a "para," an wrong recording. Although option D is
correct concerning gravidity, para 1 is inaccurate.
2. A 38-week primigravida works as an workplace assistant and sits at a pc eight hours
every day. She tells the nurse that her feet have started to swell. Which training will
useful resource inside the prevention of pooling of blood in the lower extremities?
A.Wear help stockings.
B. Reduce salt within the diet.
C. Move approximately every hour.
D. Avoid constrictive garb. - ANSWER-C. Move approximately each hour.
Pooling of blood inside the lower extremities consequences from the enlarged
uterus exerting pressure on the pelvic veins. Moving about each hour will relieve
stress at the pelvic veins and growth venous go back. Option A might increase
venous go back from varicose veins in the decrease extremities however might be
of little help with swelling. Option B is probably helpful with generalized edema
however isn't precise for edematous lower extremities. Option D does now not
cope with venous return, and there may be no indication inside the question that
constrictive garb is a hassle.
3. A 41-week multigravida is receiving oxytocin to reinforce labor. Contractions are
company and going on every 5 minutes, with a 30- to forty-second length. The fetal heart
charge will increase with every contraction and returns to baseline after the contraction.
What is the next nursing movement?
, A. Place a wedge under the consumer's left aspect.
B. Determine cervical dilation and effacement.
C. Administer 10 L of oxygen through facemask.
D. Increase the rate of the oxytocin infusion. - ANSWER-D. Increase the price of
theoxytocin infusion.
The purpose of exertions augmentation is to provide company contractions that
occur each 2 to a few minutes, with a duration of 60 to 70 seconds, and with out
proof of fetal strain. FHR accelerations are a regular response to contractions, so
the oxytocin (Pitocin) infusion need to be improved in keeping with protocol to
stimulate the frequency and depth of contractions. Options A and C are indicated
for fetal pressure. A sterile vaginal exam locations the consumer at risk for
infection and must be executed when the patron famous signs of progressing
exertions, which is not indicated presently.
4. A breastfeeding postpartum client is identified with mastitis, and antibiotic remedy is
prescribed. Which guidance ought to the nurse offer to this purchaser?
A. Breastfeed the infant, making sure that each breasts are absolutely emptied.
B. Feed expressed breast milk to avoid the pain of the toddler latching onto the infected
breast.
C. Breastfeed on the unaffected breast most effective until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic impact at the
infant. - ANSWER-A. Breastfeed the little one, ensuring that both breasts are
completely emptied.
Mastitis, because of plugged milk ducts, is associated with breast engorgement,
and breastfeeding throughout mastitis enables the entire emptying of engorged
breasts, disposing of the strain at the inflamed breast tissue. Option B is much
less painful but does now not facilitate whole emptying of the breast tissue.
Option C will now not relieve the engorgement on the affected side. Option D will
no longer decrease antibiotic consequences on the toddler.
5. A patron at 28 weeks of gestation calls the antepartal clinic and states that she has just
experienced a small quantity of vaginal bleeding, which she describes as bright crimson.
The bleeding has subsided. She in addition states that she is not experiencing any
uterine contractions or belly pain. What training need to the nurse provide?
A. Come to the sanatorium these days for an ultrasound.
B. Go without delay to the emergency department.
C. Lie in your left facet for approximately 1 hour and see if the bleeding stops.
D. Take a urine specimen to the laboratory to peer if you have a urinary tract
contamination (UTI). - ANSWER-A. Come to the health center these days for an
ultrasound.
, Third-trimester painless bleeding is characteristic of a placenta previa. Bright pink
bleeding may be intermittent, arise in gushes, or be non-stop. Rarely is the first
incident life threatening or purpose for hypovolemic surprise. Diagnosis is
showed by using transabdominal ultrasound. Bleeding that has a surprising onset
and is followed by severe uterine ache indicates abruptio placenta, which is
existence threatening to the mom and fetus. If the ones signs and symptoms were
described, choice B might be suitable. Option C does not cope with the purpose of
the signs. The patron isn't always describing signs and symptoms of a UTI.
6. A customer at 30 weeks of gestation is on bed rest at domestic because of extended
blood stress. The home fitness nurse has taught her how to take her own blood strain
and gave her parameters to choose a extensive increase in blood strain. When the
customer calls the health center complaining of indigestion, which preparation should the
nurse provide?
A. Lie on your left facet and phone 911 for emergency help.
B. Take an antacid and speak to lower back if the ache has now not subsided.
C. Take your blood strain now, and if it is significantly expanded, go to the clinic.
D. See your fitness care provider to obtain a prescription for a histamine blockading
agent. - ANSWER-C. Take your blood stress now, and if it is severely expanded,
visit the health center.
Checking the blood stress for an elevation is the exceptional education to present
right now. A blood stress exceeding a hundred and forty/ninety mm Hg is
indicative of preeclampsia. Epigastric pain may be a signal of an impending
seizure (eclampsia), a lifestyles-threatening trouble of gestational high blood
pressure. Additional facts are had to affirm an emergency scenario as defined in
option A. Options B and D forget about the risk to consumer safety posed by
means of a large increase in blood strain.
7. A customer at 34 weeks gestation arrives to the health center and says to the nurse that
she thinks she is having contractions. What moves will the nurse include in this patron's
plan of care? (Select all that apply.)
A. State to her, "Let me realize when you have a contraction in the course of your go to
nowadays."
B. Ask the patron, "Are the contractions painful?"
C. Tell the consumer, "You have nothing to fear approximately."
D. Ask her, "Do they arrive a regularly as each 5 minutes?"
E. Tell the consumer, "It is time so that it will go without delay to exertions and
transport."
F. Inform her, "Those may be Braxton-Hicks contractions." - ANSWER-A, B, D, F
Braxton Hicks contractions are painless, irregular contractions that frequently
arise in being pregnant. Asking the customer to tell the nurse would permit the
nurse to palpate the contraction for depth and determine the period. Do now not
, brush aside the consumer's worries. Contraction this is normal, e.G. Each 5 mins
for extra than an hour, can be a signal of preterm labor and requires similarly
assessment. There is not any need to visit exertions and delivery till similarly tests
determine she is in preterm hard work.
8. A customer at 34 weeks gestation reports to the health center nurse that she has
frequent indigestion. What have to the nurse consist of inside the purchaser's coaching
plan? (Select all that follow.)
A. "I'll ask your fitness care company to prescribe ondansetron for you."
B. "Have you attempted taking Tums to your indigestion?"
C. "The child is getting big, which reduces the dimensions of the belly."
D. "Try ingesting small meals, 6 times per day."
E. "You don't have any purpose to be concerned." - ANSWER-B, C, D
Calcium carbonate (Tums) is secure to take in the course of pregnancy and is
powerful over-the-counter treatment for indigestion. At 34 weeks the fetus is ready
four cm under the xiphoid and crowding the belly contents. Since the stomach is
smaller, consuming small and frequent meals can also assist the indigestion.
Ondansetron, or Zofran, can be used in pregnancy, but isn't an initial remedy.
Reassure the client, now not dismiss her problem with "You don't have any
purpose to be concerned."
9. A purchaser at 36 weeks gestation provides to hard work and transport and states to the
nurse, "I were leaking fluid for approximately 2 days now. At first I notion it became urine.
Now, I am no longer so certain." Which nursing movements are maximum appropriate
for this client? (Select all that apply.)
A. Assess maternal crucial signs and symptoms.
B. Place an digital fetal monitor.
C. Place a peri pad.
D. Assess the fluid for a foul smell.
E. Obtain a maternal blood glucose.
F. Obtain a complete blood depend. - ANSWER-A, B, D, F
Until rupture of membranes has been dominated out, the nurse ought to offer care
as if they're ruptured. Since it has been 2 days with leaking fluid, the customer
may additionally have developed chorioamnionitis. With that, the purchaser can
be febrile, and the fetus might also display tachycardia. A foul smell may
additionally indicate an intrauterine infection. A CBC will provide a demonstration
of the maternal white depend. Additionally, monitor for uterine tenderness. Blood
cultures will probably be ordered. A peri pad should not be located as which could
produce a medium for bacterial growth. Maternal blood glucose will no longer be
impacted by way of chorioamnionitis.
10.A purchaser at 39 weeks gestation overhears her fitness care provider say to the nurse,
"Her Bishop rating is 10." The purchaser asks the nurse, "What does that mean?" What
is the nurse's first-class response?
1. A 25-year-old client has a positive pregnancy take a look at. One yr ago she had a
spontaneous abortion at 3 months of gestation. What will the nurse document within the
consumer's chart regarding her GTPAL?
A. 11001
B. 10010
C. 20010
D. 20100 - ANSWER-C. 20010
This is the patron's 2nd being pregnant or 2d gravid occasion, so option C is
correct. The notation consists of range of pregnancies, full time period, pre-time
period (among 20 and 37 weeks), miscarriages earlier than 20 weeks and living
children. The spontaneous abortion (miscarriage) passed off at 3 months of
gestation (12 weeks), so she is a para 0. Parity cannot be expanded except
delivery occurs at 20 weeks of gestation or beyond. Option A does now not
recollect the cutting-edge being pregnant, nor does choice B, which additionally
counts the miscarriage as a "para," an wrong recording. Although option D is
correct concerning gravidity, para 1 is inaccurate.
2. A 38-week primigravida works as an workplace assistant and sits at a pc eight hours
every day. She tells the nurse that her feet have started to swell. Which training will
useful resource inside the prevention of pooling of blood in the lower extremities?
A.Wear help stockings.
B. Reduce salt within the diet.
C. Move approximately every hour.
D. Avoid constrictive garb. - ANSWER-C. Move approximately each hour.
Pooling of blood inside the lower extremities consequences from the enlarged
uterus exerting pressure on the pelvic veins. Moving about each hour will relieve
stress at the pelvic veins and growth venous go back. Option A might increase
venous go back from varicose veins in the decrease extremities however might be
of little help with swelling. Option B is probably helpful with generalized edema
however isn't precise for edematous lower extremities. Option D does now not
cope with venous return, and there may be no indication inside the question that
constrictive garb is a hassle.
3. A 41-week multigravida is receiving oxytocin to reinforce labor. Contractions are
company and going on every 5 minutes, with a 30- to forty-second length. The fetal heart
charge will increase with every contraction and returns to baseline after the contraction.
What is the next nursing movement?
, A. Place a wedge under the consumer's left aspect.
B. Determine cervical dilation and effacement.
C. Administer 10 L of oxygen through facemask.
D. Increase the rate of the oxytocin infusion. - ANSWER-D. Increase the price of
theoxytocin infusion.
The purpose of exertions augmentation is to provide company contractions that
occur each 2 to a few minutes, with a duration of 60 to 70 seconds, and with out
proof of fetal strain. FHR accelerations are a regular response to contractions, so
the oxytocin (Pitocin) infusion need to be improved in keeping with protocol to
stimulate the frequency and depth of contractions. Options A and C are indicated
for fetal pressure. A sterile vaginal exam locations the consumer at risk for
infection and must be executed when the patron famous signs of progressing
exertions, which is not indicated presently.
4. A breastfeeding postpartum client is identified with mastitis, and antibiotic remedy is
prescribed. Which guidance ought to the nurse offer to this purchaser?
A. Breastfeed the infant, making sure that each breasts are absolutely emptied.
B. Feed expressed breast milk to avoid the pain of the toddler latching onto the infected
breast.
C. Breastfeed on the unaffected breast most effective until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic impact at the
infant. - ANSWER-A. Breastfeed the little one, ensuring that both breasts are
completely emptied.
Mastitis, because of plugged milk ducts, is associated with breast engorgement,
and breastfeeding throughout mastitis enables the entire emptying of engorged
breasts, disposing of the strain at the inflamed breast tissue. Option B is much
less painful but does now not facilitate whole emptying of the breast tissue.
Option C will now not relieve the engorgement on the affected side. Option D will
no longer decrease antibiotic consequences on the toddler.
5. A patron at 28 weeks of gestation calls the antepartal clinic and states that she has just
experienced a small quantity of vaginal bleeding, which she describes as bright crimson.
The bleeding has subsided. She in addition states that she is not experiencing any
uterine contractions or belly pain. What training need to the nurse provide?
A. Come to the sanatorium these days for an ultrasound.
B. Go without delay to the emergency department.
C. Lie in your left facet for approximately 1 hour and see if the bleeding stops.
D. Take a urine specimen to the laboratory to peer if you have a urinary tract
contamination (UTI). - ANSWER-A. Come to the health center these days for an
ultrasound.
, Third-trimester painless bleeding is characteristic of a placenta previa. Bright pink
bleeding may be intermittent, arise in gushes, or be non-stop. Rarely is the first
incident life threatening or purpose for hypovolemic surprise. Diagnosis is
showed by using transabdominal ultrasound. Bleeding that has a surprising onset
and is followed by severe uterine ache indicates abruptio placenta, which is
existence threatening to the mom and fetus. If the ones signs and symptoms were
described, choice B might be suitable. Option C does not cope with the purpose of
the signs. The patron isn't always describing signs and symptoms of a UTI.
6. A customer at 30 weeks of gestation is on bed rest at domestic because of extended
blood stress. The home fitness nurse has taught her how to take her own blood strain
and gave her parameters to choose a extensive increase in blood strain. When the
customer calls the health center complaining of indigestion, which preparation should the
nurse provide?
A. Lie on your left facet and phone 911 for emergency help.
B. Take an antacid and speak to lower back if the ache has now not subsided.
C. Take your blood strain now, and if it is significantly expanded, go to the clinic.
D. See your fitness care provider to obtain a prescription for a histamine blockading
agent. - ANSWER-C. Take your blood stress now, and if it is severely expanded,
visit the health center.
Checking the blood stress for an elevation is the exceptional education to present
right now. A blood stress exceeding a hundred and forty/ninety mm Hg is
indicative of preeclampsia. Epigastric pain may be a signal of an impending
seizure (eclampsia), a lifestyles-threatening trouble of gestational high blood
pressure. Additional facts are had to affirm an emergency scenario as defined in
option A. Options B and D forget about the risk to consumer safety posed by
means of a large increase in blood strain.
7. A customer at 34 weeks gestation arrives to the health center and says to the nurse that
she thinks she is having contractions. What moves will the nurse include in this patron's
plan of care? (Select all that apply.)
A. State to her, "Let me realize when you have a contraction in the course of your go to
nowadays."
B. Ask the patron, "Are the contractions painful?"
C. Tell the consumer, "You have nothing to fear approximately."
D. Ask her, "Do they arrive a regularly as each 5 minutes?"
E. Tell the consumer, "It is time so that it will go without delay to exertions and
transport."
F. Inform her, "Those may be Braxton-Hicks contractions." - ANSWER-A, B, D, F
Braxton Hicks contractions are painless, irregular contractions that frequently
arise in being pregnant. Asking the customer to tell the nurse would permit the
nurse to palpate the contraction for depth and determine the period. Do now not
, brush aside the consumer's worries. Contraction this is normal, e.G. Each 5 mins
for extra than an hour, can be a signal of preterm labor and requires similarly
assessment. There is not any need to visit exertions and delivery till similarly tests
determine she is in preterm hard work.
8. A customer at 34 weeks gestation reports to the health center nurse that she has
frequent indigestion. What have to the nurse consist of inside the purchaser's coaching
plan? (Select all that follow.)
A. "I'll ask your fitness care company to prescribe ondansetron for you."
B. "Have you attempted taking Tums to your indigestion?"
C. "The child is getting big, which reduces the dimensions of the belly."
D. "Try ingesting small meals, 6 times per day."
E. "You don't have any purpose to be concerned." - ANSWER-B, C, D
Calcium carbonate (Tums) is secure to take in the course of pregnancy and is
powerful over-the-counter treatment for indigestion. At 34 weeks the fetus is ready
four cm under the xiphoid and crowding the belly contents. Since the stomach is
smaller, consuming small and frequent meals can also assist the indigestion.
Ondansetron, or Zofran, can be used in pregnancy, but isn't an initial remedy.
Reassure the client, now not dismiss her problem with "You don't have any
purpose to be concerned."
9. A purchaser at 36 weeks gestation provides to hard work and transport and states to the
nurse, "I were leaking fluid for approximately 2 days now. At first I notion it became urine.
Now, I am no longer so certain." Which nursing movements are maximum appropriate
for this client? (Select all that apply.)
A. Assess maternal crucial signs and symptoms.
B. Place an digital fetal monitor.
C. Place a peri pad.
D. Assess the fluid for a foul smell.
E. Obtain a maternal blood glucose.
F. Obtain a complete blood depend. - ANSWER-A, B, D, F
Until rupture of membranes has been dominated out, the nurse ought to offer care
as if they're ruptured. Since it has been 2 days with leaking fluid, the customer
may additionally have developed chorioamnionitis. With that, the purchaser can
be febrile, and the fetus might also display tachycardia. A foul smell may
additionally indicate an intrauterine infection. A CBC will provide a demonstration
of the maternal white depend. Additionally, monitor for uterine tenderness. Blood
cultures will probably be ordered. A peri pad should not be located as which could
produce a medium for bacterial growth. Maternal blood glucose will no longer be
impacted by way of chorioamnionitis.
10.A purchaser at 39 weeks gestation overhears her fitness care provider say to the nurse,
"Her Bishop rating is 10." The purchaser asks the nurse, "What does that mean?" What
is the nurse's first-class response?
