PHARMACOLOGY MATERNITY HESI FINAL
EVOLVE/EVOLVE HESI MATERNITY NEWEST 2025/2026
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Which of these statements about the transition from intrauterine to
extrauterine life is true?
1 Hyperthermia is observed in the newborn.
2 Newborns are susceptible to heat loss and cold stress.
3 Apgar assessments are conducted 5 and 10 minutes after birth.
4 Physiological changes in the newborn occur during the first 12
hours of life - Correct Answer -2
During the transition from intrauterine to extrauterine life, newborns
are susceptible to heat loss and cold stress. Newborns are susceptible
to hypothermia, not hyperthermia. Apgar assessments are generally
conducted between 1 and 5 minutes after birth. Physiological changes
in the newborn are seen during the first 24 hours of life.
What is the first line drug used to manage intrauterine fetal death?
1 Dinoprostone
2 Misoprostol
3 Mifepristone
4 Methylergonovine - Correct Answer -1
Dinoprostone (Cervidil) is a synthetic derivative of the hormone
prostaglandin E2, which is used to induce labor after establishing
intrauterine fetal demise of up to 28 weeks of gestational age.
Misoprostol (Cytotec) is a synthetic prostaglandin E1 analog typically
used as an antiulcer agent that also has an off-label use for cervical
ripening (softening), and it is used in combination with mifepristone
(RU486) to induce abortion. Methylergonovine maleate (Methergine)
is an ergot derivative that functions as an oxytocic and is prescribed to
pg. 1
, reduce postpartum hemorrhage when uterine massage does not
improve uterine tone to decrease bleeding.
A client is prescribed uterine stimulants to augment labor. Which
condition should be assessed in the client before initiating therapy?
1 Liver disease
2 Pituitary tumors
3 Pelvic inflammatory disease
4 Presence of an intrauterine device - Correct Answer -3
Labor-inducing drugs are contraindicated in women who have pelvic
inflammatory disease. Ovarian stimulants are contraindicated in
women who have liver disease and pituitary tumors. Abortifacient
drugs are contraindicated in women who have intrauterine devices.
Which interventions are included in the care plan of a postpartum
client with a fourth-degree laceration? Select all that apply.
1 Pain management with oral analgesics
2 Continuous application of a warm pack
3 Assessment of the site every 15 minutes
4 Gentle cleansing with antibacterial cleanser
5 Application of an ice pack for 20-minute intervals
6 Instructing the client in how to promote normal bowel function -
Correct Answer -1, 3, 5
Providing pain management will prevent the client's pain from
reaching an unmanageable level. Assessment of the site will identify
any abnormal changes. Application of ice will decrease pain and
edema. Warmth applied to newly traumatized tissue will increase pain
and edema. Antibacterial cleanser would be caustic and painful to the
laceration. Teaching regarding bowel function would be more
appropriately presented after the client has completed the fourth stage
and resumed normal intake.
pg. 2
EVOLVE/EVOLVE HESI MATERNITY NEWEST 2025/2026
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Which of these statements about the transition from intrauterine to
extrauterine life is true?
1 Hyperthermia is observed in the newborn.
2 Newborns are susceptible to heat loss and cold stress.
3 Apgar assessments are conducted 5 and 10 minutes after birth.
4 Physiological changes in the newborn occur during the first 12
hours of life - Correct Answer -2
During the transition from intrauterine to extrauterine life, newborns
are susceptible to heat loss and cold stress. Newborns are susceptible
to hypothermia, not hyperthermia. Apgar assessments are generally
conducted between 1 and 5 minutes after birth. Physiological changes
in the newborn are seen during the first 24 hours of life.
What is the first line drug used to manage intrauterine fetal death?
1 Dinoprostone
2 Misoprostol
3 Mifepristone
4 Methylergonovine - Correct Answer -1
Dinoprostone (Cervidil) is a synthetic derivative of the hormone
prostaglandin E2, which is used to induce labor after establishing
intrauterine fetal demise of up to 28 weeks of gestational age.
Misoprostol (Cytotec) is a synthetic prostaglandin E1 analog typically
used as an antiulcer agent that also has an off-label use for cervical
ripening (softening), and it is used in combination with mifepristone
(RU486) to induce abortion. Methylergonovine maleate (Methergine)
is an ergot derivative that functions as an oxytocic and is prescribed to
pg. 1
, reduce postpartum hemorrhage when uterine massage does not
improve uterine tone to decrease bleeding.
A client is prescribed uterine stimulants to augment labor. Which
condition should be assessed in the client before initiating therapy?
1 Liver disease
2 Pituitary tumors
3 Pelvic inflammatory disease
4 Presence of an intrauterine device - Correct Answer -3
Labor-inducing drugs are contraindicated in women who have pelvic
inflammatory disease. Ovarian stimulants are contraindicated in
women who have liver disease and pituitary tumors. Abortifacient
drugs are contraindicated in women who have intrauterine devices.
Which interventions are included in the care plan of a postpartum
client with a fourth-degree laceration? Select all that apply.
1 Pain management with oral analgesics
2 Continuous application of a warm pack
3 Assessment of the site every 15 minutes
4 Gentle cleansing with antibacterial cleanser
5 Application of an ice pack for 20-minute intervals
6 Instructing the client in how to promote normal bowel function -
Correct Answer -1, 3, 5
Providing pain management will prevent the client's pain from
reaching an unmanageable level. Assessment of the site will identify
any abnormal changes. Application of ice will decrease pain and
edema. Warmth applied to newly traumatized tissue will increase pain
and edema. Antibacterial cleanser would be caustic and painful to the
laceration. Teaching regarding bowel function would be more
appropriately presented after the client has completed the fourth stage
and resumed normal intake.
pg. 2
