HESI A2 Exit Exam Maternity
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An off-duty nurse finds a woman in a supermarket parking lot delivering an infant
while her husband is screaming for someone to help his wife. Which intervention
has the highest priority?
A.Use a thread to tie off the umbilical cord.
B.Provide as much privacy as possible for the woman.
C.Reassure the husband and try to keep him calm.
D.Put the newborn to breast - ANSWER ✓ D.Put the newborn to breast
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
A.Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue.
B.We want your baby to be healthy, and this is the only way we can make sure that
will happen.
C.I know you're upset. Would you like to talk about some things you could do
while in bed?
D.Labor is difficult and you need to use this time to rest before you have to assume
all child-caring duties. - ANSWER ✓ A.Complete bedrest decreases oxygen needs
and demands on the heart muscle tissue.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A.Notify the pediatrician immediately.
B.Suction the infant's nares, then the oral cavity.
C.Check the infant's oxygen saturation rate.
,D.Position the infant on the right side. - ANSWER ✓ C.Check the infant's oxygen
saturation rate.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding
my first child, but I would like to try with this baby." Which intervention is best for
the nurse to implement first?
A.Assess the husband's feelings about his wife's decision to breastfeed their baby.
B.Ask the client to describe why she was unsuccessful with breastfeeding her last
child.
C.Encourage the client to develop a positive attitude about breastfeeding to help
ensure success.
D.Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery. - ANSWER ✓ D.Provide assistance to the mother to begin breastfeeding
as soon as possible after delivery.
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes
a normal finding?
A.Two vessels: one artery and one vein.
B.Two vessels: two arteries and no veins.
C.Three vessels: two arteries and one vein.
D.Three vessels: two veins and one artery - ANSWER ✓ C.Three vessels: two
arteries and one vein.
The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and remains low for 36 hours.
D. Within 72 hours before the temperature falls. - ANSWER ✓ A. Between the
time the temperature falls and rises.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
A.Edema, basilar rales, and an irregular pulse.
B. Increased urinary output and tachycardia.
C.Shortness of breath, bradycardia, and hypertension.
,D.Regular heart rate and hypertension. - ANSWER ✓ A.Edema, basilar rales, and
an irregular pulse.
client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first?
A. Raise the foot of the bed.
B.Assess for vaginal bleeding.
C.Evaluate the fetal heart rate.
D.Take the client's blood pressure. - ANSWER ✓ A. Raise the foot of the bed.
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based
on this finding, which intervention should the nurse implement?
A.Provide phototherapy for 30 minutes q8h.
B. Feed the newborn sterile water hourly.
C.Encourage the mother to breastfeed frequently.
D.Assess the newborn's blood glucose level. - ANSWER ✓ C.Encourage the
mother to breastfeed frequently.
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data indicates to
the nurse that the client is experiencing magnesium sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - ANSWER ✓ D.Urine output 90 ml/4 hours.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks'
gestation in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25
mg subcutaneous. Which assessment is the highest priority for the nurse to monitor
during the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - ANSWER ✓ B.Maternal and fetal heart rates.
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 nurse anticipate?
A.Grief related to her perceptions about the loss of this child.
, B.Relief of ambivalent feelings experienced with this pregnancy.
C.Shock because she may not have realized that she was pregnant.
D. Guilt because she had not followed her healthcare provider's instructions. -
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 in the class?
A.Begin as soon as your baby is born to establish a four-hour feeding schedule.
B.Resting helps with milk production. Ask that your baby be fed at night in the
nursery.
C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
D. Do not allow your baby to nurse any longer than the prescribed number of
minutes. - ANSWER ✓ C.Feed your baby every 2 to 3 hours or on demand,
whichever comes first.
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?
A.Some care is required when touching the large soft area on top of your baby's
head until the bones fuse together.
B.That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by
touching the soft spot.
C.The soft spot will disappear within 6 weeks and is very unlikely to cause any
problems for your baby.
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. - 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.
A couple, concerned because the woman has not been able to conceive, is referred
to a healthcare provider for a fertility workup and a hysterosalpingography is
scheduled. Which postprocedure complaint indicates that the fallopian tubes are
patent?
A.Back pain
B.Abdominal pain.
C.Shoulder pain.
D. Leg cramps. - ANSWER ✓ C.Shoulder pain.
Practice Exam Questions with
Correct Solutions||100%
Guaranteed Pass||Already
Graded A+||<<BRAND NEW VERSION>>
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant
while her husband is screaming for someone to help his wife. Which intervention
has the highest priority?
A.Use a thread to tie off the umbilical cord.
B.Provide as much privacy as possible for the woman.
C.Reassure the husband and try to keep him calm.
D.Put the newborn to breast - ANSWER ✓ D.Put the newborn to breast
A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The
client asks the nurse, "Why must I stay in bed all the time?" Which response is best
for the nurse to provide this client?
A.Complete bedrest decreases oxygen needs and demands on the heart muscle
tissue.
B.We want your baby to be healthy, and this is the only way we can make sure that
will happen.
C.I know you're upset. Would you like to talk about some things you could do
while in bed?
D.Labor is difficult and you need to use this time to rest before you have to assume
all child-caring duties. - ANSWER ✓ A.Complete bedrest decreases oxygen needs
and demands on the heart muscle tissue.
A newborn infant is brought to the nursery from the birthing suite. The nurse
notices that the infant is breathing satisfactorily but appears dusky. What action
should the nurse take first?
A.Notify the pediatrician immediately.
B.Suction the infant's nares, then the oral cavity.
C.Check the infant's oxygen saturation rate.
,D.Position the infant on the right side. - ANSWER ✓ C.Check the infant's oxygen
saturation rate.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding
my first child, but I would like to try with this baby." Which intervention is best for
the nurse to implement first?
A.Assess the husband's feelings about his wife's decision to breastfeed their baby.
B.Ask the client to describe why she was unsuccessful with breastfeeding her last
child.
C.Encourage the client to develop a positive attitude about breastfeeding to help
ensure success.
D.Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery. - ANSWER ✓ D.Provide assistance to the mother to begin breastfeeding
as soon as possible after delivery.
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes
a normal finding?
A.Two vessels: one artery and one vein.
B.Two vessels: two arteries and no veins.
C.Three vessels: two arteries and one vein.
D.Three vessels: two veins and one artery - ANSWER ✓ C.Three vessels: two
arteries and one vein.
The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and remains low for 36 hours.
D. Within 72 hours before the temperature falls. - ANSWER ✓ A. Between the
time the temperature falls and rises.
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern?
A.Edema, basilar rales, and an irregular pulse.
B. Increased urinary output and tachycardia.
C.Shortness of breath, bradycardia, and hypertension.
,D.Regular heart rate and hypertension. - ANSWER ✓ A.Edema, basilar rales, and
an irregular pulse.
client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first?
A. Raise the foot of the bed.
B.Assess for vaginal bleeding.
C.Evaluate the fetal heart rate.
D.Take the client's blood pressure. - ANSWER ✓ A. Raise the foot of the bed.
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based
on this finding, which intervention should the nurse implement?
A.Provide phototherapy for 30 minutes q8h.
B. Feed the newborn sterile water hourly.
C.Encourage the mother to breastfeed frequently.
D.Assess the newborn's blood glucose level. - ANSWER ✓ C.Encourage the
mother to breastfeed frequently.
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data indicates to
the nurse that the client is experiencing magnesium sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - ANSWER ✓ D.Urine output 90 ml/4 hours.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks'
gestation in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25
mg subcutaneous. Which assessment is the highest priority for the nurse to monitor
during the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - ANSWER ✓ B.Maternal and fetal heart rates.
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 nurse anticipate?
A.Grief related to her perceptions about the loss of this child.
, B.Relief of ambivalent feelings experienced with this pregnancy.
C.Shock because she may not have realized that she was pregnant.
D. Guilt because she had not followed her healthcare provider's instructions. -
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 in the class?
A.Begin as soon as your baby is born to establish a four-hour feeding schedule.
B.Resting helps with milk production. Ask that your baby be fed at night in the
nursery.
C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
D. Do not allow your baby to nurse any longer than the prescribed number of
minutes. - ANSWER ✓ C.Feed your baby every 2 to 3 hours or on demand,
whichever comes first.
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?
A.Some care is required when touching the large soft area on top of your baby's
head until the bones fuse together.
B.That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by
touching the soft spot.
C.The soft spot will disappear within 6 weeks and is very unlikely to cause any
problems for your baby.
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. - 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.
A couple, concerned because the woman has not been able to conceive, is referred
to a healthcare provider for a fertility workup and a hysterosalpingography is
scheduled. Which postprocedure complaint indicates that the fallopian tubes are
patent?
A.Back pain
B.Abdominal pain.
C.Shoulder pain.
D. Leg cramps. - ANSWER ✓ C.Shoulder pain.
