Maternity HESI Test bank (combined red hesi
and other sources) Questions and Answers | 2025
New Update | 100% Correct - Galen College of
Nursing
TERMS IN THIS SET (186) QUIZZES VERIFIED ANSWERS
1. An expectant father tells the nurse he D) Reassure him that normal maternal-
fears that his wife is "losing her mind." fetal bonding is occurring.
He states that she is constantly rubbing
her abdomen and talking to the baby Rationale:
and that she actually reprimands the These behaviors are positive signs of
baby when it moves too much. Which maternal-fetal bonding and do not
recommendation should the nurse make reflect ambivalence. No intervention is
to this expectant father? needed. Quickening, the first perception
of fetal movement, occurs at 17 to 20
A.Suggest that his wife seek weeks of gestation and begins a new
professional counseling to deal with her phase of prenatal bonding during the
, symptoms. second trimester. Options A and C are
not necessary because the behaviors
B.Explain that his wife is exhibiting displayed are normal.
ambivalence about the pregnancy.
C. Ask him to report similar abnormal
behaviors at the next prenatal visit.
D.Reassure him that normal maternal-
fetal bonding is occurring.
2. The nurse is preparing a laboring client C. Fetal heart rate (FHR)
for an amniotomy. Immediately after
the procedure is completed, it is most Rationale:
important for the nurse to obtain which The FHR should be assessed before and
information? after the procedure to detect changes
that may indicate the presence of cord
A.Maternal blood pressure compression or prolapse. An
amniotomy (artificial rupture of
B.Maternal temperature membranes [AROM]) is used to
stimulate labor when the condition of
C.Fetal heart rate (FHR) the cervix is favorable. The fluid should
be assessed for color, odor, and
D.White blood cell count (WBC) consistency. Option A should be
, assessed every 15 to 20 minutes during
labor but is not specific for AROM.
Option B is monitored hourly after the
membranes are ruptured to detect the
development of amnionitis. Option D
should be determined for all clients in
labor.
3. A nurse receives a shift change report B. Skin color that is slightly jaundiced
for a newborn who is 12 hours post-
vaginal delivery. In developing a plan Rationale: Jaundice, a yellow skin
of care, the nurse should give the coloration, is caused by elevated levels
highest priority to which finding? of bilirubin, which should be further
evaluated in a newborn <24 hours old.
A.Cyanosis of the hands and feet Acrocyanosis (blue color of the hands
and feet) is a common finding in
B.Skin color that is slightly jaundiced newborns; it occurs because the
capillary system is immature. Milia are
C.Tiny white papules on the nose or small white papules present on the nose
chin and chin that are caused by sebaceous
gland blockage and disappear in a few
D.Red patches on the cheeks and trunk weeks. Small red patches on the cheeks
and trunk are called erythema toxicum
neonatorum, a common finding in
, newborns.
4. A breastfeeding postpartum client is A.Breastfeed the infant, ensuring that
diagnosed with mastitis, and antibiotic both breasts are completely emptied.
therapy is prescribed. Which instruction
should the nurse provide to this client? Rationale:Mastitis, caused by plugged
milk ducts, is related to breast
A.Breastfeed the infant, ensuring that engorgement, and breastfeeding during
both breasts are completely emptied. mastitis facilitates the complete
emptying of engorged breasts,
B.Feed expressed breast milk to avoid eliminating the pressure on the
the pain of the infant latching onto the inflamed breast tissue. Option B is less
infected breast. painful but does not facilitate complete
emptying of the breast tissue. Option C
C.Breastfeed on the unaffected breast will not relieve the engorgement on the
only until the mastitis subsides. affected side. Option D will not
decrease antibiotic effects on the infant.
D.Dilute expressed breast milk with
sterile water to reduce the antibiotic
effect on the infant.
5. A 38-week primigravida who works as C.Move about every hour.
a secretary and sits at a computer 8
hours each day tells the nurse that her Rationale:
feet have begun to swell. Which Pooling of blood in the lower
and other sources) Questions and Answers | 2025
New Update | 100% Correct - Galen College of
Nursing
TERMS IN THIS SET (186) QUIZZES VERIFIED ANSWERS
1. An expectant father tells the nurse he D) Reassure him that normal maternal-
fears that his wife is "losing her mind." fetal bonding is occurring.
He states that she is constantly rubbing
her abdomen and talking to the baby Rationale:
and that she actually reprimands the These behaviors are positive signs of
baby when it moves too much. Which maternal-fetal bonding and do not
recommendation should the nurse make reflect ambivalence. No intervention is
to this expectant father? needed. Quickening, the first perception
of fetal movement, occurs at 17 to 20
A.Suggest that his wife seek weeks of gestation and begins a new
professional counseling to deal with her phase of prenatal bonding during the
, symptoms. second trimester. Options A and C are
not necessary because the behaviors
B.Explain that his wife is exhibiting displayed are normal.
ambivalence about the pregnancy.
C. Ask him to report similar abnormal
behaviors at the next prenatal visit.
D.Reassure him that normal maternal-
fetal bonding is occurring.
2. The nurse is preparing a laboring client C. Fetal heart rate (FHR)
for an amniotomy. Immediately after
the procedure is completed, it is most Rationale:
important for the nurse to obtain which The FHR should be assessed before and
information? after the procedure to detect changes
that may indicate the presence of cord
A.Maternal blood pressure compression or prolapse. An
amniotomy (artificial rupture of
B.Maternal temperature membranes [AROM]) is used to
stimulate labor when the condition of
C.Fetal heart rate (FHR) the cervix is favorable. The fluid should
be assessed for color, odor, and
D.White blood cell count (WBC) consistency. Option A should be
, assessed every 15 to 20 minutes during
labor but is not specific for AROM.
Option B is monitored hourly after the
membranes are ruptured to detect the
development of amnionitis. Option D
should be determined for all clients in
labor.
3. A nurse receives a shift change report B. Skin color that is slightly jaundiced
for a newborn who is 12 hours post-
vaginal delivery. In developing a plan Rationale: Jaundice, a yellow skin
of care, the nurse should give the coloration, is caused by elevated levels
highest priority to which finding? of bilirubin, which should be further
evaluated in a newborn <24 hours old.
A.Cyanosis of the hands and feet Acrocyanosis (blue color of the hands
and feet) is a common finding in
B.Skin color that is slightly jaundiced newborns; it occurs because the
capillary system is immature. Milia are
C.Tiny white papules on the nose or small white papules present on the nose
chin and chin that are caused by sebaceous
gland blockage and disappear in a few
D.Red patches on the cheeks and trunk weeks. Small red patches on the cheeks
and trunk are called erythema toxicum
neonatorum, a common finding in
, newborns.
4. A breastfeeding postpartum client is A.Breastfeed the infant, ensuring that
diagnosed with mastitis, and antibiotic both breasts are completely emptied.
therapy is prescribed. Which instruction
should the nurse provide to this client? Rationale:Mastitis, caused by plugged
milk ducts, is related to breast
A.Breastfeed the infant, ensuring that engorgement, and breastfeeding during
both breasts are completely emptied. mastitis facilitates the complete
emptying of engorged breasts,
B.Feed expressed breast milk to avoid eliminating the pressure on the
the pain of the infant latching onto the inflamed breast tissue. Option B is less
infected breast. painful but does not facilitate complete
emptying of the breast tissue. Option C
C.Breastfeed on the unaffected breast will not relieve the engorgement on the
only until the mastitis subsides. affected side. Option D will not
decrease antibiotic effects on the infant.
D.Dilute expressed breast milk with
sterile water to reduce the antibiotic
effect on the infant.
5. A 38-week primigravida who works as C.Move about every hour.
a secretary and sits at a computer 8
hours each day tells the nurse that her Rationale:
feet have begun to swell. Which Pooling of blood in the lower
