RN HESI Maternity Test Questions and Answers Rated A
A primigravida arrives at the observation unit of
the maternity unit because thinks is in labor. The
nurse applies the external fetal heart monitor and A 34-week primigravida with pregnancy induced
determines that the fetal heart rate is 140 hypertension (PIH) is receiving Ringer's Lactate
beats/minute and the contractions are occurring 500 ml with magnesium sulfate 20 grams at the
irregularly every 10 to 15 minutes. What rate of 3 grams/hour. How many ml/hour should
assessment finding confirms to the nurse that the the nurse program the infusion pump? (Enter
client is not labor at this time? - - numeric value only)
Contractions decrease with walking. A. 120
B. 70
C. 65
A primipara has delivered a stillborn fetus at 30 D. 75 - - D. 75
weeks gestation. To asses the parents in the
grieving process which intervention is most for
the nurse to implement ? A mother of a 3-year-old boy has just given birth
A. explain the possible cause of the fetal demise to a new baby girl. The little boy asks the nurse,
B. Provide a time for the parents to hold their "Why is my baby sister eating my mommy's
infant in privacy breast?" How should the nurse respond? (Select
C. Encourage the parents to seek counseling all that apply)
within the next few weeks A. Explain that newborns get milk from their
D. Assist the couple to request autopsy - - mothers in this way
B. provide a time for the parents to hold their B. Reassure the older brother that it does not hurt
infant in privacy his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a
What is the priority nursing assessment bottle
immediately following the birth of an infant with E. Clarify that breastfeeding is his mother's
esophageal atresia and a tracheoesophageal choice - - A. Explain that newborns get milk
(the) fistula ? from their mothers in this way
B. Reassure the older brother that it does not hurt
A. body temperature his mother
B. level of pain C. Remind him that his mother breastfed him too
C. time of first void
D. number of vessels in the cord - - A.
body temperature The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be
used?
What is the most important assessment for the A. Place the infant in side-lying to facilitate the
nurse to conduct following the administration of exam
epidural anesthesia to a client who is at 40- B. Hold the penis and retract the foreskin gently
weeks gestation? C. Cleanse the penis with an antiseptic-soaked
A. Level of pain sensation pad
B. Station of presenting part D. Place the infant in warm room and use a calm
C. Variability of fetal heart rate approach - - D. Place the infant in warm
D. Maternal blood pressure - - D. Maternal room and use a calm approach
blood pressure
, RN HESI Maternity Test Questions and Answers Rated A
"pain whenever the baby moves." On
The nurse is planning care for a client at 30- assessment, the nurse notes the client's
weeks gestation who is experiencing preterm temperature to be 101.2F, with severe abdominal
labor. What maternal prescription is most or uterine tenderness on palpation. The nurse
important in preventing this fetus from developing knows that these findings are indicative of what
respiratory distress syndrome? condition?
A. Betamethasone (Celestone) 12 mg deep IM A. Round ligament strain
B. Butorphanol 1 mg IV push q2h PRN pain B. Chorioamnionitis
C. Ampicillin 1 Gram IV push q8h C. Abruptio placenta
D. Terbutaline (Brethine) 0.25 mg D. Viral infection. - - B. Chorioamnionitis
subcutaneously q15 minutes x3 - - A.
Betamethasone (Celestone) 12 mg deep IM
A male infant with a 2-day history of fever and
diarrhea is brought to a clinic by his mother who
A 3-month-old with myelomeningocele and atonic tells the nurse that the child refuses to drink
bladder is catheterized every 4 hours to prevent anything. The nurse determines that the child has
urinary retention. The home health nurse notes a weak cry with no tears. Which prescription is
that the child has developed episodes of most important to implement?
sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important A. Provide a bottle of electrolyte solution
for the nurse to take? B. Infuse normal saline intravenously
A. Auscultate the lungs for respiratory C. Administer an antipyretic rectally
pneumonia. D. Apply external cooling blanket - - B.
B. Draw blood to analyze for streptococcal Infuse normal saline intravenously
infection
C. Change to latex-free gloves when handling
infant A 6-month old child who had a cleft-lip repair has
D. Apply zinc oxide to perineum with each diaper elbow restraints in place. What nursing
change - - C. Change to latex-free gloves intervention should the nurse plan to implement?
when handling infant
A. remove restraints q4h for 30 minutes and
place gloves on the child's hands
The nurse is caring for a female client, a B. record observations of the restraints q2h and
primigravida, with preeclampsia. Findings include ensure that they are in place at all times
+2 proteinuria, BP 172/112 mmHg, facial and C. obtain the HCP advice as to when the
hand swelling, complaints of blurry vision and a restraints should be removed
severe frontal headache. Which medication D. remove restraints one at a time to provide
should the nurse anticipate for this client? ROM exercises - - D. remove restraints
A. Clonidine hydrochloride one at a time to provide ROM exercises
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - - D. Magnesium A new mother calls the nurse stating that she
sulfate wants to start feeding her 6-month-old child
something besides breast milk, but is concerned
that the infant is too young to start eating solid
A client at 35-weeks gestation complains of a foods. How should the nurse respond?
, RN HESI Maternity Test Questions and Answers Rated A
the nurse that the infant is becoming dehydrated?
A. encourage the mother to schedule a A. Weak cry without any tears
developmental assessment of the infant B. Bulging fontanel
B. advise the mother to wait at least another C. Visible peristaltic wave.
month before starting any solid foods D. Palpable mass in the right upper quadrant -
C. instruct the mother to offer a few spoons of 2- - A. Weak cry without any tears
3 pureed fruit at each meal
D. reassure the mother that the infant is old
enough to eat iron-fortified cereal - - D. A full-term, 24-hour-old infant in the nursery
reassure the mother that the infant is old enough regurgitates and suddenly turns cyanotic. What
to eat iron-fortified cereal should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
While caring for a laboring client on continuous C. Stimulate the infant to cry
fetal monitoring, the nurse notes a fetal heart D. Turn the infant onto the right side - - C.
rate pattern that falls and rises abruptly with a "V" Stimulate the infant to cry
shaped appearance. What action should the
nurse take first?
A. Prepare for a potential cesarean A client at 40-weeks' gestation presents to the
B. Allow the client to begin pushing obstetrical floor and indicates that the amniotic
C. Administer oxygen at 10/L by mask membranes ruptured spontaneously at home.
D. Change the maternal position - - D. She is in active labor and feels the need to bear
Change the maternal position down and push. What information is most
important for the nurse to obtain first?
A. the estimated amount of fluid
A postpartum client who is Rh-negative refuses B. time the membranes ruptured
to receive Rho (D) immune globulin (RhoGam) C. color and consistency of the fluid
after delivery of an infant who is Rh-positive. D. any odor noted when membranes ruptured. -
Which information should the nure provide this - C. color and consistency of the fluid
client?
A. RhoGam is not necessary unless all her An infant with tetralogy of Fallot becomes acutely
pregnancies are Rh-positive cyanotic and hyper apneic. Which action should
B. The R-positive factor from the fetus threatens the nurse implement first?A. Administer morphine
her blood cells sulphate.
C. The mother should receive RhoGam when the B. Start IV fluids.
baby is Rh-negative C. Place the infant in a knee-chest position
D. RhoGam prevents maternal antibody D. Provide 100% oxygen by face mask. - -
formation for future Rh-positive babies - - C. Place the infant in a knee-chest position
D. RhoGam prevents maternal antibody
formation for future Rh-positive babies
A one-day-old neonate develops a
cephalohematoma. The nurse should closely
A 6-week-old infant diagnosed with pyloric assess this neonate for which common
stenosis has recently developed projectile complication?
vomiting. Which assessment finding indicates to A. jaundice
A primigravida arrives at the observation unit of
the maternity unit because thinks is in labor. The
nurse applies the external fetal heart monitor and A 34-week primigravida with pregnancy induced
determines that the fetal heart rate is 140 hypertension (PIH) is receiving Ringer's Lactate
beats/minute and the contractions are occurring 500 ml with magnesium sulfate 20 grams at the
irregularly every 10 to 15 minutes. What rate of 3 grams/hour. How many ml/hour should
assessment finding confirms to the nurse that the the nurse program the infusion pump? (Enter
client is not labor at this time? - - numeric value only)
Contractions decrease with walking. A. 120
B. 70
C. 65
A primipara has delivered a stillborn fetus at 30 D. 75 - - D. 75
weeks gestation. To asses the parents in the
grieving process which intervention is most for
the nurse to implement ? A mother of a 3-year-old boy has just given birth
A. explain the possible cause of the fetal demise to a new baby girl. The little boy asks the nurse,
B. Provide a time for the parents to hold their "Why is my baby sister eating my mommy's
infant in privacy breast?" How should the nurse respond? (Select
C. Encourage the parents to seek counseling all that apply)
within the next few weeks A. Explain that newborns get milk from their
D. Assist the couple to request autopsy - - mothers in this way
B. provide a time for the parents to hold their B. Reassure the older brother that it does not hurt
infant in privacy his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a
What is the priority nursing assessment bottle
immediately following the birth of an infant with E. Clarify that breastfeeding is his mother's
esophageal atresia and a tracheoesophageal choice - - A. Explain that newborns get milk
(the) fistula ? from their mothers in this way
B. Reassure the older brother that it does not hurt
A. body temperature his mother
B. level of pain C. Remind him that his mother breastfed him too
C. time of first void
D. number of vessels in the cord - - A.
body temperature The nurse is examining an infant for possible
cryptorchidism. Which exam technique should be
used?
What is the most important assessment for the A. Place the infant in side-lying to facilitate the
nurse to conduct following the administration of exam
epidural anesthesia to a client who is at 40- B. Hold the penis and retract the foreskin gently
weeks gestation? C. Cleanse the penis with an antiseptic-soaked
A. Level of pain sensation pad
B. Station of presenting part D. Place the infant in warm room and use a calm
C. Variability of fetal heart rate approach - - D. Place the infant in warm
D. Maternal blood pressure - - D. Maternal room and use a calm approach
blood pressure
, RN HESI Maternity Test Questions and Answers Rated A
"pain whenever the baby moves." On
The nurse is planning care for a client at 30- assessment, the nurse notes the client's
weeks gestation who is experiencing preterm temperature to be 101.2F, with severe abdominal
labor. What maternal prescription is most or uterine tenderness on palpation. The nurse
important in preventing this fetus from developing knows that these findings are indicative of what
respiratory distress syndrome? condition?
A. Betamethasone (Celestone) 12 mg deep IM A. Round ligament strain
B. Butorphanol 1 mg IV push q2h PRN pain B. Chorioamnionitis
C. Ampicillin 1 Gram IV push q8h C. Abruptio placenta
D. Terbutaline (Brethine) 0.25 mg D. Viral infection. - - B. Chorioamnionitis
subcutaneously q15 minutes x3 - - A.
Betamethasone (Celestone) 12 mg deep IM
A male infant with a 2-day history of fever and
diarrhea is brought to a clinic by his mother who
A 3-month-old with myelomeningocele and atonic tells the nurse that the child refuses to drink
bladder is catheterized every 4 hours to prevent anything. The nurse determines that the child has
urinary retention. The home health nurse notes a weak cry with no tears. Which prescription is
that the child has developed episodes of most important to implement?
sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important A. Provide a bottle of electrolyte solution
for the nurse to take? B. Infuse normal saline intravenously
A. Auscultate the lungs for respiratory C. Administer an antipyretic rectally
pneumonia. D. Apply external cooling blanket - - B.
B. Draw blood to analyze for streptococcal Infuse normal saline intravenously
infection
C. Change to latex-free gloves when handling
infant A 6-month old child who had a cleft-lip repair has
D. Apply zinc oxide to perineum with each diaper elbow restraints in place. What nursing
change - - C. Change to latex-free gloves intervention should the nurse plan to implement?
when handling infant
A. remove restraints q4h for 30 minutes and
place gloves on the child's hands
The nurse is caring for a female client, a B. record observations of the restraints q2h and
primigravida, with preeclampsia. Findings include ensure that they are in place at all times
+2 proteinuria, BP 172/112 mmHg, facial and C. obtain the HCP advice as to when the
hand swelling, complaints of blurry vision and a restraints should be removed
severe frontal headache. Which medication D. remove restraints one at a time to provide
should the nurse anticipate for this client? ROM exercises - - D. remove restraints
A. Clonidine hydrochloride one at a time to provide ROM exercises
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - - D. Magnesium A new mother calls the nurse stating that she
sulfate wants to start feeding her 6-month-old child
something besides breast milk, but is concerned
that the infant is too young to start eating solid
A client at 35-weeks gestation complains of a foods. How should the nurse respond?
, RN HESI Maternity Test Questions and Answers Rated A
the nurse that the infant is becoming dehydrated?
A. encourage the mother to schedule a A. Weak cry without any tears
developmental assessment of the infant B. Bulging fontanel
B. advise the mother to wait at least another C. Visible peristaltic wave.
month before starting any solid foods D. Palpable mass in the right upper quadrant -
C. instruct the mother to offer a few spoons of 2- - A. Weak cry without any tears
3 pureed fruit at each meal
D. reassure the mother that the infant is old
enough to eat iron-fortified cereal - - D. A full-term, 24-hour-old infant in the nursery
reassure the mother that the infant is old enough regurgitates and suddenly turns cyanotic. What
to eat iron-fortified cereal should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
While caring for a laboring client on continuous C. Stimulate the infant to cry
fetal monitoring, the nurse notes a fetal heart D. Turn the infant onto the right side - - C.
rate pattern that falls and rises abruptly with a "V" Stimulate the infant to cry
shaped appearance. What action should the
nurse take first?
A. Prepare for a potential cesarean A client at 40-weeks' gestation presents to the
B. Allow the client to begin pushing obstetrical floor and indicates that the amniotic
C. Administer oxygen at 10/L by mask membranes ruptured spontaneously at home.
D. Change the maternal position - - D. She is in active labor and feels the need to bear
Change the maternal position down and push. What information is most
important for the nurse to obtain first?
A. the estimated amount of fluid
A postpartum client who is Rh-negative refuses B. time the membranes ruptured
to receive Rho (D) immune globulin (RhoGam) C. color and consistency of the fluid
after delivery of an infant who is Rh-positive. D. any odor noted when membranes ruptured. -
Which information should the nure provide this - C. color and consistency of the fluid
client?
A. RhoGam is not necessary unless all her An infant with tetralogy of Fallot becomes acutely
pregnancies are Rh-positive cyanotic and hyper apneic. Which action should
B. The R-positive factor from the fetus threatens the nurse implement first?A. Administer morphine
her blood cells sulphate.
C. The mother should receive RhoGam when the B. Start IV fluids.
baby is Rh-negative C. Place the infant in a knee-chest position
D. RhoGam prevents maternal antibody D. Provide 100% oxygen by face mask. - -
formation for future Rh-positive babies - - C. Place the infant in a knee-chest position
D. RhoGam prevents maternal antibody
formation for future Rh-positive babies
A one-day-old neonate develops a
cephalohematoma. The nurse should closely
A 6-week-old infant diagnosed with pyloric assess this neonate for which common
stenosis has recently developed projectile complication?
vomiting. Which assessment finding indicates to A. jaundice
