HESI A2 Exit Exam Maternity Practice
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports feeling
a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next? a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.: c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask
wen she could use a home pregnancy test to diagnose pregnancy. Which
response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation: a. a
home pregnancy test can be used right after your first missed period
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.: 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.: 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.: 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: 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.: 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.: 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.: 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.: 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.: 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.: 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.: -
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood
sample and initiates an IV. Thirty minutes after admission, the client reports feeling
a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48.
Which action should the nurse implement next? a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions.: c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask
wen she could use a home pregnancy test to diagnose pregnancy. Which
response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation: a. a
home pregnancy test can be used right after your first missed period
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.: 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.: 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.: 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: 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.: 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.: 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.: 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.: 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.: 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.: 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.: -
