HESI-MATERNITY & PEDIATRICS
1. A breastfeeding postpartum client is diagnosed with mastitis, and antibi-
otic therapy is prescribed. Which instruction should the nurse provide to
this client?: Breastfeed the infant, ensuring that both breasts are
completely emptied.
2. An insulin-dependent client with gestational diabetes mellitus is in the
second stage of labor. What supplies will the delivery nurse gather for
care of the newborn? (Select all that apply.): Erythromycin ointment
Scale
Measuring
tape
Blood glucose testing kit
3. A client is admitted to the hospital at 28 weeks of gestation in preterm
labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg
subcutaneously. Which side effects will the nurse anticipate for this
client? (Select all that apply.): Feeling of nervousness
Tachycardi
a
,Restlessnes
s
4. The nurse is interviewing a newly pregnancy client who is 16-years old.
Which client statement indicates teaching is necessary for a safe
pregnan- cy? (Select all that apply.): "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
5. The nurse is preparing to administer an IV pain medication to a
client in labor. What will the nurse include in this client's plan of care
related to
the administration of the medication? (Select all that apply.): Administer
the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to
administering the pain medication.
6. The nurse is providing care to a laboring client with a GTPAL of 75015.
The client reports contractions every 2 to 8 minutes, of moderate intensity,
for the past 6 hours. Her cervical exam upon admission is 4/0/75%, and
membranes are intact. In the next 20 minutes, what supplies will the nurse
gather for this client? (Select all that apply.): Amnihook
,1000 mL of D5LR
Oxytocin
7. The nurse is providing care to a postpartum client with O negative blood
who is antibody positive. The newborn is O negative. What is the best
nursing action for this client?: Ask the mother if she desires any more
children.
, 8. The nurse is preparing a newborn for discharge. There is an order for
a hepatitis B vaccination prior to discharge. When planning to administer
the vaccination, what information must the nurse obtain from the infants
chart?: Site of the vitamin K injection
9. The nurse instructs a laboring client to use accelerated blow breathing.
The client begins to complain of tingling fingers and dizziness. Which
action should the nurse take next?: Have the client breathe into her
cupped hands.
10.The nurse is counseling a couple who has sought information about
con- ceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?: Two weeks before
menstruation
11.A mother expresses fear about changing the infant's diaper after
circum- cision. What information should the nurse include in the teaching
plan?: - Place petroleum ointment around the glans with each diaper
change and cleans- ing.
12.The clinic nurse takes a phone call from a client who reports she is at
12 weeks gestation. Which statements indicate to the nurse the client may
1. A breastfeeding postpartum client is diagnosed with mastitis, and antibi-
otic therapy is prescribed. Which instruction should the nurse provide to
this client?: Breastfeed the infant, ensuring that both breasts are
completely emptied.
2. An insulin-dependent client with gestational diabetes mellitus is in the
second stage of labor. What supplies will the delivery nurse gather for
care of the newborn? (Select all that apply.): Erythromycin ointment
Scale
Measuring
tape
Blood glucose testing kit
3. A client is admitted to the hospital at 28 weeks of gestation in preterm
labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg
subcutaneously. Which side effects will the nurse anticipate for this
client? (Select all that apply.): Feeling of nervousness
Tachycardi
a
,Restlessnes
s
4. The nurse is interviewing a newly pregnancy client who is 16-years old.
Which client statement indicates teaching is necessary for a safe
pregnan- cy? (Select all that apply.): "I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes."
5. The nurse is preparing to administer an IV pain medication to a
client in labor. What will the nurse include in this client's plan of care
related to
the administration of the medication? (Select all that apply.): Administer
the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to
administering the pain medication.
6. The nurse is providing care to a laboring client with a GTPAL of 75015.
The client reports contractions every 2 to 8 minutes, of moderate intensity,
for the past 6 hours. Her cervical exam upon admission is 4/0/75%, and
membranes are intact. In the next 20 minutes, what supplies will the nurse
gather for this client? (Select all that apply.): Amnihook
,1000 mL of D5LR
Oxytocin
7. The nurse is providing care to a postpartum client with O negative blood
who is antibody positive. The newborn is O negative. What is the best
nursing action for this client?: Ask the mother if she desires any more
children.
, 8. The nurse is preparing a newborn for discharge. There is an order for
a hepatitis B vaccination prior to discharge. When planning to administer
the vaccination, what information must the nurse obtain from the infants
chart?: Site of the vitamin K injection
9. The nurse instructs a laboring client to use accelerated blow breathing.
The client begins to complain of tingling fingers and dizziness. Which
action should the nurse take next?: Have the client breathe into her
cupped hands.
10.The nurse is counseling a couple who has sought information about
con- ceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?: Two weeks before
menstruation
11.A mother expresses fear about changing the infant's diaper after
circum- cision. What information should the nurse include in the teaching
plan?: - Place petroleum ointment around the glans with each diaper
change and cleans- ing.
12.The clinic nurse takes a phone call from a client who reports she is at
12 weeks gestation. Which statements indicate to the nurse the client may
