HESI Obstetrics/Maternity Practice Exam
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of the gravid client? - ANSA. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the
nurse that her feet have begun to swell. Which instruction would be most effective in preventing
pooling of blood in the lower extremities? - ANSC. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce
infants who have - ANSB. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate? - ANSC. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction
is most effective to prevent nipple soreness? - ANSC. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important
for the nurse to receive when planning immediate care for the newborn? - ANSB. Infant's
condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information
about when the parents can expect the infant's fontanels to close. The nurse bases the
explanation on knowledge that for the normal newborn, the - ANSD. anterior fontanel closes at
12-18 mos and the posterior fontanel by the end of the second month.
When assessing a client who is 12-weeks gestation, the nurse recommends the she and her
husband consider attending childbirth preparation classes.
What is the best time for the couple to attend these classes? - ANSD. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - ANSC. the cervix is
completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching
purposes, the nurse should know that ovulation usually occurs - ANSA. two weeks before
menstruation.
, The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take? - ANSC. have the
client breath into her cupped hands
When preparing a newborn care for expectant parents, what content should the nurse teach
concerning the newborn infant born at term gestation? - ANSC. Vernix is a white, cheesy
substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops
localized edema on the right side of his head. The nurse knows that, in the newborn, an
accumulation of blood between the periosteum and skull which does not cross the suture line is
a newborn variation known as - ANSA. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the
baby when it moves too much. What recommendation should the nurse make to the expectant
father? - ANSD. Let him know that these behaviors are part of normal maternal/fetal bonding
which occurs once the mother feels fetal movement.
A new mother asks the nurse, "How do I know my daughter is getting enough breast milk?
Which explanation will the nurse provide? - ANSB. "your milk is sufficient if the baby is voiding
pale straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery
room. She has a funny looking head". Which response by the nurse is the best? - ANSC. That is
normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum
unit. Which nursing plan is best in assisting the mother to bond with her newborn infant? -
ANSD. Meet the mother's physical needs and demonstrate warmth toward the infant.
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
complaint would indicate to the nurse that the woman's fallopian tubes are patent? - ANSC.
shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?" - ANSA. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant
for the first time? - ANSB. Her arms and hands receive the infant and she ten traces the infant's
profile with her fingertips.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of the gravid client? - ANSA. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the
nurse that her feet have begun to swell. Which instruction would be most effective in preventing
pooling of blood in the lower extremities? - ANSC. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke during pregnancy tend to produce
infants who have - ANSB. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate? - ANSC. Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction
is most effective to prevent nipple soreness? - ANSC. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important
for the nurse to receive when planning immediate care for the newborn? - ANSB. Infant's
condition at birth and treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information
about when the parents can expect the infant's fontanels to close. The nurse bases the
explanation on knowledge that for the normal newborn, the - ANSD. anterior fontanel closes at
12-18 mos and the posterior fontanel by the end of the second month.
When assessing a client who is 12-weeks gestation, the nurse recommends the she and her
husband consider attending childbirth preparation classes.
What is the best time for the couple to attend these classes? - ANSD. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when - ANSC. the cervix is
completely dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching
purposes, the nurse should know that ovulation usually occurs - ANSA. two weeks before
menstruation.
, The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take? - ANSC. have the
client breath into her cupped hands
When preparing a newborn care for expectant parents, what content should the nurse teach
concerning the newborn infant born at term gestation? - ANSC. Vernix is a white, cheesy
substance, predominately located in the skin folds.
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops
localized edema on the right side of his head. The nurse knows that, in the newborn, an
accumulation of blood between the periosteum and skull which does not cross the suture line is
a newborn variation known as - ANSA. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is
constantly rubbing her abdomen and talking to the baby and that she actually reprimands the
baby when it moves too much. What recommendation should the nurse make to the expectant
father? - ANSD. Let him know that these behaviors are part of normal maternal/fetal bonding
which occurs once the mother feels fetal movement.
A new mother asks the nurse, "How do I know my daughter is getting enough breast milk?
Which explanation will the nurse provide? - ANSB. "your milk is sufficient if the baby is voiding
pale straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery
room. She has a funny looking head". Which response by the nurse is the best? - ANSC. That is
normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum
unit. Which nursing plan is best in assisting the mother to bond with her newborn infant? -
ANSD. Meet the mother's physical needs and demonstrate warmth toward the infant.
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
complaint would indicate to the nurse that the woman's fallopian tubes are patent? - ANSC.
shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?" - ANSA. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant
for the first time? - ANSB. Her arms and hands receive the infant and she ten traces the infant's
profile with her fingertips.
