HESI RN MATERNITY ASSIGNMENT
EXAM QUETSIONS WITH VERIFIED
ANSWERS
A female client who wants to deliver at home asks the nurse to explain the role of a
nurse-midwife in providing obstetric care. What information should the nurse provide?
-birth in the home setting is the preference for a using a midwife for delivery
-the pregnancy should progress normally and be considered low risk
-natural child birth without analgesia is used to manage pain during labor
-an obstetrician should also follow the client during pregnancy - Answer-B. The
pregnancy should progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which
situation should the nurse include about the safety of a home birth?
-only the woman and her midwife should be present during the delivery
-the woman should live no more than 15 min from the hospital
-the woman's extended family should be allowed to attend the home birth
-medical backup should be available quickly in case of complications - Answer-D.
Medical backup should be available quickly in case of complications
The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the
second stage of labor. Which position should the nurse address the best advantage of
gravity during delivery?
-walking
-squatting
-kneeling
-lithotomy - Answer-B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is twice
the normal adult breathing rate. The client complains of feeling light headed, dizzy, and
states that her fingers are tingling. What action should the nurse implement?
-notify the HCP
-help her breathe into a paper bag
-administer oxygen via nasal cannula
-tell the client to show her breathing - Answer-B. Help her breathe into a paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
After reviewing the fetal monitor strip for fetal disturbance, what action should the nurse
take?
-escort the client to the bathroom
-offer the client a bed pan
,-perform a nitrazine test
-clean the perineal area - Answer-C. Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted.
The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this information,
what action should the nurse implement?
-notify HCP
-bring delivery table to room
-prepare to administer oxytocin
-document findings - Answer-D. Document the findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture. What
action should the nurse implement first?
-prepare client for imminent birth
-asses FHR and pattern
-document characteristics of fluid
-notify HCP - Answer-B. Assess the fetal heart rate and pattern
Which action should the nurse implement caring for a newborn immediately after birth?
-keep newborn airway clear
-foster parent-newborn attachment
-administer eye prophylaxis and vitamin k
-dry the newborn and wrapping in blanket - Answer-A. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4 hours
ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes.
What action should the nurse implement next?
-perform fundal massage
-assess bp
-notify the HCP
-encourage the client to void - Answer-A. Perform fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings should
the nurse assess further? (Select all that apply) - Answer-B. Chest breathing with nasal
flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy?
-reposition every 6 hr
-place eye shield over eyes
-limit intake of formula
-apply oil based lotion to skin - Answer-B. Place an eyeshield over the eyes
, Which finding indicates to the nurse that a 4 day old infant is receiving adequate breast
milk?
-gain 1-2 oz per week
-saturates 6-8 diapers per day
-rests for 6 hours b/w feedings
-defecates at least once per 24 hours - Answer-B. Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released from
the hospital after placement of cerclage. Which instruction is the most important for the
client to understand?
-plan for a possible cesarean birth
-arrange for home uterine monitoring
-make arrangements for care at home
-report uterine cramping or low backache - Answer-D. Report uterine cramping or low
backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a complaint of
bright red, painless vaginal bleeding. For which diagnostic procedure should the nurse
prepare the client?
-contraction stress test
-internal fetal monitoring
-abdominal ultrasound
-lecithin-sphingmyelin ratio - Answer-C. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-gestational
diabetes. What is the most important factor affecting this client's pregnancy outcome?
-mothers age
-amount of insulin required prenatally
-degree of glycemic control during pregnancy
-number of years since diabetes was diagnosed - Answer-C. Degree of glycemic control
during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer?
-oxytocin
-ibuprofen
-fentanyl
-hemabate - Answer-A. Oxytocin (Pitocin)
The nurse is assisting with the insertion of a pulmonary artery catheter (PAC) for a client
at 32 weeks gestation who has severe preeclampsia with pulmonary edema. What
action should the nurse implement?
-assess fetal response to procedure
-note any complaint of sudden chest pain
-monitor for premature ventricular contractions
EXAM QUETSIONS WITH VERIFIED
ANSWERS
A female client who wants to deliver at home asks the nurse to explain the role of a
nurse-midwife in providing obstetric care. What information should the nurse provide?
-birth in the home setting is the preference for a using a midwife for delivery
-the pregnancy should progress normally and be considered low risk
-natural child birth without analgesia is used to manage pain during labor
-an obstetrician should also follow the client during pregnancy - Answer-B. The
pregnancy should progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which
situation should the nurse include about the safety of a home birth?
-only the woman and her midwife should be present during the delivery
-the woman should live no more than 15 min from the hospital
-the woman's extended family should be allowed to attend the home birth
-medical backup should be available quickly in case of complications - Answer-D.
Medical backup should be available quickly in case of complications
The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the
second stage of labor. Which position should the nurse address the best advantage of
gravity during delivery?
-walking
-squatting
-kneeling
-lithotomy - Answer-B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is twice
the normal adult breathing rate. The client complains of feeling light headed, dizzy, and
states that her fingers are tingling. What action should the nurse implement?
-notify the HCP
-help her breathe into a paper bag
-administer oxygen via nasal cannula
-tell the client to show her breathing - Answer-B. Help her breathe into a paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
After reviewing the fetal monitor strip for fetal disturbance, what action should the nurse
take?
-escort the client to the bathroom
-offer the client a bed pan
,-perform a nitrazine test
-clean the perineal area - Answer-C. Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted.
The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this information,
what action should the nurse implement?
-notify HCP
-bring delivery table to room
-prepare to administer oxytocin
-document findings - Answer-D. Document the findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture. What
action should the nurse implement first?
-prepare client for imminent birth
-asses FHR and pattern
-document characteristics of fluid
-notify HCP - Answer-B. Assess the fetal heart rate and pattern
Which action should the nurse implement caring for a newborn immediately after birth?
-keep newborn airway clear
-foster parent-newborn attachment
-administer eye prophylaxis and vitamin k
-dry the newborn and wrapping in blanket - Answer-A. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4 hours
ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes.
What action should the nurse implement next?
-perform fundal massage
-assess bp
-notify the HCP
-encourage the client to void - Answer-A. Perform fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings should
the nurse assess further? (Select all that apply) - Answer-B. Chest breathing with nasal
flaring
C. Diaphragmatic with chest retraction
F. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy?
-reposition every 6 hr
-place eye shield over eyes
-limit intake of formula
-apply oil based lotion to skin - Answer-B. Place an eyeshield over the eyes
, Which finding indicates to the nurse that a 4 day old infant is receiving adequate breast
milk?
-gain 1-2 oz per week
-saturates 6-8 diapers per day
-rests for 6 hours b/w feedings
-defecates at least once per 24 hours - Answer-B. Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released from
the hospital after placement of cerclage. Which instruction is the most important for the
client to understand?
-plan for a possible cesarean birth
-arrange for home uterine monitoring
-make arrangements for care at home
-report uterine cramping or low backache - Answer-D. Report uterine cramping or low
backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a complaint of
bright red, painless vaginal bleeding. For which diagnostic procedure should the nurse
prepare the client?
-contraction stress test
-internal fetal monitoring
-abdominal ultrasound
-lecithin-sphingmyelin ratio - Answer-C. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-gestational
diabetes. What is the most important factor affecting this client's pregnancy outcome?
-mothers age
-amount of insulin required prenatally
-degree of glycemic control during pregnancy
-number of years since diabetes was diagnosed - Answer-C. Degree of glycemic control
during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer?
-oxytocin
-ibuprofen
-fentanyl
-hemabate - Answer-A. Oxytocin (Pitocin)
The nurse is assisting with the insertion of a pulmonary artery catheter (PAC) for a client
at 32 weeks gestation who has severe preeclampsia with pulmonary edema. What
action should the nurse implement?
-assess fetal response to procedure
-note any complaint of sudden chest pain
-monitor for premature ventricular contractions
