1|Page
HESI PN MATERNITY /HESI PN MATERNAL NEWBORN
ACTUAL EXAM 3 VERSIONS AND STUDY GUIDE
COMPLETE 600 QUESTIONS WITH DETAILED
VERIFIED ANSWERS /ALREADY GRADED A+
//LATEST EXAM!!!
During stage two of labor, what assessments must the
labor nurse perform? (Select all that apply.)
A. Fetal heart rate before the contraction
B. Fetal heart rate during the contraction
C. Fetal heart rate after the contraction
D. Frequency of contractions
E. Duration of contractions
F. Uterine tone between contractions - Answer-A, B, C, D,
E, F
The nurse must assess the fetal heart rate before, during
and after the contractions to determine the fetal response
to the contractions. Frequency may slow during the
second stage. Duration will help facilitate decent of the
presenting part. The uterine tone between contractions
,2|Page
should be soft to facilitate placental filling after the
contraction.
A 41-week multigravida is receiving oxytocin to augment
labor. Contractions are firm and occurring every 5 minutes,
with a 30- to 40-second duration. The fetal heart rate
increases with each contraction and returns to baseline
after the contraction. What is the next nursing action?
A. Place a wedge under the client's left side.
B. Determine cervical dilation and effacement.
C. Administer 10 L of oxygen via facemask.
D. Increase the rate of the oxytocin infusion. - Answer-D.
Increase the rate of the oxytocin infusion.
The goal of labor augmentation is to produce firm
contractions that occur every 2 to 3 minutes, with a
duration of 60 to 70 seconds, and without evidence of fetal
stress. FHR accelerations are a normal response to
contractions, so the oxytocin (Pitocin) infusion should be
increased per protocol to stimulate the frequency and
intensity of contractions. Options A and C are indicated for
fetal stress. A sterile vaginal examination places the client
at risk for infection and should be performed when the
,3|Page
client exhibits signs of progressing labor, which is not
indicated at this time.
The nurse is teaching a prenatal class about the structure
of the pelvis and is using a model of a pelvis in the
presentation. Which statements will the nurse include in
the teaching plan? (Select all that apply.)
A. "The baby has to pass through the true pelvis."
B. "The pelvis consists of three distinct features."
C. "The true pelvis is below the pelvic brim."
D. "The ischial spines determine how low the baby is
located."
E. "The shape of the pelvis does not impact the labor
process." - Answer-A, B, C, D
A gynecoid shape pelvis is the most favorable for birthing.
The remaining statements are true.
A 38-week primigravida works as an office assistant and
sits at a computer 8 hours each day. She tells the nurse
that her feet have begun to swell. Which instruction will aid
, 4|Page
in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B. Reduce salt in the diet.
C. Move about every hour.
D. Avoid constrictive clothing. - Answer-C. Move about
every hour.
Pooling of blood in the lower extremities results from the
enlarged uterus exerting pressure on the pelvic veins.
Moving about every hour will relieve pressure on the pelvic
veins and increase venous return. Option A would
increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option
B might be helpful with generalized edema but is not
specific for edematous lower extremities. Option D does
not address venous return, and there is no indication in
the question that constrictive clothing is a problem.
In developing a teaching plan for expectant parents, the
nurse decides to include information about when the
parents can expect the infant's fontanels to close. Which
statement is accurate regarding the timing of closure of an
HESI PN MATERNITY /HESI PN MATERNAL NEWBORN
ACTUAL EXAM 3 VERSIONS AND STUDY GUIDE
COMPLETE 600 QUESTIONS WITH DETAILED
VERIFIED ANSWERS /ALREADY GRADED A+
//LATEST EXAM!!!
During stage two of labor, what assessments must the
labor nurse perform? (Select all that apply.)
A. Fetal heart rate before the contraction
B. Fetal heart rate during the contraction
C. Fetal heart rate after the contraction
D. Frequency of contractions
E. Duration of contractions
F. Uterine tone between contractions - Answer-A, B, C, D,
E, F
The nurse must assess the fetal heart rate before, during
and after the contractions to determine the fetal response
to the contractions. Frequency may slow during the
second stage. Duration will help facilitate decent of the
presenting part. The uterine tone between contractions
,2|Page
should be soft to facilitate placental filling after the
contraction.
A 41-week multigravida is receiving oxytocin to augment
labor. Contractions are firm and occurring every 5 minutes,
with a 30- to 40-second duration. The fetal heart rate
increases with each contraction and returns to baseline
after the contraction. What is the next nursing action?
A. Place a wedge under the client's left side.
B. Determine cervical dilation and effacement.
C. Administer 10 L of oxygen via facemask.
D. Increase the rate of the oxytocin infusion. - Answer-D.
Increase the rate of the oxytocin infusion.
The goal of labor augmentation is to produce firm
contractions that occur every 2 to 3 minutes, with a
duration of 60 to 70 seconds, and without evidence of fetal
stress. FHR accelerations are a normal response to
contractions, so the oxytocin (Pitocin) infusion should be
increased per protocol to stimulate the frequency and
intensity of contractions. Options A and C are indicated for
fetal stress. A sterile vaginal examination places the client
at risk for infection and should be performed when the
,3|Page
client exhibits signs of progressing labor, which is not
indicated at this time.
The nurse is teaching a prenatal class about the structure
of the pelvis and is using a model of a pelvis in the
presentation. Which statements will the nurse include in
the teaching plan? (Select all that apply.)
A. "The baby has to pass through the true pelvis."
B. "The pelvis consists of three distinct features."
C. "The true pelvis is below the pelvic brim."
D. "The ischial spines determine how low the baby is
located."
E. "The shape of the pelvis does not impact the labor
process." - Answer-A, B, C, D
A gynecoid shape pelvis is the most favorable for birthing.
The remaining statements are true.
A 38-week primigravida works as an office assistant and
sits at a computer 8 hours each day. She tells the nurse
that her feet have begun to swell. Which instruction will aid
, 4|Page
in the prevention of pooling of blood in the lower
extremities?
A.Wear support stockings.
B. Reduce salt in the diet.
C. Move about every hour.
D. Avoid constrictive clothing. - Answer-C. Move about
every hour.
Pooling of blood in the lower extremities results from the
enlarged uterus exerting pressure on the pelvic veins.
Moving about every hour will relieve pressure on the pelvic
veins and increase venous return. Option A would
increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option
B might be helpful with generalized edema but is not
specific for edematous lower extremities. Option D does
not address venous return, and there is no indication in
the question that constrictive clothing is a problem.
In developing a teaching plan for expectant parents, the
nurse decides to include information about when the
parents can expect the infant's fontanels to close. Which
statement is accurate regarding the timing of closure of an
