RN HESI MATERNITY QUESTIONS WITH
VERIFIED CORRECT ANSWERS.
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time? - CorreCt Answers -Contractions decrease with walking.
A nurse receives a shift change report for a newborn who is 12 hours post-
vaginal delivery. In developing a plan of care, the nurse should give the
highest priority to which finding?
A. Cyanosis of the hands and feet
B. Skin color that is slightly jaundiced
C. Tiny white papules on the nose or chin
D. Red patches on the cheeks and trunk - CorreCt Answers -B. Skin color
that is slightly jaundiced
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny-looking head." Which
response by the nurse is best?
A. "This is not an unusually shaped head, especially for a first baby."
B. "It may look odd, but newborn babies are often born with heads like
that."
,C. "That is normal. The head will return to a round shape within 7 to 10
days."
D. "Your pelvis was too small, so the head had to adjust to the birth canal." -
CorreCt Answers -C. "That is normal. The head will return to a round shape
within 7 to 10 days."
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this
client?
A. Breastfeed the infant, ensuring that both breasts are completely emptied.
B. Feed expressed breast milk to avoid the pain of the infant latching onto
the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic
effect on the infant. - CorreCt Answers -A. Breastfeed the infant, ensuring
that both breasts are completely emptied.
The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - CorreCt Answers -A.
Avoid alcohol because it is excreted in breast milk.
The client comes to the hospital assuming she is in labor. Which
assessment finding(s) by the nurse would indicate that the client is in true
labor? (Select all that apply.)
,A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - CorreCt Answers -A. Pain in
the lower back that radiates to abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - CorreCt
Answers -C. Ensure that the baby is positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent
infection.
C. Place petroleum ointment around the glans with each diaper change and
cleansing.
, D. Apply pressure by squeezing the penis with the fingers for 5 minutes if
bleeding occurs. - CorreCt Answers -C. Place petroleum ointment around
the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her
mind." He states that she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
much. Which recommendation should the nurse make to this expectant
father?
A. Suggest that his wife seek professional counseling to deal with her
symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - CorreCt
Answers -D. Reassure him that normal maternal-fetal bonding is occurring.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses
the parents in the grieving process which intervention is most for the nurse
to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy - CorreCt Answers -B. provide a
time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
VERIFIED CORRECT ANSWERS.
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time? - CorreCt Answers -Contractions decrease with walking.
A nurse receives a shift change report for a newborn who is 12 hours post-
vaginal delivery. In developing a plan of care, the nurse should give the
highest priority to which finding?
A. Cyanosis of the hands and feet
B. Skin color that is slightly jaundiced
C. Tiny white papules on the nose or chin
D. Red patches on the cheeks and trunk - CorreCt Answers -B. Skin color
that is slightly jaundiced
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny-looking head." Which
response by the nurse is best?
A. "This is not an unusually shaped head, especially for a first baby."
B. "It may look odd, but newborn babies are often born with heads like
that."
,C. "That is normal. The head will return to a round shape within 7 to 10
days."
D. "Your pelvis was too small, so the head had to adjust to the birth canal." -
CorreCt Answers -C. "That is normal. The head will return to a round shape
within 7 to 10 days."
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this
client?
A. Breastfeed the infant, ensuring that both breasts are completely emptied.
B. Feed expressed breast milk to avoid the pain of the infant latching onto
the infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D. Dilute expressed breast milk with sterile water to reduce the antibiotic
effect on the infant. - CorreCt Answers -A. Breastfeed the infant, ensuring
that both breasts are completely emptied.
The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. - CorreCt Answers -A.
Avoid alcohol because it is excreted in breast milk.
The client comes to the hospital assuming she is in labor. Which
assessment finding(s) by the nurse would indicate that the client is in true
labor? (Select all that apply.)
,A. Pain in the lower back that radiates to abdomen
B. Contractions decreased in frequency with ambulation
C. Progressive cervical dilation and effacement
D. Discomfort localized in the abdomen
E. Regular and rhythmic painful contractions - CorreCt Answers -A. Pain in
the lower back that radiates to abdomen
C. Progressive cervical dilation and effacement
E. Regular and rhythmic painful contractions
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective in preventing nipple soreness?
A. Wear a cotton bra with nonbinding support.
B. Increase nursing time gradually over several days.
C. Ensure that the baby is positioned correctly for latching on.
D. Manually express a small amount of milk before nursing. - CorreCt
Answers -C. Ensure that the baby is positioned correctly for latching on.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the teaching
plan?
A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B. Wash off the yellow exudate on the glans once every day to prevent
infection.
C. Place petroleum ointment around the glans with each diaper change and
cleansing.
, D. Apply pressure by squeezing the penis with the fingers for 5 minutes if
bleeding occurs. - CorreCt Answers -C. Place petroleum ointment around
the glans with each diaper change and cleansing.
An expectant father tells the nurse he fears that his wife "is losing her
mind." He states that she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
much. Which recommendation should the nurse make to this expectant
father?
A. Suggest that his wife seek professional counseling to deal with her
symptoms.
B. Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D. Reassure him that normal maternal-fetal bonding is occurring. - CorreCt
Answers -D. Reassure him that normal maternal-fetal bonding is occurring.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses
the parents in the grieving process which intervention is most for the nurse
to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy - CorreCt Answers -B. provide a
time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
