HESI PA 1 & 2 MATERNITY PRACTICE
EXAM
1. The nurse is planning care for a client at 30- weeks gestation who is experiencing preterm
labor. WhatAmater nal prescription is most important in preventing this fetus fromd
eveloping respiratory distress syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15Aminutes x3
2. Betamethasone (Celestone) 12Amg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1Amg IV push q2h PRN pain - CORRECT
ANSWER 2.AHESIAtextbook ref pg: 689
2. AAgravid client developsAmaternal hypotension following regiona l anesthesia.
Whatintervention(s) should the nurse implement? SelectAallAthe apply.
1. Administer oxygen
2. Assist the client to a sitting position
,3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination -
CORRECT ANSWER 1, 3, 4, 5,HESI textbook refA
pg: 348
. When assessing the integument of aA24 hourAold newborn, the nur se notes a pink
papularArashAwith superimposed vesicles on the thorax, back and
abdomen.AWhatAactionshould the nurse implem ent next?
1. document the finding asAerytherma toxicum
2. Notify theAhealthcare provider immediately
3. ObtainAaAculture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
,HESI textbook ref pg: 473
. AAclient at 28 weeks gestation experiences bluntAabdominal traum
a. Which parametershould the nurse assess first for signs of int ernal hemorrhage?
1. Vaginal bleeding
2. Complaints of abdominalApain
3. Changes in the fetalAheartArate patterns
4. Alteration in maternal blood pressure - CORRECT
ANSWERA3,HESI textbook ref pg: DavisAtextbook
refApg:
The healthcare provider prescribes a secondary infusion of Dextros e 5% in Water (D5W)50
mg IV with magnesium sulfate 4 grams/50 m L to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to deliverAhowAmany mL/h r?
(enter numeric value only. If rounding is required, roundAto the n earest whole number) -
CORRECT ANSWERA100 mL/hr
50 mL x 60 min = 3000 m
L/min 3000 mL / 30 minut es =
100mL/hrHESI textb ook ref pg:
, Davis textbook ref pg:
While assessing a newbornAthe nurse observes diffused edema of the softAissuesAof
thescalp that cross the suture lines. How should the nurse document this finding?
1. Cephalohematoma
2. Molding
3. Caput succedaneum
4. Hemangioma -
CORRECT ANSWER 3,HESI textbook ref pg:
Davis textbook ref pg:
Which client should the nurse reportAto the HCP asAneeding a prescription for Rh
immune Globulin (Rhogham)? - CORRECT ANSWER
PrimigravidaAmotherAwhoAis Rhnegative
HESI textbook ref pg:
Davis textbook ref pg:
AAclient inAlabor receivesAan epidural block. What interve ntionAshould
the nurseAimplement first? -
CORRECT ANSWER Monitor BP
EXAM
1. The nurse is planning care for a client at 30- weeks gestation who is experiencing preterm
labor. WhatAmater nal prescription is most important in preventing this fetus fromd
eveloping respiratory distress syndrome?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15Aminutes x3
2. Betamethasone (Celestone) 12Amg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1Amg IV push q2h PRN pain - CORRECT
ANSWER 2.AHESIAtextbook ref pg: 689
2. AAgravid client developsAmaternal hypotension following regiona l anesthesia.
Whatintervention(s) should the nurse implement? SelectAallAthe apply.
1. Administer oxygen
2. Assist the client to a sitting position
,3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination -
CORRECT ANSWER 1, 3, 4, 5,HESI textbook refA
pg: 348
. When assessing the integument of aA24 hourAold newborn, the nur se notes a pink
papularArashAwith superimposed vesicles on the thorax, back and
abdomen.AWhatAactionshould the nurse implem ent next?
1. document the finding asAerytherma toxicum
2. Notify theAhealthcare provider immediately
3. ObtainAaAculture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
,HESI textbook ref pg: 473
. AAclient at 28 weeks gestation experiences bluntAabdominal traum
a. Which parametershould the nurse assess first for signs of int ernal hemorrhage?
1. Vaginal bleeding
2. Complaints of abdominalApain
3. Changes in the fetalAheartArate patterns
4. Alteration in maternal blood pressure - CORRECT
ANSWERA3,HESI textbook ref pg: DavisAtextbook
refApg:
The healthcare provider prescribes a secondary infusion of Dextros e 5% in Water (D5W)50
mg IV with magnesium sulfate 4 grams/50 m L to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to deliverAhowAmany mL/h r?
(enter numeric value only. If rounding is required, roundAto the n earest whole number) -
CORRECT ANSWERA100 mL/hr
50 mL x 60 min = 3000 m
L/min 3000 mL / 30 minut es =
100mL/hrHESI textb ook ref pg:
, Davis textbook ref pg:
While assessing a newbornAthe nurse observes diffused edema of the softAissuesAof
thescalp that cross the suture lines. How should the nurse document this finding?
1. Cephalohematoma
2. Molding
3. Caput succedaneum
4. Hemangioma -
CORRECT ANSWER 3,HESI textbook ref pg:
Davis textbook ref pg:
Which client should the nurse reportAto the HCP asAneeding a prescription for Rh
immune Globulin (Rhogham)? - CORRECT ANSWER
PrimigravidaAmotherAwhoAis Rhnegative
HESI textbook ref pg:
Davis textbook ref pg:
AAclient inAlabor receivesAan epidural block. What interve ntionAshould
the nurseAimplement first? -
CORRECT ANSWER Monitor BP
