HESI OBSTETRICS/MATERNITY PRACTICE Questions
with 100% Verified Answers
Which nursing intervention is most helpful in e. Disinterest in the infant - ANSWER -a.
relieving postpartum uterine contractions or Mood swings
"afterpains?" c. Tearfulness
a. Lying prone with a pillow on the abdomen
b. Using a breast pump "Postpartum blues" is a common emotional
c. Massaging the abdomen response related to the rapid decrease in
d. Giving oxytocic medications - ANSWER - placental hormones after delivery and include
a. Lying prone with a pillow on the abdomen mood swings (A), tearfulness (C), feeling low,
emotional, and fatigued.
Lying prone (A) keeps the fundus contracted and
is especially useful with multiparas, who
commonly experience afterpains due to lack of
uterine tone. A client at 30-weeks gestation, complaining of
pressure over the pubic area, is admitted for
observation. She is contracting irregularly and
demonstrates underlying uterine irritability.
A multigravida client arrives at the labor and Vaginal examination reveals that her cervix is
delivery unit and tells the nurse that her bag of closed, thick, and high. Based on these data,
water has broken. The nurse identifies the which intervention should the nurse implement
presence of meconium fluid on the perineum and first?
determines the fetal heart rate is between 140 to a. Provide oral hydration
150 beats/minute. What action should the nurse b. Have a complete blood count (CBC) drawn
implement next? c. Obtain a specimen for urine analysis
a. Ccmplete a sterile vaginal exam d. Place the client on strict bedrest -
b. Take maternal temperature every 2 hours ANSWER -c. Obtain a specimen for urine
c. Prepare for an immediate cesarean birth analysis
d. Obtain sterile suction equipment -
ANSWER -a. Complete a sterile vaginal Obtaining a urine analysis (C) should be done
exam first because preterm clients with uterine
irritability and contractions are often suffering
A vaginal exam (A) should be performed after the from a urinary tract infection, and this should be
rupture of membranes to determine the presence ruled out first.
of a prolapsed cord.
A client in active labor complains of cramps in her
When explaining "postpartum blues" to a client leg. What intervention should the nurse
who is 1 day postpartum, which symptoms implement?
should the nurse include in the teaching plan? a. Ask the client if she takes a daily calcium tablet
(Select all that apply.) b. Extend the leg and dorsiflex the foot
a. Mood swings c. Lower the leg off the side of the bed
b. Panic attacks d. Elevate the leg above the heart -
c. Tearfulness ANSWER -b. Extend the leg and dorsiflex
d. Decreased need for sleep the foot
, HESI RN Maternity Exam Test Questions with
100% Verified Answers
In most women, the BBT drops slightly 24 to 36
Dorsiflexing the foot by puching the sole of the hours before ovulation and rises 24 to 72 hours
foot forward or by stnading (if the client is after ovulation, when the corpus luteum of the
capable) (B), and putting the heel of the foot on ruptured ovary produces progesterone.
the floor is the best means of relieving leg Therefore, intercourse between the time of the
cramps. temperature fall and rise (A) is the best time for
conception.
The nurse is caring for a woman with a
previously diagnosed heart disease who is in the A client who is in the second trimester of
second stage of labor. Which assessment pregnancy tells the nurse that she wants to use
findings are of greatest concern? herbal therapy. Which response is best for the
a. edema, basilar rales, and an irregular pulse nurse to provide?
b. Increased urinary output, and tachycardia a. Herbs are a corner stone of good health to
c. Shortness of breath, bradycardia, and include in your treatment
hypertension b. Touch is also therapeutic in relieving
d. Regular heart rate, and hypertension - discomfort and anxiety
ANSWER -a. Edema, basilar rales, and an c. Your healthcare provider should direct
irregular pulse treatment options for herbal therapy
d. It is important that you want to take part in your
Edema, basilar rales, and an irregular pulse (A) care - ANSWER -d. It is important that you
indicate cardiac decompensation and require want to take part in your care
immediate intervention.
The emphasis of alternative and complementary
therapies, such as herbal therapy, is that the
client is viewed as a whole being, capable of
The nurse is teaching a woman how to use her decision-making and an integral part of the health
basal body temperature (BBT) pattern as a tool care team, so (D) recognizes the client's request.
to assist her in conceiving a child. Which
temperature pattern indicates the occurrence of
ovulation, and therefor, the best time for
intercourse to ensure conception? A mother who is breastfeeding her baby receives
a. Between the time the temperature falls and instructions from the nurse. Which instruction is
rises most effective to prevent nipple soreness?
b. Between 36 and 48 hours after the a. Wear a cotton bra
temperature rises b. Increase nursing time gradually
c. When the temperature falls and remains low c. Correctly place the infant on the breast
for 36 hours d. Manually express a small amount of milk
d. Within 72 hours before the temperature falls - before nursing - ANSWER -c. Correctly
ANSWER -a. Between the time the place the infant on the breast
temperature falls and rises
The most common cause of nipple soreness is
with 100% Verified Answers
Which nursing intervention is most helpful in e. Disinterest in the infant - ANSWER -a.
relieving postpartum uterine contractions or Mood swings
"afterpains?" c. Tearfulness
a. Lying prone with a pillow on the abdomen
b. Using a breast pump "Postpartum blues" is a common emotional
c. Massaging the abdomen response related to the rapid decrease in
d. Giving oxytocic medications - ANSWER - placental hormones after delivery and include
a. Lying prone with a pillow on the abdomen mood swings (A), tearfulness (C), feeling low,
emotional, and fatigued.
Lying prone (A) keeps the fundus contracted and
is especially useful with multiparas, who
commonly experience afterpains due to lack of
uterine tone. A client at 30-weeks gestation, complaining of
pressure over the pubic area, is admitted for
observation. She is contracting irregularly and
demonstrates underlying uterine irritability.
A multigravida client arrives at the labor and Vaginal examination reveals that her cervix is
delivery unit and tells the nurse that her bag of closed, thick, and high. Based on these data,
water has broken. The nurse identifies the which intervention should the nurse implement
presence of meconium fluid on the perineum and first?
determines the fetal heart rate is between 140 to a. Provide oral hydration
150 beats/minute. What action should the nurse b. Have a complete blood count (CBC) drawn
implement next? c. Obtain a specimen for urine analysis
a. Ccmplete a sterile vaginal exam d. Place the client on strict bedrest -
b. Take maternal temperature every 2 hours ANSWER -c. Obtain a specimen for urine
c. Prepare for an immediate cesarean birth analysis
d. Obtain sterile suction equipment -
ANSWER -a. Complete a sterile vaginal Obtaining a urine analysis (C) should be done
exam first because preterm clients with uterine
irritability and contractions are often suffering
A vaginal exam (A) should be performed after the from a urinary tract infection, and this should be
rupture of membranes to determine the presence ruled out first.
of a prolapsed cord.
A client in active labor complains of cramps in her
When explaining "postpartum blues" to a client leg. What intervention should the nurse
who is 1 day postpartum, which symptoms implement?
should the nurse include in the teaching plan? a. Ask the client if she takes a daily calcium tablet
(Select all that apply.) b. Extend the leg and dorsiflex the foot
a. Mood swings c. Lower the leg off the side of the bed
b. Panic attacks d. Elevate the leg above the heart -
c. Tearfulness ANSWER -b. Extend the leg and dorsiflex
d. Decreased need for sleep the foot
, HESI RN Maternity Exam Test Questions with
100% Verified Answers
In most women, the BBT drops slightly 24 to 36
Dorsiflexing the foot by puching the sole of the hours before ovulation and rises 24 to 72 hours
foot forward or by stnading (if the client is after ovulation, when the corpus luteum of the
capable) (B), and putting the heel of the foot on ruptured ovary produces progesterone.
the floor is the best means of relieving leg Therefore, intercourse between the time of the
cramps. temperature fall and rise (A) is the best time for
conception.
The nurse is caring for a woman with a
previously diagnosed heart disease who is in the A client who is in the second trimester of
second stage of labor. Which assessment pregnancy tells the nurse that she wants to use
findings are of greatest concern? herbal therapy. Which response is best for the
a. edema, basilar rales, and an irregular pulse nurse to provide?
b. Increased urinary output, and tachycardia a. Herbs are a corner stone of good health to
c. Shortness of breath, bradycardia, and include in your treatment
hypertension b. Touch is also therapeutic in relieving
d. Regular heart rate, and hypertension - discomfort and anxiety
ANSWER -a. Edema, basilar rales, and an c. Your healthcare provider should direct
irregular pulse treatment options for herbal therapy
d. It is important that you want to take part in your
Edema, basilar rales, and an irregular pulse (A) care - ANSWER -d. It is important that you
indicate cardiac decompensation and require want to take part in your care
immediate intervention.
The emphasis of alternative and complementary
therapies, such as herbal therapy, is that the
client is viewed as a whole being, capable of
The nurse is teaching a woman how to use her decision-making and an integral part of the health
basal body temperature (BBT) pattern as a tool care team, so (D) recognizes the client's request.
to assist her in conceiving a child. Which
temperature pattern indicates the occurrence of
ovulation, and therefor, the best time for
intercourse to ensure conception? A mother who is breastfeeding her baby receives
a. Between the time the temperature falls and instructions from the nurse. Which instruction is
rises most effective to prevent nipple soreness?
b. Between 36 and 48 hours after the a. Wear a cotton bra
temperature rises b. Increase nursing time gradually
c. When the temperature falls and remains low c. Correctly place the infant on the breast
for 36 hours d. Manually express a small amount of milk
d. Within 72 hours before the temperature falls - before nursing - ANSWER -c. Correctly
ANSWER -a. Between the time the place the infant on the breast
temperature falls and rises
The most common cause of nipple soreness is
