HESI MATERNAL NEWBORN COMPLETE TEST
BANK FOR EXAM DOMINATION UPDATED
2026 GRADED A+
1. A 38-week primigravida who works as a secretary and sits at a computer for
8 hours each day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the lower
extremities? - CORRECT ANSWER -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 straighten
out the pelvic veins and increase venous return.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine)
0.25 mg subcutaneously to stop her labor contractions. The nurse plans to
monitor for which primary side effect of terbutaline sulfate? - CORRECT
ANSWER -Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-
adrenergic agonist properties of the drug may cause tachycardia, increased
cardiac output, restlessness, headache, and a feeling of "nervousness".
,When do the anterior and posterior fontanels close? - CORRECT ANSWER
-anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes? - CORRECT
ANSWER -30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would be
ready for such classes. Learning is facilitated by an interested pupil! The couple
is most interested in childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and the birth of
their child is an immediate concern.
The nurse should encourage the laboring client to begin pushing when. -
CORRECT ANSWER -the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never completely
dilate, necessitating an operative delivery. Many primigravida's begin active
labor 100% effaced and then proceed to dilate.
The nurse instructs a laboring client to use accelerated-blow breathing. The
client begins to complain of tingling fingers and dizziness. What action should
the nurse take? - CORRECT ANSWER -Have the client breathe into her
cupped hands
,Tingling fingers and dizziness are signs of hyperventilation (blowing off too
much carbon dioxide). Hyperventilation is treated by retaining carbon dioxide.
This can be facilitated by breathing into a paper bag or cupped hands.
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and
skull which does not cross the suture line is a newborn variation known as... -
CORRECT ANSWER -a cephalohematoma, caused by forceps trauma and
may last up to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull.
When does the head return to its normal shape - CORRECT ANSWER -7-
10 days
What did Nurse theorist Reva Rubin describe? - CORRECT ANSWER -
The initial postpartum period as the "taking-in phase," which is characterized by
maternal reliance on others to satisfy the needs for comfort, rest, nourishment,
and closeness to families and the newborn.
A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which post procedure complaint indicates
that the fallopian tubes are patent? - CORRECT ANSWER -Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub
diaphragmatic collection of peritoneal dye/gas.
, Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?" - CORRECT ANSWER -Lying prone with a
pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
Which maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time? - CORRECT ANSWER -Her arms and
hands receive the infant and she then traces the infant's profile with her
fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in during the first visit with the newborn, which may be at
delivery or later.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding indicates the therapeutic drug level has
been achieved? - CORRECT ANSWER -A decreased in respiratory rate
from 24 to 16
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.)
Urinary output must be monitored when administering magnesium sulfate and
should be at least 30 ml per hour. (The therapeutic level of magnesium sulfate
for a PIH client is 4.8 to 9.6 mg/dl.) What is the therapeutic level of magnesium
sulfate? - CORRECT ANSWER -The therapeutic level of magnesium
sulfate for a PIH client is 4.8 to 9.6 mg/dl.
BANK FOR EXAM DOMINATION UPDATED
2026 GRADED A+
1. A 38-week primigravida who works as a secretary and sits at a computer for
8 hours each day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the lower
extremities? - CORRECT ANSWER -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 straighten
out the pelvic veins and increase venous return.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine)
0.25 mg subcutaneously to stop her labor contractions. The nurse plans to
monitor for which primary side effect of terbutaline sulfate? - CORRECT
ANSWER -Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-
adrenergic agonist properties of the drug may cause tachycardia, increased
cardiac output, restlessness, headache, and a feeling of "nervousness".
,When do the anterior and posterior fontanels close? - CORRECT ANSWER
-anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
When assessing a client who is at 12-weeks gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes? - CORRECT
ANSWER -30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would be
ready for such classes. Learning is facilitated by an interested pupil! The couple
is most interested in childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and the birth of
their child is an immediate concern.
The nurse should encourage the laboring client to begin pushing when. -
CORRECT ANSWER -the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never completely
dilate, necessitating an operative delivery. Many primigravida's begin active
labor 100% effaced and then proceed to dilate.
The nurse instructs a laboring client to use accelerated-blow breathing. The
client begins to complain of tingling fingers and dizziness. What action should
the nurse take? - CORRECT ANSWER -Have the client breathe into her
cupped hands
,Tingling fingers and dizziness are signs of hyperventilation (blowing off too
much carbon dioxide). Hyperventilation is treated by retaining carbon dioxide.
This can be facilitated by breathing into a paper bag or cupped hands.
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and
skull which does not cross the suture line is a newborn variation known as... -
CORRECT ANSWER -a cephalohematoma, caused by forceps trauma and
may last up to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull.
When does the head return to its normal shape - CORRECT ANSWER -7-
10 days
What did Nurse theorist Reva Rubin describe? - CORRECT ANSWER -
The initial postpartum period as the "taking-in phase," which is characterized by
maternal reliance on others to satisfy the needs for comfort, rest, nourishment,
and closeness to families and the newborn.
A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which post procedure complaint indicates
that the fallopian tubes are patent? - CORRECT ANSWER -Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub
diaphragmatic collection of peritoneal dye/gas.
, Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?" - CORRECT ANSWER -Lying prone with a
pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
Which maternal behavior is the nurse most likely to see when a new mother
receives her infant for the first time? - CORRECT ANSWER -Her arms and
hands receive the infant and she then traces the infant's profile with her
fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in during the first visit with the newborn, which may be at
delivery or later.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the
symptoms. Which assessment finding indicates the therapeutic drug level has
been achieved? - CORRECT ANSWER -A decreased in respiratory rate
from 24 to 16
Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased
respiratory rate indicates that the drug is effective. (Respiratory rate below 12
indicates toxic effects.)
Urinary output must be monitored when administering magnesium sulfate and
should be at least 30 ml per hour. (The therapeutic level of magnesium sulfate
for a PIH client is 4.8 to 9.6 mg/dl.) What is the therapeutic level of magnesium
sulfate? - CORRECT ANSWER -The therapeutic level of magnesium
sulfate for a PIH client is 4.8 to 9.6 mg/dl.
