RN HESI Maternity Test Bank Exam 2026-2027 \| Most
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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?
Contractions decrease with walking.
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
B. provide a time for the parents to hold their infant in privacy
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A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate
of 3 grams/hour. How many ml/hour should the nurse program the infusion
pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How
should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam
technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
D. Place the infant in warm room and use a calm approach
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The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this
fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized every
4 hours to prevent urinary retention. The home health nurse notes that the
child has developed episodes of sneezing, urticaria, watery eyes, and a rash in
the diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings
include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints
of blurry vision and a severe frontal headache. Which medication should the
nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
D. Magnesium sulfate
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A client at 35-weeks gestation complains of a "pain whenever the baby moves."
On
assessment, the nurse notes the client's temperature to be 101.2F, with severe
abdominal or uterine tenderness on palpation. The nurse knows that these
findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
B. Chorioamnionitis
A male infant with a 2-day history of fever and diarrhea is brought to a clinic by
his
mother who tells the nurse that the child refuses to drink anything. The nurse
determines that the child has a weak cry with no tears. Which prescription is
most important to
implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket
B. Infuse normal saline intravenously
A 6-month old child who had a cleft-lip repair has elbow restraints in place.
What nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at all
times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises
D. remove restraints one at a time to provide ROM exercises
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