3/9/26, 8:04
AM
MATERNITY - HESI : PN EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED.
During labor, the fetal heart rate slowly decelerates at D) Continue to monitor the progress
of the client’s labor.
the beginning of the contraction and returns to
baseline at the end of the contraction. What action
should the nurse take? Rationale:
Early decelerations during labor are frequently
caused by head compression
a.Turn the mother to her left side. within the uterus, and no nursing intervention is
required except to monitor the
mother’s progress during labor.
b. Administer oxygen to the mother via face mask.
c. Notify
the health care
provider regarding the
findings.
d. Continueto monitor the
progress of the client’s labor.
Which maternal behavior is the practical nurse (PN) B) She receives the infant and
touches the infant’s face with her fingertips.
most likely to see when a new
mother receives her infant for the
first time?
Rationale:
a. Sheeagerly undresses the infant and examines the Attachment/bonding
theory indicates that most mothers will touch the infant’s infant completely. face
during the first visit with the newborn.
b. She
receives the infant and
touches the infant’s face with her
fingertips.
c. She reaches and cuddles the infant to her own body.
d. She reaches but hesitates
for the nurse’s
encouragement.
https://quizlet.com/626510524/maternity-hesi-pn- 1/50
flash-cards/
,3/9/26, 8:04
AM
A new father asks the practical nurse (PN) why C) Gonorrhea
ointment is instilled into the eyes
of his newborn infant. Which
infection should the PN identify
when
describing the purpose of this treatment? Rationale:
Erythromycin ointment is instilled into the lower
conjunctiva of each eye within
a. Herpes 2 hours after birth to prevent ophthalmia
neonatorum, an infection caused by gonorrhea,
and inclusion conjunctivitis, an infection caused by
Chlamydia.
b. Staphylococcus
c. Gonorrhea
d. Syphilis
The nurse is taking the temperature of a client who is A) Encourage fluids to increase
hydration.
6 hours postpartum. The nurse
notes that the client’s temperature
is 38° C (100.4° F). Which
intervention
should the nurse implement? Rationale:
It is normal for the postpartum client to have a temperature up to 38° C (100.4°
a. Encourage fluids to increase hydration. F) because of dehydration caused by labor.
The most appropriate intervention
is to encourage fluids to rehydrate the patient.
b. Recheck the temperature in 15 minutes.*Above 38° C (100.4° F) is critical
c. Place an ice pack on the client’s forehead.
d. Obtain a prescription for acetaminophen.
A newborn infant is breathing satisfactorily but C) Check the infant’s oxygen saturation
rate.
appears dusky. What action should
the practical nurse (PN) take
first?
Rationale:
a. Notify
the pediatrician immediately. The PN should first obtain measurable objective data;
an oxygen saturation
rate provides such information. The pediatrician
https://quizlet.com/626510524/maternity-hesi-pn- 2/50
flash-cards/
,3/9/26, 8:04
AM
should be notified if the
b. Suction the infant’s nares and then the oral cavity. oxygen saturation rate is below 90%.
c. Check the infant’s oxygen saturation rate.
d. Position the infant on the right side.
https://quizlet.com/626510524/maternity-hesi-pn- 3/50
flash-cards/
, 3/9/26, 8:04
AM
The practical nurse (PN) caring for a laboring client B) An overdistended bladder could
be traumatized during labor and could
encourages her to void at least every 2 hours and prolong the progress of labor.
records each time the client empties her bladder.
What is the rationale for implementing this nursing
intervention? Rationale:
A full bladder can impair the efficiency of the uterine
contractions and impede
a. Emptying the bladder during delivery is difficult descent of the fetus during
labor. Also, because of the close proximity of the because of the position of the
presenting fetal part bladder to the uterus, the bladder can be
traumatized by the descent of the
fetus.
b. An overdistended bladder could be traumatized
during labor and could prolong the progress of labor.
c. Urinespecimens for glucose and
protein must be obtained at
certain intervals throughout
labor.
d. Frequent voiding minimizes the need for
catheterization, which increases the
chance of bladder infection.
During a prenatal visit, the practical nurse (PN) B) Lower initial weight documented at
birth.
discusses with a client the effects
that smoking has on the fetus. The
nurse realizes the teaching is
effective
if the client identifies which possible effect on the Rationale:
fetus? Smoking is associated with low-birth-weight infants.
a. Lower Apgar score recorded at delivery.
b. Lower initial weight documented at birth.
c. Higher oxygen used to stimulate breathing.
d. Higher prevalence of congenital anomalies.
Following a vaginal delivery, a postpartum client C) The release of oxytocin hormone
https://quizlet.com/626510524/maternity-hesi-pn- 4/50
flash-cards/
AM
MATERNITY - HESI : PN EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED.
During labor, the fetal heart rate slowly decelerates at D) Continue to monitor the progress
of the client’s labor.
the beginning of the contraction and returns to
baseline at the end of the contraction. What action
should the nurse take? Rationale:
Early decelerations during labor are frequently
caused by head compression
a.Turn the mother to her left side. within the uterus, and no nursing intervention is
required except to monitor the
mother’s progress during labor.
b. Administer oxygen to the mother via face mask.
c. Notify
the health care
provider regarding the
findings.
d. Continueto monitor the
progress of the client’s labor.
Which maternal behavior is the practical nurse (PN) B) She receives the infant and
touches the infant’s face with her fingertips.
most likely to see when a new
mother receives her infant for the
first time?
Rationale:
a. Sheeagerly undresses the infant and examines the Attachment/bonding
theory indicates that most mothers will touch the infant’s infant completely. face
during the first visit with the newborn.
b. She
receives the infant and
touches the infant’s face with her
fingertips.
c. She reaches and cuddles the infant to her own body.
d. She reaches but hesitates
for the nurse’s
encouragement.
https://quizlet.com/626510524/maternity-hesi-pn- 1/50
flash-cards/
,3/9/26, 8:04
AM
A new father asks the practical nurse (PN) why C) Gonorrhea
ointment is instilled into the eyes
of his newborn infant. Which
infection should the PN identify
when
describing the purpose of this treatment? Rationale:
Erythromycin ointment is instilled into the lower
conjunctiva of each eye within
a. Herpes 2 hours after birth to prevent ophthalmia
neonatorum, an infection caused by gonorrhea,
and inclusion conjunctivitis, an infection caused by
Chlamydia.
b. Staphylococcus
c. Gonorrhea
d. Syphilis
The nurse is taking the temperature of a client who is A) Encourage fluids to increase
hydration.
6 hours postpartum. The nurse
notes that the client’s temperature
is 38° C (100.4° F). Which
intervention
should the nurse implement? Rationale:
It is normal for the postpartum client to have a temperature up to 38° C (100.4°
a. Encourage fluids to increase hydration. F) because of dehydration caused by labor.
The most appropriate intervention
is to encourage fluids to rehydrate the patient.
b. Recheck the temperature in 15 minutes.*Above 38° C (100.4° F) is critical
c. Place an ice pack on the client’s forehead.
d. Obtain a prescription for acetaminophen.
A newborn infant is breathing satisfactorily but C) Check the infant’s oxygen saturation
rate.
appears dusky. What action should
the practical nurse (PN) take
first?
Rationale:
a. Notify
the pediatrician immediately. The PN should first obtain measurable objective data;
an oxygen saturation
rate provides such information. The pediatrician
https://quizlet.com/626510524/maternity-hesi-pn- 2/50
flash-cards/
,3/9/26, 8:04
AM
should be notified if the
b. Suction the infant’s nares and then the oral cavity. oxygen saturation rate is below 90%.
c. Check the infant’s oxygen saturation rate.
d. Position the infant on the right side.
https://quizlet.com/626510524/maternity-hesi-pn- 3/50
flash-cards/
, 3/9/26, 8:04
AM
The practical nurse (PN) caring for a laboring client B) An overdistended bladder could
be traumatized during labor and could
encourages her to void at least every 2 hours and prolong the progress of labor.
records each time the client empties her bladder.
What is the rationale for implementing this nursing
intervention? Rationale:
A full bladder can impair the efficiency of the uterine
contractions and impede
a. Emptying the bladder during delivery is difficult descent of the fetus during
labor. Also, because of the close proximity of the because of the position of the
presenting fetal part bladder to the uterus, the bladder can be
traumatized by the descent of the
fetus.
b. An overdistended bladder could be traumatized
during labor and could prolong the progress of labor.
c. Urinespecimens for glucose and
protein must be obtained at
certain intervals throughout
labor.
d. Frequent voiding minimizes the need for
catheterization, which increases the
chance of bladder infection.
During a prenatal visit, the practical nurse (PN) B) Lower initial weight documented at
birth.
discusses with a client the effects
that smoking has on the fetus. The
nurse realizes the teaching is
effective
if the client identifies which possible effect on the Rationale:
fetus? Smoking is associated with low-birth-weight infants.
a. Lower Apgar score recorded at delivery.
b. Lower initial weight documented at birth.
c. Higher oxygen used to stimulate breathing.
d. Higher prevalence of congenital anomalies.
Following a vaginal delivery, a postpartum client C) The release of oxytocin hormone
https://quizlet.com/626510524/maternity-hesi-pn- 4/50
flash-cards/
