3/9/26, 8:06
AM
MATERNITY - HESI : PN EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
During labor, the fetal heart rate slowly decelerates atD) 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. Continue to 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. She eagerly 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.
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,3/9/26, 8:06
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 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.
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,3/9/26, 8:06
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. Urine specimens for glucose and
protein must be obtained at certain
intervals throughout labor.
d. Frequentvoiding 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
complains of severe cramping after
breastfeeding her newborn. Which
explanation describes the most likely
reason for the client’s pain? Rationale:
During breastfeeding, oxytocin is released and will cause
uterine contractions
a. A retained placenta and cramping.
b. Problems with the process of involution
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, 3/9/26, 8:06
AM
c. The release of oxytocin hormone
d. A possible ileus
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AM
MATERNITY - HESI : PN EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)/GRADE A+ ASSURED
During labor, the fetal heart rate slowly decelerates atD) 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. Continue to 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. She eagerly 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/988346204/maternity-hesi-pn- 1/46
flash-cards/
,3/9/26, 8:06
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 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/988346204/maternity-hesi-pn- 2/46
flash-cards/
,3/9/26, 8:06
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. Urine specimens for glucose and
protein must be obtained at certain
intervals throughout labor.
d. Frequentvoiding 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
complains of severe cramping after
breastfeeding her newborn. Which
explanation describes the most likely
reason for the client’s pain? Rationale:
During breastfeeding, oxytocin is released and will cause
uterine contractions
a. A retained placenta and cramping.
b. Problems with the process of involution
https://quizlet.com/988346204/maternity-hesi-pn- 3/46
flash-cards/
, 3/9/26, 8:06
AM
c. The release of oxytocin hormone
d. A possible ileus
https://quizlet.com/988346204/maternity-hesi-pn- 4/46
flash-cards/
