HESI-MATERNITY & PEDIATRICS EXAM, ANSWERED
CORRECTLY UPDATED GUARANTEED PASS A+
SCORE REVIEW
A mother who is breastfeeding her baby receives instructions
from the nurse. Which instructions are most effective in
preventing nipple soreness? (select all that apply.)
Massage a small amount of medical-grade lanolin into the
nipple.
Ensure that the baby is positioned correctly for latching on.
The clinic nurse is performing a fundal height assessment on a
client in her third trimester. The client states to the nurse, "i
am feeling very dizzy when you are pressing on my belly."
what are the nurse's best actions to this comment? (select all
that apply.)
Turn the client to her left side.
State, "that is from your baby pressing down on your blood
vessels."
The nurse is preparing an infusion of oxytocin to induce labor
for a newly admitted client. The order reads, place 30 units of
oxytocin in 500 ml of normal saline and start at 1 ml/hour.
Increase by 1 ml every 30 minutes until contractions are every
3 to 4 minutes. Oxytoxin is packaged in a glass vial that reads,
,1 ml contains 10 units. What supplies will the nurse need to
gather to start the infusion? (select all that apply.)
Three vials of oxytocin
Alcohol wipe
Iv start kit
One or three ml syringe
The health care provider states to the nurse, the baby is in a
left occiput anterior (loa) position. The laboring client asks,
"what does that mean?" what descriptions will the nurse use
when teaching the client about the loa fetal position? (select
all that apply.)
"the baby's head is in your pelvis."
"that is the ideal fetal birthing position."
"the baby is looking down towards the floor"
The nurse is teaching a prenatal class about the structure of
the pelvis and is using a model of a pelvis in the presentation.
Which statements will the nurse include in the teaching plan?
(select all that apply.)
"the baby has to pass through the true pelvis."
"the pelvis consists of three distinct features."
"the true pelvis is below the pelvic brim."
,"the ischial spines determine how low the baby is located."
The nurse is providing care to a 1-hour-old infant. An
assessment of gestational age is performed and the nurse
estimates the age at 39 to 40 weeks. What findings will the
nurse document in the infant's chart? (select all that apply.)
Vernix in the creases of the neck
Labia majora covers the labia minora.
A client at 30 weeks of gestation is on bed rest at home
because of increased blood pressure. The home health nurse
has taught her how to take her own blood pressure and gave
her parameters to judge a significant increase in blood
pressure. When the client calls the clinic complaining of
indigestion, which instruction should the nurse provide?
Take your blood pressure now, and if it is seriously elevated,
go to the hospital.
A client in early labor is requesting pain medication. The health
care provider prescribes butorphanol 0.5 mg iv × 1 now. The
only butorphanol available is in a concentration of 2 mg/ml.
How many ml will the nurse deliver to the client?
, 0.25
A client at term presents to labor and delivery in spontaneous
labor; contractions are occurring every 3 to 4 minutes and
they are 60 seconds in duration. The client states to the nurse,
"i think i have a break out of my genital herpes." what actions
will the nurse take next? (select all that apply.)
Observe the client's perineum.
Contact the health care provider.
Assess ongoing acyclovir treatment.
A mother who is hiv-positive delivers a full-term newborn and
asks the nurse if her baby will become hiv infected. Which
explanation should the nurse provide?
Hiv infection is determined at 18 months of age, when maternal
hiv antibodies are no longer present.
The nurse is counseling a client who wants to become
pregnant. She tells the nurse that she has a 36-day menstrual
cycle and the first day of her last menstrual period was
january 8. When will the client's next fertile period occur?
January 29 to 30
CORRECTLY UPDATED GUARANTEED PASS A+
SCORE REVIEW
A mother who is breastfeeding her baby receives instructions
from the nurse. Which instructions are most effective in
preventing nipple soreness? (select all that apply.)
Massage a small amount of medical-grade lanolin into the
nipple.
Ensure that the baby is positioned correctly for latching on.
The clinic nurse is performing a fundal height assessment on a
client in her third trimester. The client states to the nurse, "i
am feeling very dizzy when you are pressing on my belly."
what are the nurse's best actions to this comment? (select all
that apply.)
Turn the client to her left side.
State, "that is from your baby pressing down on your blood
vessels."
The nurse is preparing an infusion of oxytocin to induce labor
for a newly admitted client. The order reads, place 30 units of
oxytocin in 500 ml of normal saline and start at 1 ml/hour.
Increase by 1 ml every 30 minutes until contractions are every
3 to 4 minutes. Oxytoxin is packaged in a glass vial that reads,
,1 ml contains 10 units. What supplies will the nurse need to
gather to start the infusion? (select all that apply.)
Three vials of oxytocin
Alcohol wipe
Iv start kit
One or three ml syringe
The health care provider states to the nurse, the baby is in a
left occiput anterior (loa) position. The laboring client asks,
"what does that mean?" what descriptions will the nurse use
when teaching the client about the loa fetal position? (select
all that apply.)
"the baby's head is in your pelvis."
"that is the ideal fetal birthing position."
"the baby is looking down towards the floor"
The nurse is teaching a prenatal class about the structure of
the pelvis and is using a model of a pelvis in the presentation.
Which statements will the nurse include in the teaching plan?
(select all that apply.)
"the baby has to pass through the true pelvis."
"the pelvis consists of three distinct features."
"the true pelvis is below the pelvic brim."
,"the ischial spines determine how low the baby is located."
The nurse is providing care to a 1-hour-old infant. An
assessment of gestational age is performed and the nurse
estimates the age at 39 to 40 weeks. What findings will the
nurse document in the infant's chart? (select all that apply.)
Vernix in the creases of the neck
Labia majora covers the labia minora.
A client at 30 weeks of gestation is on bed rest at home
because of increased blood pressure. The home health nurse
has taught her how to take her own blood pressure and gave
her parameters to judge a significant increase in blood
pressure. When the client calls the clinic complaining of
indigestion, which instruction should the nurse provide?
Take your blood pressure now, and if it is seriously elevated,
go to the hospital.
A client in early labor is requesting pain medication. The health
care provider prescribes butorphanol 0.5 mg iv × 1 now. The
only butorphanol available is in a concentration of 2 mg/ml.
How many ml will the nurse deliver to the client?
, 0.25
A client at term presents to labor and delivery in spontaneous
labor; contractions are occurring every 3 to 4 minutes and
they are 60 seconds in duration. The client states to the nurse,
"i think i have a break out of my genital herpes." what actions
will the nurse take next? (select all that apply.)
Observe the client's perineum.
Contact the health care provider.
Assess ongoing acyclovir treatment.
A mother who is hiv-positive delivers a full-term newborn and
asks the nurse if her baby will become hiv infected. Which
explanation should the nurse provide?
Hiv infection is determined at 18 months of age, when maternal
hiv antibodies are no longer present.
The nurse is counseling a client who wants to become
pregnant. She tells the nurse that she has a 36-day menstrual
cycle and the first day of her last menstrual period was
january 8. When will the client's next fertile period occur?
January 29 to 30
