HESI Maternity Practice Exam 1 Questions and Answers
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1) At 14-weeks gestation, a client arrives at the Emergency Center complaining
of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains
a blood sample and initiates an IV. Thirty minutesafter admission, the client
reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings
include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of
86/48. Which action should the nurse implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2) During a prenatal visit, the LPN/LVN discusses with a client the effects ofsmoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
Correct Answer: D
3) Which action should the LPN/LVN implement when preparing to measure thefundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
,C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
Correct Answer:A
,4) The LPN/LVN identifies crepitus when examining the chest of a newborn whowas
delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
Correct Answer: B
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The client's pulse is 84
beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVNtake
immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription.
Correct Answer: D
6) The LPN/LVN is preparing to give an enema to a laboring client. Which clientrequires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical
dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station
admitted for induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the
presenting part is not engaged.
Correct Answer:D
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
LPN/LVN to ask this client?
, A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever?
Correct Answer: D
8) The LPN/LVN is assessing a client who is having a non-stress test (NST) at 41-weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR
accelerations are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement.
Correct Answer: D
9) A client in active labor is admitted with preeclampsia. Which assessmentfinding
is most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute.
Correct Answer: A
10) The LPN/LVN assesses a client admitted to the labor and delivery unit andobtains
the following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced.
Based on these assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
Graded A+
20 Latest Versions
Verified Questions and Answers
Best Document for Exam Preparation
0 % Satisfaction Guaranteed
1) At 14-weeks gestation, a client arrives at the Emergency Center complaining
of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains
a blood sample and initiates an IV. Thirty minutesafter admission, the client
reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings
include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of
86/48. Which action should the nurse implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2) During a prenatal visit, the LPN/LVN discusses with a client the effects ofsmoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
Correct Answer: D
3) Which action should the LPN/LVN implement when preparing to measure thefundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
,C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
Correct Answer:A
,4) The LPN/LVN identifies crepitus when examining the chest of a newborn whowas
delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
Correct Answer: B
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The client's pulse is 84
beats/minute and blood pressure is 156/96. The healthcare
provider prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVNtake
immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription.
Correct Answer: D
6) The LPN/LVN is preparing to give an enema to a laboring client. Which clientrequires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical
dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station
admitted for induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the
presenting part is not engaged.
Correct Answer:D
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
LPN/LVN to ask this client?
, A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever?
Correct Answer: D
8) The LPN/LVN is assessing a client who is having a non-stress test (NST) at 41-weeks
gestation. The nurse determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR
accelerations are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement.
Correct Answer: D
9) A client in active labor is admitted with preeclampsia. Which assessmentfinding
is most significant in planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute.
Correct Answer: A
10) The LPN/LVN assesses a client admitted to the labor and delivery unit andobtains
the following data: dark red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced.
Based on these assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
