HESI PN Obstetrics/Maternity Practice Exam,
Pediatrics HESI PN Review, Hesi Peds, PN
HESI Peds, Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation Answered
Correctly Updated
When talking with a pregnant client who is experiencing aching swollen, leg veins,
the nurse would explain that this is most probably the result of which of the
following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus - Correct Answer-D -
Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for
venous stasis in the lower extremities. Subsequently, edema and varicose vein
formation may occur. Thrombophlebitis is an inflammation of the veins due to
thrombus formation. Pregnancy-induced hypertension is not associated with
these symptoms. Gravity plays only a minor role with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
Page 1 of 122
,C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending - Correct Answer-A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the
tests too early or too late in the pregnancy, storing the urine sample too long at
room temperature, or having a spontaneous or missed abortion impending can all
produce false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what
determines the sex of a fetus. Accurate information in response to this question
would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." - Correct
Answer-B.
Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum
to form the zygote. Sex is ultimately determined by the chromosome contributed
by the sperm.
The nurse identifies substance abuse behaviors exhibited by a pregnant client
during an initial prenatal screening. While promoting a therapeutic and accepting
environment, the care managment by the nurse would be MOST appropriate if
focused on which of the following?
Page 2 of 122
,A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use - Correct
Answer-C.
Explanation
Use of substances during pregnancy can lead to severe fetal or neonatal
abnormalities, complications, and death. The primary goal of nursing care should
be prevention or elimination of substance use during pregnancy.
Cervical softening and uterine souffle are classified as which of the following?
A. diagnostic signs
B. presumptive signs
C. probable signs
D. positive signs - Correct Answer-C.
Explanation
Cervical softening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objective findings that strongly suggest pregnancy.
Other probable signs include Hegar sign, which is softening of the lower uterine
segment; Piskacek sign, which is enlargement and softening of the uterus; serum
laboratory tests; changes in skin pigmentation; and ultrasonic evidence of a
gestational sac. Presumptive signs are subjective signs and include amenorrhea;
nausea and vomiting; urinary frequency; breast tenderness and changes;
excessive fatigue; uterine enlargement; and quickening.
Page 3 of 122
, A client at 36 weeks' gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound,
which of the following client statements would indicate to the nurse in charge
that the client needs further instruction?
A. The ultrasound will help to locate the placenta
B. The ultrasound identifies blood flow through the umbilical cord
C. The test will determine where to insert the needle
D. The ultrasound locates a pool of amniotic fluid - Correct Answer-B.
Explanation
Before amniocentesis, a routine ultrasound is valuable in locating the placenta,
locating a pool of amniotic fluid, and showing the physician where to insert the
needle. Color Doppler imaging ultrasonography identifies blood flow through the
umbilical cord. A routine ultrasound does not accomplish this.
A nursing instructor asks a nursing student to list the functions of the amniotic
fluid. The student responds correctly by stating that which of the following are
functions of amniotic fluid? Select all that apply.
A. Allows for fetal movement
B. Is a measure of kidney function
C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
Page 4 of 122
Pediatrics HESI PN Review, Hesi Peds, PN
HESI Peds, Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation Answered
Correctly Updated
When talking with a pregnant client who is experiencing aching swollen, leg veins,
the nurse would explain that this is most probably the result of which of the
following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus - Correct Answer-D -
Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for
venous stasis in the lower extremities. Subsequently, edema and varicose vein
formation may occur. Thrombophlebitis is an inflammation of the veins due to
thrombus formation. Pregnancy-induced hypertension is not associated with
these symptoms. Gravity plays only a minor role with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
Page 1 of 122
,C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending - Correct Answer-A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the
tests too early or too late in the pregnancy, storing the urine sample too long at
room temperature, or having a spontaneous or missed abortion impending can all
produce false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what
determines the sex of a fetus. Accurate information in response to this question
would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." - Correct
Answer-B.
Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum
to form the zygote. Sex is ultimately determined by the chromosome contributed
by the sperm.
The nurse identifies substance abuse behaviors exhibited by a pregnant client
during an initial prenatal screening. While promoting a therapeutic and accepting
environment, the care managment by the nurse would be MOST appropriate if
focused on which of the following?
Page 2 of 122
,A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use - Correct
Answer-C.
Explanation
Use of substances during pregnancy can lead to severe fetal or neonatal
abnormalities, complications, and death. The primary goal of nursing care should
be prevention or elimination of substance use during pregnancy.
Cervical softening and uterine souffle are classified as which of the following?
A. diagnostic signs
B. presumptive signs
C. probable signs
D. positive signs - Correct Answer-C.
Explanation
Cervical softening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objective findings that strongly suggest pregnancy.
Other probable signs include Hegar sign, which is softening of the lower uterine
segment; Piskacek sign, which is enlargement and softening of the uterus; serum
laboratory tests; changes in skin pigmentation; and ultrasonic evidence of a
gestational sac. Presumptive signs are subjective signs and include amenorrhea;
nausea and vomiting; urinary frequency; breast tenderness and changes;
excessive fatigue; uterine enlargement; and quickening.
Page 3 of 122
, A client at 36 weeks' gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound,
which of the following client statements would indicate to the nurse in charge
that the client needs further instruction?
A. The ultrasound will help to locate the placenta
B. The ultrasound identifies blood flow through the umbilical cord
C. The test will determine where to insert the needle
D. The ultrasound locates a pool of amniotic fluid - Correct Answer-B.
Explanation
Before amniocentesis, a routine ultrasound is valuable in locating the placenta,
locating a pool of amniotic fluid, and showing the physician where to insert the
needle. Color Doppler imaging ultrasonography identifies blood flow through the
umbilical cord. A routine ultrasound does not accomplish this.
A nursing instructor asks a nursing student to list the functions of the amniotic
fluid. The student responds correctly by stating that which of the following are
functions of amniotic fluid? Select all that apply.
A. Allows for fetal movement
B. Is a measure of kidney function
C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
Page 4 of 122
