Page 1 of 165
HESI RN: MATERNITY - TEST BANK/
HESI MATERNAL
NEWBORN EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES
A client who is in the second trimester of pregnancy tells the nurse that
she wants to use herbal therapy. Which response is best for the nurse to
provide?
a. Herbs are a corner stone of good health to include in your treatment
b. Touch is also therapeutic in relieving discomfort and anxiety
c. Your healthcare provider should direct treatment options for herbal
therapy
,Page 2 of 165
d. It is important that you want to take part in your care - ✔✔✔ Correct
Answer > d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as
herbal therapy, is that the client is viewed as a whole being, capable of
decision-making and an integral part of the health care team, so (D)
recognizes the client's request.
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective to prevent nipple soreness?
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing - ✔✔✔ Correct
Answer > c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning (C)
of the infant on the breast, e.g., grasping too little of the areola or
grasping on the nipple.
,Page 3 of 165
The nurse is counseling a woman who wants to become pregnant. The
woman tells the nurse that she has a 36-day menstrual cycle and the first
day of her menstrual period was January *. The nurse correctly
calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7 - ✔✔✔ Correct Answer > c. January 30-31
This woman can expect her next period to begin 36 days from the first
day of her last menstrual period - the cycle begins at the first day of the
cycle and continues to the first day of the next cycle. Her next period
would, therefore, begin on February 13. Ovulation occurs 14 days before
the first day of the menstrual period. Therefore, ovulation for this
woman would occur January
31 (C).
The nurse should encourage the laboring client to begin pushing when
, Page 4 of 165
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced - ✔✔✔ Correct Answer > c. the cervix is
completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), the cervix can become edematous and
may never completely dilate, necessitating an operative delivery. Many
primigravida's begin active labor 100% effaced and then proceed to
dilate.
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 x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
HESI RN: MATERNITY - TEST BANK/
HESI MATERNAL
NEWBORN EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES
A client who is in the second trimester of pregnancy tells the nurse that
she wants to use herbal therapy. Which response is best for the nurse to
provide?
a. Herbs are a corner stone of good health to include in your treatment
b. Touch is also therapeutic in relieving discomfort and anxiety
c. Your healthcare provider should direct treatment options for herbal
therapy
,Page 2 of 165
d. It is important that you want to take part in your care - ✔✔✔ Correct
Answer > d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as
herbal therapy, is that the client is viewed as a whole being, capable of
decision-making and an integral part of the health care team, so (D)
recognizes the client's request.
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective to prevent nipple soreness?
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the breast
d. Manually express a small amount of milk before nursing - ✔✔✔ Correct
Answer > c. Correctly place the infant on the breast
The most common cause of nipple soreness is incorrect positioning (C)
of the infant on the breast, e.g., grasping too little of the areola or
grasping on the nipple.
,Page 3 of 165
The nurse is counseling a woman who wants to become pregnant. The
woman tells the nurse that she has a 36-day menstrual cycle and the first
day of her menstrual period was January *. The nurse correctly
calculates that the woman's next fertile period is
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7 - ✔✔✔ Correct Answer > c. January 30-31
This woman can expect her next period to begin 36 days from the first
day of her last menstrual period - the cycle begins at the first day of the
cycle and continues to the first day of the next cycle. Her next period
would, therefore, begin on February 13. Ovulation occurs 14 days before
the first day of the menstrual period. Therefore, ovulation for this
woman would occur January
31 (C).
The nurse should encourage the laboring client to begin pushing when
, Page 4 of 165
a. there is only an anterior or posterior lip of cervix left
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced - ✔✔✔ Correct Answer > c. the cervix is
completely dilated
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated (A, B, and D), the cervix can become edematous and
may never completely dilate, necessitating an operative delivery. Many
primigravida's begin active labor 100% effaced and then proceed to
dilate.
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 x 1. What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
