RN HESI MATERNITY PRACTICE EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS NEW MODIFIED| MEDICINE|
OBSTETRICS EXAM
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 --
CORRECT ANSWER: --A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria, watery eyes,
and a rash in the diaper area. What action is most important for the nurse
to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
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,D. Apply zinc oxide to perineum with each diaper change --CORRECT
ANSWER: --C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate --CORRECT ANSWER: --D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby
moves."
On assessment, the nurse notes the client's temperature to be 101.2F, with
severe abdominal or uterine tenderness on palpation. The nurse knows that
these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. --CORRECT ANSWER: --B. Chorioamnionitis
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,A male infant with a 2-day history of fever and diarrhea is brought to a clinic
by his mother who tells the nurse that the child refuses to drink anything. The
nurse determines that the child has a weak cry with no tears. Which
prescription is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket --CORRECT ANSWER: --B. Infuse normal
saline intravenously
A 6-month old child who had a cleft-lip repair has elbow restraints in place.
What nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in
place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises --
CORRECT ANSWER: --D. remove restraints one at a time to provide
ROM exercises
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, A new mother calls the nurse stating that she wants to start feeding her
6month-old child something besides breast milk, but is concerned that the
infant is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of
the infant
B. advise the mother to wait at least another month before starting any
solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified
cereal
-CORRECT ANSWER: --D. reassure the mother that the infant is old enough
to eat iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position --CORRECT ANSWER: --D. Change the
maternal position
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QUESTIONS WITH CORRECT DETAILED
ANSWERS NEW MODIFIED| MEDICINE|
OBSTETRICS EXAM
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 --
CORRECT ANSWER: --A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4 hours to prevent urinary retention. The home health nurse notes
that the child has developed episodes of sneezing, urticaria, watery eyes,
and a rash in the diaper area. What action is most important for the nurse
to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
Page 1 of 55
,D. Apply zinc oxide to perineum with each diaper change --CORRECT
ANSWER: --C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which
medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate --CORRECT ANSWER: --D. Magnesium sulfate
A client at 35-weeks gestation complains of a "pain whenever the baby
moves."
On assessment, the nurse notes the client's temperature to be 101.2F, with
severe abdominal or uterine tenderness on palpation. The nurse knows that
these findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. --CORRECT ANSWER: --B. Chorioamnionitis
Page 2 of 55
,A male infant with a 2-day history of fever and diarrhea is brought to a clinic
by his mother who tells the nurse that the child refuses to drink anything. The
nurse determines that the child has a weak cry with no tears. Which
prescription is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket --CORRECT ANSWER: --B. Infuse normal
saline intravenously
A 6-month old child who had a cleft-lip repair has elbow restraints in place.
What nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in
place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises --
CORRECT ANSWER: --D. remove restraints one at a time to provide
ROM exercises
Page 3 of 55
, A new mother calls the nurse stating that she wants to start feeding her
6month-old child something besides breast milk, but is concerned that the
infant is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of
the infant
B. advise the mother to wait at least another month before starting any
solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified
cereal
-CORRECT ANSWER: --D. reassure the mother that the infant is old enough
to eat iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position --CORRECT ANSWER: --D. Change the
maternal position
Page 4 of 55
