MATERNITY HESI TEST BANK
(COMBINED RED HESI AND OTHER
SOURCES) EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS WITH
RATIONALES
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. -
ANSWER-C.Place petroleum ointment around the glans with each diaper change and
cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any urine or
feces, and petroleum ointment should be applied to prevent the diaper from sticking to the healing
Page 1 of 83
,surface. Prepackaged wipes often contain other products that may irritate the site. The yellow exudate,
which covers the glans penis as the area heals and epithelializes, is not an infective process and should
not be removed. If bleeding occurs at home, the client should be instructed to apply gentle pressure to
the site of the bleeding with sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in
preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
subcutaneously, to stop her labor contractions. What are the primary side effects of
terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - ANSWER-C.Tachycardia and a feeling of
nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates betaadrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug
may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of nervousness.
Option A is not a side effect. Options B and D are side effects of magnesium sulfate.
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
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,B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - ANSWER-C.Ensure that the baby
is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of the infant on the
breast for latching on. The baby's body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A helps prevent chafing, and
nonbinding support aids in prevention of discomfort from the stretching of the Cooper ligament.
Option B is important but is not necessary for all women. Option D helps soften an engorged breast
and encourages correct infant latching on but is not the best
answer.
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that
she is constantly rubbing her abdomen and talking to the baby and that she actually
reprimands the baby when it moves too much. Which recommendation should the nurse
make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
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, D.Reassure him that normal maternal-fetal bonding is occurring. - ANSWER-D) Reassure him
that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence. No
intervention is needed. Quickening, the first perception of fetal movement, occurs at 17 to 20 weeks
of gestation and begins a new phase of prenatal bonding during the second trimester. Options A and C
are not necessary because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is
completed, it is most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - ANSWER-C. Fetal heart rate (FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes that may
indicate the presence of cord compression or prolapse. An amniotomy (artificial rupture of
membranes [AROM]) is used to stimulate labor when the condition of the cervix is favorable.
The fluid should be assessed for color, odor, and consistency. Option A should be assessed
every 15 to 20 minutes during labor but is not specific for AROM. Option B is monitored
Page 4 of 83
(COMBINED RED HESI AND OTHER
SOURCES) EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS WITH
RATIONALES
A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours.
B.Wash off the yellow exudate on the glans once every day to prevent infection.
C.Place petroleum ointment around the glans with each diaper change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5 minutes if bleeding occurs. -
ANSWER-C.Place petroleum ointment around the glans with each diaper change and
cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to remove any urine or
feces, and petroleum ointment should be applied to prevent the diaper from sticking to the healing
Page 1 of 83
,surface. Prepackaged wipes often contain other products that may irritate the site. The yellow exudate,
which covers the glans penis as the area heals and epithelializes, is not an infective process and should
not be removed. If bleeding occurs at home, the client should be instructed to apply gentle pressure to
the site of the bleeding with sterile gauze squares and call the health care provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital at 28 weeks of gestation in
preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg
subcutaneously, to stop her labor contractions. What are the primary side effects of
terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - ANSWER-C.Tachycardia and a feeling of
nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates betaadrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug
may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of nervousness.
Option A is not a side effect. Options B and D are side effects of magnesium sulfate.
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
Page 2 of 83
,B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - ANSWER-C.Ensure that the baby
is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of the infant on the
breast for latching on. The baby's body is in alignment with the ears, shoulders, and hips in a straight
line, with the nose, cheeks, and chin touching the breast. Option A helps prevent chafing, and
nonbinding support aids in prevention of discomfort from the stretching of the Cooper ligament.
Option B is important but is not necessary for all women. Option D helps soften an engorged breast
and encourages correct infant latching on but is not the best
answer.
An expectant father tells the nurse he fears that his wife is "losing her mind." He states that
she is constantly rubbing her abdomen and talking to the baby and that she actually
reprimands the baby when it moves too much. Which recommendation should the nurse
make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
Page 3 of 83
, D.Reassure him that normal maternal-fetal bonding is occurring. - ANSWER-D) Reassure him
that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect ambivalence. No
intervention is needed. Quickening, the first perception of fetal movement, occurs at 17 to 20 weeks
of gestation and begins a new phase of prenatal bonding during the second trimester. Options A and C
are not necessary because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is
completed, it is most important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - ANSWER-C. Fetal heart rate (FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect changes that may
indicate the presence of cord compression or prolapse. An amniotomy (artificial rupture of
membranes [AROM]) is used to stimulate labor when the condition of the cervix is favorable.
The fluid should be assessed for color, odor, and consistency. Option A should be assessed
every 15 to 20 minutes during labor but is not specific for AROM. Option B is monitored
Page 4 of 83
