RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
1. A primigravida arrives at the observation unit of the Contractions decrease
maternity unit because thinks is in labor. The with walking.
nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140
beats/minute and the contractions are occurring ir-
regularly every 10 to 15 minutes. What
assessment finding confirms to the nurse that the
client is not labor at this time?
2. A primipara has delivered a stillborn fetus at 30 weeks B. provide a time for the
gestation. To asses the parents in the grieving process parents to hold their infant
which intervention is most for the nurse to implement in privacy
?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in
privacy
C. Encourage the parents to seek counseling within
the next few weeks
D. Assist the couple to request autopsy
3. What is the priority nursing assessment immediately A. body temperature
following the birth of an infant with esophageal atre-
sia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
4. What is the most important assessment for the nurse D. Maternal blood pres-
to conduct following the administration of epidural sure
anesthesia to a client who is at 40-weeks gestation?
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
5. A 34-week primigravida with pregnancy induced hy- D. 75
pertension (PIH) is receiving Ringer's Lactate 500 ml
with magnesium sulfate 20 grams at the rate of 3
grams/hour. How many ml/hour should the nurse pro-
gram the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
6. A mother of a 3-year-old boy has just given birth to a A. Explain that newborns
new baby girl. The little boy asks the nurse, "Why is my get milk from their moth-
baby sister eating my mommy's breast?" How should ers in this way
the nurse respond? (Select all that apply) B. Reassure the older
A. Explain that newborns get milk from their mothers brother that it does not
in this way hurt his mother
B. Reassure the older brother that it does not hurt his C. Remind him that his
mother mother breastfed him too
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
7. The nurse is examining an infant for possible cryp- D. Place the infant in warm
torchidism. Which exam technique should be used? room and use a calm ap-
A. Place the infant in side-lying to facilitate the exam proach
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
D. Place the infant in warm room and use a calm
approach
8. The nurse is planning care for a client at 30-weeks A. Betamethasone (Cele-
gestation who is experiencing preterm labor. What stone) 12 mg deep IM
maternal prescription is most important in preventing
this fetus from developing respiratory distress syn-
drome?
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
9. A 3-month-old with myelomeningocele and atonic C. Change to latex-free
bladder is catheterized every 4 hours to prevent uri- gloves when handling in-
nary retention. The home health nurse notes that the fant
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
D. Apply zinc oxide to perineum with each diaper
change
10. The nurse is caring for a female client, a primigravida, D. Magnesium sulfate
with preeclampsia. Findings include +2 proteinuria,
BP 172/112 mmHg, facial and hand swelling, com-
plaints of blurry vision and a severe frontal headache.
Which medication should the nurse anticipate for this
client?
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
11. A client at 35-weeks gestation complains of a "pain B. Chorioamnionitis
whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2F, with se-
vere 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.
12. A male infant with a 2-day history of fever and diar- B. Infuse normal saline in-
rhea is brought to a clinic by his mother who tells travenously
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
13. A 6-month old child who had a cleft-lip repair has D. remove restraints one at
elbow restraints in place. What nursing intervention a time to provide ROM ex-
should the nurse plan to implement? ercises
A. remove restraints q4h for 30 minutes and place
Study online at https://quizlet.com/_jn5t7f
1. A primigravida arrives at the observation unit of the Contractions decrease
maternity unit because thinks is in labor. The with walking.
nurse applies the external fetal heart monitor and
determines that the fetal heart rate is 140
beats/minute and the contractions are occurring ir-
regularly every 10 to 15 minutes. What
assessment finding confirms to the nurse that the
client is not labor at this time?
2. A primipara has delivered a stillborn fetus at 30 weeks B. provide a time for the
gestation. To asses the parents in the grieving process parents to hold their infant
which intervention is most for the nurse to implement in privacy
?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in
privacy
C. Encourage the parents to seek counseling within
the next few weeks
D. Assist the couple to request autopsy
3. What is the priority nursing assessment immediately A. body temperature
following the birth of an infant with esophageal atre-
sia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
4. What is the most important assessment for the nurse D. Maternal blood pres-
to conduct following the administration of epidural sure
anesthesia to a client who is at 40-weeks gestation?
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
5. A 34-week primigravida with pregnancy induced hy- D. 75
pertension (PIH) is receiving Ringer's Lactate 500 ml
with magnesium sulfate 20 grams at the rate of 3
grams/hour. How many ml/hour should the nurse pro-
gram the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
6. A mother of a 3-year-old boy has just given birth to a A. Explain that newborns
new baby girl. The little boy asks the nurse, "Why is my get milk from their moth-
baby sister eating my mommy's breast?" How should ers in this way
the nurse respond? (Select all that apply) B. Reassure the older
A. Explain that newborns get milk from their mothers brother that it does not
in this way hurt his mother
B. Reassure the older brother that it does not hurt his C. Remind him that his
mother mother breastfed him too
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
7. The nurse is examining an infant for possible cryp- D. Place the infant in warm
torchidism. Which exam technique should be used? room and use a calm ap-
A. Place the infant in side-lying to facilitate the exam proach
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
D. Place the infant in warm room and use a calm
approach
8. The nurse is planning care for a client at 30-weeks A. Betamethasone (Cele-
gestation who is experiencing preterm labor. What stone) 12 mg deep IM
maternal prescription is most important in preventing
this fetus from developing respiratory distress syn-
drome?
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
9. A 3-month-old with myelomeningocele and atonic C. Change to latex-free
bladder is catheterized every 4 hours to prevent uri- gloves when handling in-
nary retention. The home health nurse notes that the fant
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
D. Apply zinc oxide to perineum with each diaper
change
10. The nurse is caring for a female client, a primigravida, D. Magnesium sulfate
with preeclampsia. Findings include +2 proteinuria,
BP 172/112 mmHg, facial and hand swelling, com-
plaints of blurry vision and a severe frontal headache.
Which medication should the nurse anticipate for this
client?
, RN HESI Maternity
Study online at https://quizlet.com/_jn5t7f
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
11. A client at 35-weeks gestation complains of a "pain B. Chorioamnionitis
whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.2F, with se-
vere 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.
12. A male infant with a 2-day history of fever and diar- B. Infuse normal saline in-
rhea is brought to a clinic by his mother who tells travenously
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
13. A 6-month old child who had a cleft-lip repair has D. remove restraints one at
elbow restraints in place. What nursing intervention a time to provide ROM ex-
should the nurse plan to implement? ercises
A. remove restraints q4h for 30 minutes and place
