RN HESI Maternal Newborn
Study questions with answers
A nurse is admitting a client to the labor and delivery unit when the
client states, "my water just broke", which of the following is the
priority intervention for the nurse to take?
a. Perform Nitrazine testing
b. Assess the amniotic fluid
c. Check cervical dilation
d. Monitor the fetal heart rate - CORRECT ANSWERS ✔✔d. Monitor
the fetal heart rate
Rupture of the membranes places the fetus at risk for umbilical cord
prolapse.
A nurse is caring for a client undergoing an oxytocin-stimulated
contraction test. The nurse notes three contractions in 10 min with
late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
,c. Positive
d. Negative - CORRECT ANSWERS ✔✔c. Positive
Indicates an adverse reaction by the fetus and should be reported to
the provider
A nurse is providing family planning education to a client who has
decided to use a diaphragm. Which of the following should the nurse
include in the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after
intercourse
c. You should use an oil based product as a lubricant when inserting
the diaphragm
d. You should insert the diaphragm when your bladder is full -
CORRECT ANSWERS ✔✔b. You should leave the diaphragm in
place for at least 6 hours after intercourse
A nurse is admitting a client who is in labor. The client admits to
recent cocaine use. For which of the following complications should
the nurse assess?
,a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia - CORRECT ANSWERS ✔✔a. Abruptio
placenta
Cocaine increases the risk for vasoconstriction and possible abruptio
placenta
A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client
indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone
- CORRECT ANSWERS ✔✔a. I should eat to taste instead of trying
to balance my meals
Eat to taste to avoid nausea
, A nurse is caring for a client who is in active labor and reports back
pain. The nurse performs a vaginal exam and determines the client is
8cm dilated, 100% effaced, and -2 station. The fetus is in the occiput
posterior position. Which of the following is an appropriate
intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - CORRECT ANSWERS ✔✔c. Assist
the client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit that is at
38 weeks of gestation. Which of the following client findings should
the nurse report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - CORRECT ANSWERS
✔✔c. Weight gain of 2.2 kg
Study questions with answers
A nurse is admitting a client to the labor and delivery unit when the
client states, "my water just broke", which of the following is the
priority intervention for the nurse to take?
a. Perform Nitrazine testing
b. Assess the amniotic fluid
c. Check cervical dilation
d. Monitor the fetal heart rate - CORRECT ANSWERS ✔✔d. Monitor
the fetal heart rate
Rupture of the membranes places the fetus at risk for umbilical cord
prolapse.
A nurse is caring for a client undergoing an oxytocin-stimulated
contraction test. The nurse notes three contractions in 10 min with
late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider?
a. Reactive
b. Nonreactive
,c. Positive
d. Negative - CORRECT ANSWERS ✔✔c. Positive
Indicates an adverse reaction by the fetus and should be reported to
the provider
A nurse is providing family planning education to a client who has
decided to use a diaphragm. Which of the following should the nurse
include in the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after
intercourse
c. You should use an oil based product as a lubricant when inserting
the diaphragm
d. You should insert the diaphragm when your bladder is full -
CORRECT ANSWERS ✔✔b. You should leave the diaphragm in
place for at least 6 hours after intercourse
A nurse is admitting a client who is in labor. The client admits to
recent cocaine use. For which of the following complications should
the nurse assess?
,a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia - CORRECT ANSWERS ✔✔a. Abruptio
placenta
Cocaine increases the risk for vasoconstriction and possible abruptio
placenta
A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client
indicates an understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone
- CORRECT ANSWERS ✔✔a. I should eat to taste instead of trying
to balance my meals
Eat to taste to avoid nausea
, A nurse is caring for a client who is in active labor and reports back
pain. The nurse performs a vaginal exam and determines the client is
8cm dilated, 100% effaced, and -2 station. The fetus is in the occiput
posterior position. Which of the following is an appropriate
intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position
d. Apply a fetal scalp electrode - CORRECT ANSWERS ✔✔c. Assist
the client to the hands and knees position
Helps relieve back pain and help the fetus rotate
A nurse is assessing a client during a weekly prenatal visit that is at
38 weeks of gestation. Which of the following client findings should
the nurse report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg
d. Report of Braxton-Hicks contractions - CORRECT ANSWERS
✔✔c. Weight gain of 2.2 kg
