RN HESI MATERNITY COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
PROFESSOR VERIFIED.
A postpartum client complains that she has the urge to urinate every hour
but is only able to void a small amount. What interventions provide the
nurse with the most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after the next voiding
C. Assess for perineal hematoma
D. Determine the client's usual voiding pattern - CorreCt Answers -B.
Catheterize for residual urine after the next voiding
During a 26-week gestation prenatal exam, a client reports occasional
dizziness. What intervention is best for the nurse to recommend to the
client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - CorreCt Answers -B.
Lie on the left or right side when sleeping or resting
Artificial rupture of the membrane of the laboring client reveals meconium-
stained fluid. What is the priority?
A. Clean the perineal area to prevent infection
B. Assess the mother's blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for the development of sepsis
,D. Have meconium aspirator available at delivery - CorreCt Answers -D.
Have a meconium aspirator available at delivery
A toddler with a history of an acyanotic defect is admitted to the pediatric
intensive care unit. Respiration rate 60 beats/min and heart rate 150 beats/
min. What action should the nurse take first?
A. Obtain a pulse ox reading
B. Assess childs blood pressure
C. Perform a neurological assessment
D. Initiate peripheral intravenous access - CorreCt Answers -A. Obtain a
pulse ox reading
A client who delivered by cesarean section 24 hours ago is using a patient-
controlled analgesia (PCA) pump for pain control. Her oral intake has been
ice chips only since surgery. She is now complaining of nausea and
bloating, and states that because she had nothing to eat, she is too weak to
breastfeed her infant. Which nursing diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant
- CorreCt Answers -C. Impaired bowel motility related to pain medication
and immobility
The nurse is teaching care of the newborn to a childbirth preparation class
and describes the need for administering antibiotic ointment into the eyes
of the newborn. An expectant father asks, "What type of disease causes
infections in babies that can be prevented by using this ointment?" Which
response by the nurse is accurate?
,A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis - CorreCt Answers -C. Gonorrhea
A new mother is having trouble breastfeeding her newborn. The child is
making frantic rooting motions and will not grasp the nipple. Which
intervention should the nurse implement?
A. Encourage frequent use of a pacifier so that the infant becomes
accustomed to sucking.
B. Hold the infant's head firmly against the breast until he latches onto the
nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the
infant.
D. Provide formula for the infant until he becomes calm, and then offer the
breast again. - CorreCt Answers -C. Encourage the mother to stop feeding
for a few minutes and comfort the infant.
The nurse is counseling a couple who have sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?
A. Two weeks before menstruation
B. Immediately after menstruation
C. Immediately before menstruation
D. Three weeks before menstruation - CorreCt Answers -A. Two weeks
before menstruation
, The nurse instructs a laboring client to use accelerated blow breathing. The
client begins to complain of tingling fingers and dizziness. Which action
should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate. - CorreCt Answers
-C. Have the client breathe into her cupped hands.
When assessing a client at 12 weeks of gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16 weeks of gestation
B. At 20 weeks of gestation
C. At 24 weeks of gestation
D. At 30 weeks of gestation - CorreCt Answers -D. At 30 weeks of gestation
One hour following a normal vaginal delivery, a newborn infant boy's
axillary temperature is 96° F, his lower lip is shaking, and, when the nurse
assesses for a Moro reflex, the boy's hands shake. Which intervention
should the nurse implement first?
A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level. - CorreCt Answers -D. Obtain a serum
glucose level.
QUESTIONS AND VERIFIED ANSWERS
PROFESSOR VERIFIED.
A postpartum client complains that she has the urge to urinate every hour
but is only able to void a small amount. What interventions provide the
nurse with the most useful information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after the next voiding
C. Assess for perineal hematoma
D. Determine the client's usual voiding pattern - CorreCt Answers -B.
Catheterize for residual urine after the next voiding
During a 26-week gestation prenatal exam, a client reports occasional
dizziness. What intervention is best for the nurse to recommend to the
client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - CorreCt Answers -B.
Lie on the left or right side when sleeping or resting
Artificial rupture of the membrane of the laboring client reveals meconium-
stained fluid. What is the priority?
A. Clean the perineal area to prevent infection
B. Assess the mother's blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for the development of sepsis
,D. Have meconium aspirator available at delivery - CorreCt Answers -D.
Have a meconium aspirator available at delivery
A toddler with a history of an acyanotic defect is admitted to the pediatric
intensive care unit. Respiration rate 60 beats/min and heart rate 150 beats/
min. What action should the nurse take first?
A. Obtain a pulse ox reading
B. Assess childs blood pressure
C. Perform a neurological assessment
D. Initiate peripheral intravenous access - CorreCt Answers -A. Obtain a
pulse ox reading
A client who delivered by cesarean section 24 hours ago is using a patient-
controlled analgesia (PCA) pump for pain control. Her oral intake has been
ice chips only since surgery. She is now complaining of nausea and
bloating, and states that because she had nothing to eat, she is too weak to
breastfeed her infant. Which nursing diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant
- CorreCt Answers -C. Impaired bowel motility related to pain medication
and immobility
The nurse is teaching care of the newborn to a childbirth preparation class
and describes the need for administering antibiotic ointment into the eyes
of the newborn. An expectant father asks, "What type of disease causes
infections in babies that can be prevented by using this ointment?" Which
response by the nurse is accurate?
,A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis - CorreCt Answers -C. Gonorrhea
A new mother is having trouble breastfeeding her newborn. The child is
making frantic rooting motions and will not grasp the nipple. Which
intervention should the nurse implement?
A. Encourage frequent use of a pacifier so that the infant becomes
accustomed to sucking.
B. Hold the infant's head firmly against the breast until he latches onto the
nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the
infant.
D. Provide formula for the infant until he becomes calm, and then offer the
breast again. - CorreCt Answers -C. Encourage the mother to stop feeding
for a few minutes and comfort the infant.
The nurse is counseling a couple who have sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?
A. Two weeks before menstruation
B. Immediately after menstruation
C. Immediately before menstruation
D. Three weeks before menstruation - CorreCt Answers -A. Two weeks
before menstruation
, The nurse instructs a laboring client to use accelerated blow breathing. The
client begins to complain of tingling fingers and dizziness. Which action
should the nurse take?
A. Administer oxygen by face mask.
B. Notify the health care provider of the client's symptoms.
C. Have the client breathe into her cupped hands.
D. Check the client's blood pressure and fetal heart rate. - CorreCt Answers
-C. Have the client breathe into her cupped hands.
When assessing a client at 12 weeks of gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
A. At 16 weeks of gestation
B. At 20 weeks of gestation
C. At 24 weeks of gestation
D. At 30 weeks of gestation - CorreCt Answers -D. At 30 weeks of gestation
One hour following a normal vaginal delivery, a newborn infant boy's
axillary temperature is 96° F, his lower lip is shaking, and, when the nurse
assesses for a Moro reflex, the boy's hands shake. Which intervention
should the nurse implement first?
A. Stimulate the infant to cry.
B. Wrap the infant in warm blankets.
C. Feed the infant formula.
D. Obtain a serum glucose level. - CorreCt Answers -D. Obtain a serum
glucose level.
