(45 Q/A)
1.A client who delivered a healthy newborn an hour ago asks the nurse when she
can go home. Which information is most important for the nurse to provide the
client?
A. When there is no significant vaginal bleeding
A. When ambulating to void does not cause dizziness
B. After the vitamin K injection is given to the baby
C. After the baby no longer demonstrates acrocyanosis
2. A client at 33- weeks gestation is admitted with a moderate amount of vaginal
bleeding and no contractions are noted on the external monitor. Which
intervention should the nurse implement?
A. Weight perineal pads
B. Weight daily
C. Measure intake and output
D. Ambulate 15 minutes QID
3. Missing
4. A client at 20 weeks gestation comes to the antepartum clinic complaining of
vaginal warts (human papillomavirus). What information should the nurse provide
this client?
A. Treatment options, while limited due to the pregnancy, are available
B. The client should be treated with Penicillin G
C. This client should be treat with acyclovir (Zovirax)
D. Termination of the pregnancy should be considered
5. One week after missing her menstrual period, a woman performs an OTC
pregnancy test and it is positive. Which hormone is responsible for producing the
positive result?
A. Human placental lactogen
B. Gonadotrophin-releasing hormone
C. Human chorionic gonadotrophin
D. Prostaglandin E2 Alpha
6. A new mother, who is lacto-ovo vegetarian, plans to breastfeed her infant. What
information should the nurse provide prior to discharge?
A. Avoid using lanolin-based nipple cream or ointment
B. Continue prenatal vitamins with B12 while breast feeding
C. Offer iron- fortified supplemental formula daily
D. Weigh the baby weekly to evaluate the newborns growth
7. One hour after delivery, the nurse is unable to palpate the uterine fundus of a
client who had an epidural and notes a large amount of lochia on the perineal
pad. The nurse massages at the umbilicus and obtains current vital signs. Which
intervention should the nurse implement next?
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, HESI MATERNITY QUESTIONS & ANSWERS
(45 Q/A)
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
8. Missing
3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to
the postpartum room to help change the newborns diaper. As the mother begins
the diaper change, the newborn spits up the breast milk. What action should the
nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
9. Missing
10. Missing
11. Missing
12. A client delivers a viable infant but begins to have excessive uncontrolled
vaginal bleeding after the IV Pitocin is infused. When notifying the hcp of the
client’s condition, what information is most important for the nurse to provide?
A. Total amount of Pitocin infused
B. Maternal Blood pressure
C. Maternal Apical Pulse rate
D. Time Pitocin infusion completed
13. The nurse is caring for a newborn infant who was recently diagnosed with
congenital heart defect. Which assessment finding warrants immediate
intervention by the nurse?
A. Sweating during feedings
B. Weak peripheral pulse
C. Bluish tinge to the tongue
D. Increased respiratory rate
14. A client who delivered a healthy newborn an hour ago asks the nurse when
she can go home. Which information is most important for the nurse to provide
the client?
A. When there is no significant vaginal bleeding
D. When ambulating to void does not cause dizziness
E. After the vitamin K injection is given to the baby
F. After the baby no longer demonstrates acrocyanosis
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