2022 HESI Obstetrics/Maternity
Practice Quiz
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose? ( answer)Screen for neural tube
defects
A 26 year old, gravid 2, para 1 client is admitted to the hospital at 28 weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate
(Brethren) 0.25 mg subcutaneously to stop her labor contractions. The nurse
plans to monitor for which primary side effect of terbutaline sulfate? (
answer)Tachycardia and a feeling of nervousness
During labor, the nurse determines that a full term client is demonstrating
late decelerations. In which sequence should the nurse implement these
nursing actions? (Place in the first action on top and last action on the
bottom) ( answer)1. Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. Call the health care provider
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" ( answer)"Your milk is sufficient if the baby is voiding
pale straw-colored urine 6-10 times a day"
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn? ( answer)Infant's condition at birth and
treatment received
The nurse is assessing the umbilical cord of a newborn. Which finding
constitutes a normal finding? ( answer)Three vessels: two arteries and one
vein
,2022 HESI Obstetrics/Maternity
Practice Quiz
When explaining "postpartum blues" to a client who is 1 day postpartum,
which symptoms should the nurse include in the teaching plan? (select all
that apply) ( answer)-Mood swings
-Tearfulness
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best? ( answer)"That is normal; the head will return
to a round shape within 7 to 10 days."
The nurse is assessing a 3-day old infant with a cephalohematoma in the
newborn nursery. Which assessment finding should the nurse report to the
healthcare provider? ( answer)Yellowish tinge to the skin
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion? ( answer)-
3+ deep tendon reflexes and hyperclonus
-epigastric pain
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first? ( answer)Provide
assistance to the mother to begin breastfeeding as soon as possible after
delivery
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask when she could use a home pregnancy test to diagnose pregnancy.
Which response is appropriate? ( answer)"A home pregnancy test can be
used right after your first missed period."
, 2022 HESI Obstetrics/Maternity
Practice Quiz
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider? ( answer)Central cyanosis when crying
A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response is
based on what knowledge? ( answer)It is difficult to consume 18 mg of
additional iron by diet alone.
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs ( answer)Two weeks before menstruation
A new mother is afraid to touch her baby's head for fear of hurting the "large
soft spot." Which explanation should the nurse give to this anxious client? (
answer)"There's a strong, tough membrane there to protect the baby so you
need not be afraid to wash or comb his/her hair."
The nurse is preparing a client with a term pregnancy who is in active labor
for an amniotomy. What equipment should the nurse have available at the
client's bedside? (Select all that apply) ( answer)- Sterile glove
- An amniotic hook
- A doppler
- Lubricant?
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? ( answer)Put the newborn to breast
Practice Quiz
The nurse should explain to a 30-year-old gravid client that alpha fetoprotein
testing is recommended for which purpose? ( answer)Screen for neural tube
defects
A 26 year old, gravid 2, para 1 client is admitted to the hospital at 28 weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate
(Brethren) 0.25 mg subcutaneously to stop her labor contractions. The nurse
plans to monitor for which primary side effect of terbutaline sulfate? (
answer)Tachycardia and a feeling of nervousness
During labor, the nurse determines that a full term client is demonstrating
late decelerations. In which sequence should the nurse implement these
nursing actions? (Place in the first action on top and last action on the
bottom) ( answer)1. Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. Call the health care provider
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" ( answer)"Your milk is sufficient if the baby is voiding
pale straw-colored urine 6-10 times a day"
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn? ( answer)Infant's condition at birth and
treatment received
The nurse is assessing the umbilical cord of a newborn. Which finding
constitutes a normal finding? ( answer)Three vessels: two arteries and one
vein
,2022 HESI Obstetrics/Maternity
Practice Quiz
When explaining "postpartum blues" to a client who is 1 day postpartum,
which symptoms should the nurse include in the teaching plan? (select all
that apply) ( answer)-Mood swings
-Tearfulness
A new mother who has just had her first baby says to the nurse, "I saw the
baby in the recovery room. She sure has a funny looking head." Which
response by the nurse is best? ( answer)"That is normal; the head will return
to a round shape within 7 to 10 days."
The nurse is assessing a 3-day old infant with a cephalohematoma in the
newborn nursery. Which assessment finding should the nurse report to the
healthcare provider? ( answer)Yellowish tinge to the skin
A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion? ( answer)-
3+ deep tendon reflexes and hyperclonus
-epigastric pain
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first? ( answer)Provide
assistance to the mother to begin breastfeeding as soon as possible after
delivery
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask when she could use a home pregnancy test to diagnose pregnancy.
Which response is appropriate? ( answer)"A home pregnancy test can be
used right after your first missed period."
, 2022 HESI Obstetrics/Maternity
Practice Quiz
Which assessment finding should the nursery nurse report to the pediatric
healthcare provider? ( answer)Central cyanosis when crying
A client who is attending antepartum classes asks the nurse why her
healthcare provider has prescribed iron tablets. The nurse's response is
based on what knowledge? ( answer)It is difficult to consume 18 mg of
additional iron by diet alone.
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs ( answer)Two weeks before menstruation
A new mother is afraid to touch her baby's head for fear of hurting the "large
soft spot." Which explanation should the nurse give to this anxious client? (
answer)"There's a strong, tough membrane there to protect the baby so you
need not be afraid to wash or comb his/her hair."
The nurse is preparing a client with a term pregnancy who is in active labor
for an amniotomy. What equipment should the nurse have available at the
client's bedside? (Select all that apply) ( answer)- Sterile glove
- An amniotic hook
- A doppler
- Lubricant?
An off-duty nurse finds a woman in a supermarket parking lot delivering an
infant while her husband is screaming for someone to help his wife. Which
intervention has the highest priority? ( answer)Put the newborn to breast
