2021- 2022 OVER 35 ANSWERED EXAM
QUESTIONS FOR HESI RN MATERNITY
1. The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to include in this client's teaching plan?
- CORRECT ANSWER A. Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
- CORRECT ANSWER C. Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this fiding?
- CORRECT ANSWER B. Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and
a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
- CORRECT ANSWER B. Chicken.
5. The newborn nursery admission protocol includes a prescption for phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
provides 2 mg/ml. How many ml should the nurse administer?
- CORRECT ANSWER 0.3
6. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the
drug?
- CORRECT ANSWER . Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal
, heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to
15 minutes. What assessment finding confirms to the nurse that the client is not labor at
this time?
- CORRECT ANSWER D. Contractions decrease with walking.
8. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low
levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the
best explanation for this finding?
- CORRECT ANSWER C. The TSH is high because of the low production of T4 by the thyroid.
9. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
- CORRECT ANSWER D. Stimulate the infant to cry.
10. At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is
the best time to administer a rubella vaccine to this client?
- CORRECT ANSWER D. Early postpartum, within 72 hours of delivery.
11. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most
important for the nurse to obtain each time the infusion rate is increased?
- CORRECT ANSWER D. Contraction pattern.
12. One day after vaginal delivery of a full-term baby, a postpartum client's white blood cell
count is 15,000/mm3. What action should the nurse take first?
- CORRECT ANSWER A. Check the differential, since the WBC is normal for this client.
13. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the healthcare provider of the
client's condition, what information is most important for the nurse to provide?
- CORRECT ANSWER A. Maternal blood pressure.
14. A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when supporting the parents of a
child with this anomaly?
QUESTIONS FOR HESI RN MATERNITY
1. The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most
important for the nurse to include in this client's teaching plan?
- CORRECT ANSWER A. Oral contraceptive use for at least one year.
2. The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
- CORRECT ANSWER C. Betamethasone (Celestone) 12 mg deep IM.
3. The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this fiding?
- CORRECT ANSWER B. Both the lower uterine segment and the fundus must be massaged.
4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and
a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
- CORRECT ANSWER B. Chicken.
5. The newborn nursery admission protocol includes a prescption for phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
provides 2 mg/ml. How many ml should the nurse administer?
- CORRECT ANSWER 0.3
6. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the
drug?
- CORRECT ANSWER . Blood pressure 149/90.
7. A primigravida arrives at the observation unit of the maternity unit because thinks is in
labor. The nurse applies the external fetal heart monitor and determines that the fetal
, heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to
15 minutes. What assessment finding confirms to the nurse that the client is not labor at
this time?
- CORRECT ANSWER D. Contractions decrease with walking.
8. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low
levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the
best explanation for this finding?
- CORRECT ANSWER C. The TSH is high because of the low production of T4 by the thyroid.
9. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
- CORRECT ANSWER D. Stimulate the infant to cry.
10. At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is
the best time to administer a rubella vaccine to this client?
- CORRECT ANSWER D. Early postpartum, within 72 hours of delivery.
11. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most
important for the nurse to obtain each time the infusion rate is increased?
- CORRECT ANSWER D. Contraction pattern.
12. One day after vaginal delivery of a full-term baby, a postpartum client's white blood cell
count is 15,000/mm3. What action should the nurse take first?
- CORRECT ANSWER A. Check the differential, since the WBC is normal for this client.
13. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal
bleeding after the IV Pitocin is infused. When notifying the healthcare provider of the
client's condition, what information is most important for the nurse to provide?
- CORRECT ANSWER A. Maternal blood pressure.
14. A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when supporting the parents of a
child with this anomaly?
