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HESI Maternity Exam
1. At 14-weeks gestation, a client arrives at the Emergency Center complaining
of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains
a blood sample and initiates an IV. Thirty minutes after admission, the client
reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings
include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of
86/48. Which action should the nurse implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2. During a prenatal visit, the LPN/LVN discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have
A. lower Apgar scores.
B. lower birth weights.
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C. respiratory distress.
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D. a higher rate of congenital anomalies.
Correct Answer: D
3. Which action should the LPN/LVN implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
Correct Answer:A
4. The LPN/LVN identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
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D. Note paralysis of affected extremity and muscles.
Correct Answer: B