Maternal Child HESI Question and
Answers
The nursing instructor asks the student to describe fetal circulation, specifically the
ductus venosus. Which statement by the student indicates an understanding of the
ductus venosus? - ✅"It connects the umbilical vein to the inferior vena cava."
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as
soon as it can be determined. The nurse informs the client that she should be able to
find out the sex at 12 weeks' gestation because of which factor? - ✅The appearance of
the fetal external genitalia
The nurse is performing an assessment on a client who is at 38 weeks' gestation and
notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding,
what is the priority nursing action? - ✅Notify the HCP
The nurse is conducting a prenatal class on the female reproductive system. When a
client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days,
what is the nurse's best response? - ✅"It promotes the fertilized ovum's normal
implantation in the top portion of the uterus."
The nurse should make which statement to a pregnant client found to have a gynecoid
pelvis? - ✅"Your type of pelvis is the most favorable for labor and birth."
A pregnant client in the first trimester calls the nurse at a health care clinic and reports
that she has noticed a thin, colorless vaginal drainage. The nurse should make which
statement to the client? - ✅"The vaginal discharge may be bothersome, but is a normal
occurrence."
Rationale: Leukorrhea begins during the first trimester. Many clients notice a thin,
colorless or yellow vaginal discharge throughout pregnancy. Some clients become
distressed about this condition, but it does not require that the client report to the health
clinic or emergency department.
The home care nurse is monitoring a pregnant client with gestational hypertension who
is at risk for preeclampsia. At each home care visit, the nurse assesses the client for
which classic signs of preeclampsia? Select all that apply. - ✅Proteinuria
2.Hypertension
A pregnant client reports to a health care clinic, complaining of loss of appetite, weight
loss, and fatigue. After assessment of the client, tuberculosis is suspected. A sputum
culture is obtained and identifies Mycobacterium tuberculosis. Which instruction should
the nurse include in the client's teaching plan? - ✅Isoniazid plus rifampin will be
required for 9 months.
, Rationale: More than 1 medication may be used to prevent the growth of resistant
organisms in a pregnant client with tuberculosis. Treatment must continue for a
prolonged period. The preferred treatment for the pregnant client is isoniazid plus
rifampin daily for 9 months
A client arrives at a birthing center in active labor. Following examination, it is
determined that her membranes are still intact and she is at a -2 station. The health
care provider prepares to perform an amniotomy. What will the nurse relay to the client
as the most likely outcomes of the amniotomy? Select all that apply. - ✅Increased
efficiency of contractions
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed
cord
The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a contraction? -
✅Variable decelerations
Insulin needs (Increase?/Decrease) in the first trimester of pregnancy because of
increased insulin production by the pancreas and increased peripheral sensitivity to
insulin - ✅Decrease
abruptio placentae - ✅premature separation of the placenta from the uterine wall.
Uterine tenderness is a symptom.
labor dystocia - ✅an abnormally slow progression of labor
Hypertonic uterine contractions are painful, occur frequently, and are uncoordinated.
Management of hypertonic labor depends on the cause. Primary intervention for this? -
✅Pain relief management.
Normal bowel elimination usually returns how many days postpartum? - ✅2 to 3 days
postpartum.
Normally, a few small clots may be noted in the lochia in the first 1 to 2 days after birth
from pooling of blood in the vagina. However, clots larger than ________ need to be
reported to the HCP, as they are considered abnormal. - ✅1 cm
Valvular hematomas intervention - ✅Applying ice to wound
Signs of umbilical cord infection - ✅Signs of umbilical cord infection are moistness,
oozing, discharge, and a reddened base around the cord. If signs of infection occur, the
client should be instructed to notify a health care provider (HCP).
Answers
The nursing instructor asks the student to describe fetal circulation, specifically the
ductus venosus. Which statement by the student indicates an understanding of the
ductus venosus? - ✅"It connects the umbilical vein to the inferior vena cava."
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as
soon as it can be determined. The nurse informs the client that she should be able to
find out the sex at 12 weeks' gestation because of which factor? - ✅The appearance of
the fetal external genitalia
The nurse is performing an assessment on a client who is at 38 weeks' gestation and
notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding,
what is the priority nursing action? - ✅Notify the HCP
The nurse is conducting a prenatal class on the female reproductive system. When a
client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days,
what is the nurse's best response? - ✅"It promotes the fertilized ovum's normal
implantation in the top portion of the uterus."
The nurse should make which statement to a pregnant client found to have a gynecoid
pelvis? - ✅"Your type of pelvis is the most favorable for labor and birth."
A pregnant client in the first trimester calls the nurse at a health care clinic and reports
that she has noticed a thin, colorless vaginal drainage. The nurse should make which
statement to the client? - ✅"The vaginal discharge may be bothersome, but is a normal
occurrence."
Rationale: Leukorrhea begins during the first trimester. Many clients notice a thin,
colorless or yellow vaginal discharge throughout pregnancy. Some clients become
distressed about this condition, but it does not require that the client report to the health
clinic or emergency department.
The home care nurse is monitoring a pregnant client with gestational hypertension who
is at risk for preeclampsia. At each home care visit, the nurse assesses the client for
which classic signs of preeclampsia? Select all that apply. - ✅Proteinuria
2.Hypertension
A pregnant client reports to a health care clinic, complaining of loss of appetite, weight
loss, and fatigue. After assessment of the client, tuberculosis is suspected. A sputum
culture is obtained and identifies Mycobacterium tuberculosis. Which instruction should
the nurse include in the client's teaching plan? - ✅Isoniazid plus rifampin will be
required for 9 months.
, Rationale: More than 1 medication may be used to prevent the growth of resistant
organisms in a pregnant client with tuberculosis. Treatment must continue for a
prolonged period. The preferred treatment for the pregnant client is isoniazid plus
rifampin daily for 9 months
A client arrives at a birthing center in active labor. Following examination, it is
determined that her membranes are still intact and she is at a -2 station. The health
care provider prepares to perform an amniotomy. What will the nurse relay to the client
as the most likely outcomes of the amniotomy? Select all that apply. - ✅Increased
efficiency of contractions
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed
cord
The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a contraction? -
✅Variable decelerations
Insulin needs (Increase?/Decrease) in the first trimester of pregnancy because of
increased insulin production by the pancreas and increased peripheral sensitivity to
insulin - ✅Decrease
abruptio placentae - ✅premature separation of the placenta from the uterine wall.
Uterine tenderness is a symptom.
labor dystocia - ✅an abnormally slow progression of labor
Hypertonic uterine contractions are painful, occur frequently, and are uncoordinated.
Management of hypertonic labor depends on the cause. Primary intervention for this? -
✅Pain relief management.
Normal bowel elimination usually returns how many days postpartum? - ✅2 to 3 days
postpartum.
Normally, a few small clots may be noted in the lochia in the first 1 to 2 days after birth
from pooling of blood in the vagina. However, clots larger than ________ need to be
reported to the HCP, as they are considered abnormal. - ✅1 cm
Valvular hematomas intervention - ✅Applying ice to wound
Signs of umbilical cord infection - ✅Signs of umbilical cord infection are moistness,
oozing, discharge, and a reddened base around the cord. If signs of infection occur, the
client should be instructed to notify a health care provider (HCP).
