HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
1. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal
assessment the nurse determines the uterus is boggy and is displaced
above and to the right of the umbilicus. Which action should the nurse
implement next?
1. Observe maternal vital signs
2. Document the color of the lochia
3. Assist the client to the bathroom
4. Notify the healthcare provider - CORRECT
ANSWER 3, HESI textbook ref pg: 422
2. A gravid client develops maternal hypotension following regional anesthesia.
What intervention(s) should the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position
3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT ANSWER 1,
3, 4, 5, HESI textbook ref pg: 348
3. When assessing the integument of a 24 hour old newborn, the nurse notes a
pink papular rash with superimposed vesicles on the thorax, back and
abdomen. What action should the nurse implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States
indicates she has not received any immunizations. Which immunization(s)
should the nurse administer at this time? Select all that apply.
1. Hepatitis B
2. Chickenpox
3. Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4,
5, HESI textbook ref pg:
5. Which client finding should the nurse document as a positive sign of
pregnancy?
1. Last menstrual cycle occurred 2 months ago
2. Fetal heart tones heard with a doppler
3. Presence of braxton hicks contractions
4. A urine sample with a positive pregnancy test. - CORRECT
ANSWER 2, HESI textbook ref pg: 262
6. 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.
2. Sterile vaginal spectrum
3. Lubricant
4. Litmus paper
5. An amnihook
6. A sterile glove
7. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5,
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
7. 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?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT
ANSWER 2. HESI textbook ref pg: 689
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical
history includes 3 live births at 39 weeks, 34 weeks and 35 weeks gestation.
Using the GTPAL system which designation is the most accurate summary of
this client's obstetrical history?
1. 4-1-2-0-3
2. 3-0-3-0-3
3. 4-3-1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER
1, HESI textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the
lower lumbar- sacral area. What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques
3. Apply counter pressure against the sacrum
4. Assist the client in guided imagery - CORRECT
ANSWER 3, HESI textbook ref pg: 339
Davis textbook ref pg:
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
10. A newborn infant is jaundiced due to Rh incompatibility. Which finding is
most important for the nurse to report to the healthcare provider?
1. Bilirubin
2. Hemoglobin
3. Bruising
4. Oral intake - CORRECT ANSWER
1, HESI textbook ref pg:
Davis textbook ref pg:
11. The nurse notes a pattern of the fetal heart rate deceasing after each
contraction. What action should the nurse implement?
1. Prepare for an emergency cesarean section
2. Give 10 liters of oxygen via face mask
3. Continue to monitor the fetal heart rate pattern
4. Obtain an oral maternal temperature - CORRECT
ANSWER 3, HESI textbook ref pg:
Davis textbook ref pg:
12. The nurse is planning for the care of a 30-year old primigravida with pre-
gestational diabetes. What is the most important factor affecting this client's
pregnancy outcomes?
1. Amount of insulin required prenatally
2. Mother's age
3. Number of years since diabetes was diagnosed
4. Degree of glycemic control during pregnancy - CORRECT
ANSWER 4, HESI textbook ref pg:
Davis textbook ref pg:
QUESTIONS AND ANSWER 2022.
1. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal
assessment the nurse determines the uterus is boggy and is displaced
above and to the right of the umbilicus. Which action should the nurse
implement next?
1. Observe maternal vital signs
2. Document the color of the lochia
3. Assist the client to the bathroom
4. Notify the healthcare provider - CORRECT
ANSWER 3, HESI textbook ref pg: 422
2. A gravid client develops maternal hypotension following regional anesthesia.
What intervention(s) should the nurse implement? Select all the apply.
1. Administer oxygen
2. Assist the client to a sitting position
3. Monitor fetal status
4. Place the client in a lateral position
5. Increase IV fluids
6. Perform a vaginal examination - CORRECT ANSWER 1,
3, 4, 5, HESI textbook ref pg: 348
3. When assessing the integument of a 24 hour old newborn, the nurse notes a
pink papular rash with superimposed vesicles on the thorax, back and
abdomen. What action should the nurse implement next?
1. document the finding as erytherma toxicum
2. Notify the healthcare provider immediately
3. Obtain a culture from one of the vesicles
4. Move the newborn to an isolated nursery - CORRECT ANSWER 1,
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
HESI textbook ref pg: 473
4. A primigravida at 12 weeks gestation who just moved to the United States
indicates she has not received any immunizations. Which immunization(s)
should the nurse administer at this time? Select all that apply.
1. Hepatitis B
2. Chickenpox
3. Rubella
4. Tetanus
5. Diptheria - CORRECT ANSWER 1, 4,
5, HESI textbook ref pg:
5. Which client finding should the nurse document as a positive sign of
pregnancy?
1. Last menstrual cycle occurred 2 months ago
2. Fetal heart tones heard with a doppler
3. Presence of braxton hicks contractions
4. A urine sample with a positive pregnancy test. - CORRECT
ANSWER 2, HESI textbook ref pg: 262
6. 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.
2. Sterile vaginal spectrum
3. Lubricant
4. Litmus paper
5. An amnihook
6. A sterile glove
7. Fetal scalp electrode - CORRECT ANSWER 2, 4, 5,
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
7. 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?
1. Tubutaline (Brethine) 0.25 mg subcutaneously q 15 minutes x3
2. Betamethasone (Celestone) 12 mg deep IM
3. Ampicillin 1 gram IV push q8h
4. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - CORRECT
ANSWER 2. HESI textbook ref pg: 689
8. A client at 39 weeks gestation is admitted to the L&D unit. Her obstetrical
history includes 3 live births at 39 weeks, 34 weeks and 35 weeks gestation.
Using the GTPAL system which designation is the most accurate summary of
this client's obstetrical history?
1. 4-1-2-0-3
2. 3-0-3-0-3
3. 4-3-1-0-2
4. 3-1-1-1-3 - CORRECT ANSWER
1, HESI textbook ref pg:
9. A client is experiencing "back" labor and complains of intense pain in the
lower lumbar- sacral area. What action should the nurse implement?
1. Perform effleurage on the abdomen
2. Encourage pant-blow breathing techniques
3. Apply counter pressure against the sacrum
4. Assist the client in guided imagery - CORRECT
ANSWER 3, HESI textbook ref pg: 339
Davis textbook ref pg:
, HESI PA 1 AND 2 EXAM MATERNITY PRACTICE
QUESTIONS AND ANSWER 2022.
10. A newborn infant is jaundiced due to Rh incompatibility. Which finding is
most important for the nurse to report to the healthcare provider?
1. Bilirubin
2. Hemoglobin
3. Bruising
4. Oral intake - CORRECT ANSWER
1, HESI textbook ref pg:
Davis textbook ref pg:
11. The nurse notes a pattern of the fetal heart rate deceasing after each
contraction. What action should the nurse implement?
1. Prepare for an emergency cesarean section
2. Give 10 liters of oxygen via face mask
3. Continue to monitor the fetal heart rate pattern
4. Obtain an oral maternal temperature - CORRECT
ANSWER 3, HESI textbook ref pg:
Davis textbook ref pg:
12. The nurse is planning for the care of a 30-year old primigravida with pre-
gestational diabetes. What is the most important factor affecting this client's
pregnancy outcomes?
1. Amount of insulin required prenatally
2. Mother's age
3. Number of years since diabetes was diagnosed
4. Degree of glycemic control during pregnancy - CORRECT
ANSWER 4, HESI textbook ref pg:
Davis textbook ref pg:
