HESI PHARMCOLOGY(All Maternity 55)
1. 1. Pregnant patient, with contractions that are 5 min apart,
goes to the bathroom and you hear a baby crying. What is the
best action for the nurse to do?: hit the call light to call for help
2. 2. Post partal patient has a spinal headache 24 hours after
delivery. Prior to anesthesiologist's arrival what action is best
for the nurse to perform?: have equipment at bedside
3. 3. Patient 20 weeks gestation has HPV. What is the best
information for the nurse to provide?: treatment is available
but limited due to pregnancy
4. 4. One hour after delivery the nurse is unable to palpate
the fundus. Large amount of lochia on pad. Massage
umbilicus and get vitals. What intervention does the nurse
implement next?: palpate for bladder distention
5. 5. Infant with cephalatoma. What action should the nurse do
next?: assess for jaundice q 8 hours
6. 6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr:
12 mL/hr
7. 7. Patient receiving Pitocin is experiencing tetanic
contractions with vari- able FHR. What action should the nurse
implement?: - turn off the Pitocin drip
8. 8. Patient scheduled for cesarean for 0600 tells the nurse
that she drank some coffee at 0400 to avoid getting a
1/4
, headache. What action does the nurse take next?: tell the
anesthesiologist
9. 9. After delivery of a 10 pound baby 2 hours ago, the
fundus is above and to the right of the umbilicus. She voids
250 mL in a bed pan, Action to implement?: palpate
suprapubic region for distention
10.10. 33 weeks gestation. Moderate bleeding. No
contractions. What inter- vention to implement?: Weigh pads
11.11. Primipara 42 weeks gestation. Pitocin started then
stopped. O2 ap- plied. Contractions 5 minutes apart for 20
seconds. Intervention to imple- ment?: restart Pitocin per
protocol
12.12. Patient with continuous fetal monitoring notices FHR
fall and rise abruptly with "v" shaped pattern. Nurse action to
take first?: change position of patient
13.13. 28 weeks gestation with twins. Fundal height 27 cm.
fundal height measured 28 cm 3 weeks ago. What does the
nurse conclude from this?: may indicate IUGR
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1. 1. Pregnant patient, with contractions that are 5 min apart,
goes to the bathroom and you hear a baby crying. What is the
best action for the nurse to do?: hit the call light to call for help
2. 2. Post partal patient has a spinal headache 24 hours after
delivery. Prior to anesthesiologist's arrival what action is best
for the nurse to perform?: have equipment at bedside
3. 3. Patient 20 weeks gestation has HPV. What is the best
information for the nurse to provide?: treatment is available
but limited due to pregnancy
4. 4. One hour after delivery the nurse is unable to palpate
the fundus. Large amount of lochia on pad. Massage
umbilicus and get vitals. What intervention does the nurse
implement next?: palpate for bladder distention
5. 5. Infant with cephalatoma. What action should the nurse do
next?: assess for jaundice q 8 hours
6. 6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr:
12 mL/hr
7. 7. Patient receiving Pitocin is experiencing tetanic
contractions with vari- able FHR. What action should the nurse
implement?: - turn off the Pitocin drip
8. 8. Patient scheduled for cesarean for 0600 tells the nurse
that she drank some coffee at 0400 to avoid getting a
1/4
, headache. What action does the nurse take next?: tell the
anesthesiologist
9. 9. After delivery of a 10 pound baby 2 hours ago, the
fundus is above and to the right of the umbilicus. She voids
250 mL in a bed pan, Action to implement?: palpate
suprapubic region for distention
10.10. 33 weeks gestation. Moderate bleeding. No
contractions. What inter- vention to implement?: Weigh pads
11.11. Primipara 42 weeks gestation. Pitocin started then
stopped. O2 ap- plied. Contractions 5 minutes apart for 20
seconds. Intervention to imple- ment?: restart Pitocin per
protocol
12.12. Patient with continuous fetal monitoring notices FHR
fall and rise abruptly with "v" shaped pattern. Nurse action to
take first?: change position of patient
13.13. 28 weeks gestation with twins. Fundal height 27 cm.
fundal height measured 28 cm 3 weeks ago. What does the
nurse conclude from this?: may indicate IUGR
2/4
