HESI RN Maternity Exam Pack
100% Verified Q&A Compilation
Best for 2022/ 2023 Exam
1
,l
OMoARc
PSD|
8944820
HESI RN Maternity Exam
1. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client
asks the nurse, "Why must I stay in bed all the time?" Which response is best for the
nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
To help preserve cardiac reserves, the woman may need to restrict her activities
and complete bedrest is often prescribed.
2. The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours
after birth to prevent ophthalmic neonatorum, an infection caused by gonorrhea, and
inclusion conjunctivitis, an infection caused by chlamydia. The infant may be exposed
to these bacteria when passing through the birth canal.
3. The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24
to 72 hours after ovulation, when the corpus luteum of the ruptured ovary produces
progesterone. Therefore, intercourse between the time of the temperature fall and
rise is the best time for conception. The human ovum can be fertilized 16 to 24 hours
after ovulation.
2
,4. The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern?
Edema, basilar rales, and an irregular pulse
This indicates cardiac decompensation and requires immediate intervention.
5. A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement?
Describe diet changes that can improve the management of her diabetes
Diet modifications are effective in managing Type 2 diabetes during pregnancy and
describing the necessary diet changes is the most important intervention for the
nurse to implement with this client.
6. A client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first?
Raise the foot of the bed
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide blood to
the vital areas. Increasing the IV fluid rate using a balanced non-dextrose solution and
ensuring that the client is in a lateral position are also appropriate interventions,
and then checking the patient’s blood pressure.
7. What is the normal bilirubin at 1 day old?
A. The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life.
8. How do we lower the levels if they are not severe?
This infant's bilirubin is beginning to climb, and the infant should be monitored to
prevent further complications. Breast milk provides calories and enhances GI motility,
which will assist the bowel in eliminating bilirubin.
9. A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation
in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg
subcutaneous. Which assessment is the highest priority for the nurse to monitor
during the administration of this drug?
Monitoring maternal and fetal heart rates is most important when terbutaline is
being administered.
Terbutaline acts as a sympathomimetic agent that stimulates both beta 1 receptors
5
, (causing tachycardia, a side effect of the drug) and stimulation of beta 2
receptors (causing uterine relaxation, a desired effect of the drug).
10. A full-term infant is admitted to the newborn nursery and, after careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms is this
newborn likely to have exhibited?
Choking, coughing, and cyanosis.
the "3 Cs" of esophageal atresia caused by the overflow of secretions into the trachea.
11. What does a child in respiratory distress look like?
Apneic spells and grunting with prematurity or sepsis
12. What does a diaphragmatic hernia look
like? Scaphoid abdomen and anorexia
13. A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
Which explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair.
14. A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron
and to meet the demands of pregnancy is difficult so iron supplements are often
recommended.
15. What is megaloblastic anemia caused
by? folic acid deficiency
16. A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6 to 8 days after conception and is
best detected at 2 weeks’gestation or immediately after the first missed period.
17. A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
6
100% Verified Q&A Compilation
Best for 2022/ 2023 Exam
1
,l
OMoARc
PSD|
8944820
HESI RN Maternity Exam
1. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client
asks the nurse, "Why must I stay in bed all the time?" Which response is best for the
nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.
To help preserve cardiac reserves, the woman may need to restrict her activities
and complete bedrest is often prescribed.
2. The nurse is teaching care of the newborn to a group of prospective parents and
describes the need for administering antibiotic ointment into the eyes of the newborn.
Which infectious organism will this treatment prevent from harming the infant?
Gonorrhea
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours
after birth to prevent ophthalmic neonatorum, an infection caused by gonorrhea, and
inclusion conjunctivitis, an infection caused by chlamydia. The infant may be exposed
to these bacteria when passing through the birth canal.
3. The nurse is teaching a woman how to use her basal body temperature (BBT)
pattern as a tool to assist her in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore, the best time for intercourse to
ensure conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24
to 72 hours after ovulation, when the corpus luteum of the ruptured ovary produces
progesterone. Therefore, intercourse between the time of the temperature fall and
rise is the best time for conception. The human ovum can be fertilized 16 to 24 hours
after ovulation.
2
,4. The nurse is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern?
Edema, basilar rales, and an irregular pulse
This indicates cardiac decompensation and requires immediate intervention.
5. A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement?
Describe diet changes that can improve the management of her diabetes
Diet modifications are effective in managing Type 2 diabetes during pregnancy and
describing the necessary diet changes is the most important intervention for the
nurse to implement with this client.
6. A client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first?
Raise the foot of the bed
These symptoms are suggestive of hypotension which is a side effect of epidural
anesthesia. Raising the foot of the bed will increase venous return and provide blood to
the vital areas. Increasing the IV fluid rate using a balanced non-dextrose solution and
ensuring that the client is in a lateral position are also appropriate interventions,
and then checking the patient’s blood pressure.
7. What is the normal bilirubin at 1 day old?
A. The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life.
8. How do we lower the levels if they are not severe?
This infant's bilirubin is beginning to climb, and the infant should be monitored to
prevent further complications. Breast milk provides calories and enhances GI motility,
which will assist the bowel in eliminating bilirubin.
9. A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation
in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg
subcutaneous. Which assessment is the highest priority for the nurse to monitor
during the administration of this drug?
Monitoring maternal and fetal heart rates is most important when terbutaline is
being administered.
Terbutaline acts as a sympathomimetic agent that stimulates both beta 1 receptors
5
, (causing tachycardia, a side effect of the drug) and stimulation of beta 2
receptors (causing uterine relaxation, a desired effect of the drug).
10. A full-term infant is admitted to the newborn nursery and, after careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms is this
newborn likely to have exhibited?
Choking, coughing, and cyanosis.
the "3 Cs" of esophageal atresia caused by the overflow of secretions into the trachea.
11. What does a child in respiratory distress look like?
Apneic spells and grunting with prematurity or sepsis
12. What does a diaphragmatic hernia look
like? Scaphoid abdomen and anorexia
13. A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
Which explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not be
afraid to wash or comb his/her hair.
14. A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron
and to meet the demands of pregnancy is difficult so iron supplements are often
recommended.
15. What is megaloblastic anemia caused
by? folic acid deficiency
16. A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6 to 8 days after conception and is
best detected at 2 weeks’gestation or immediately after the first missed period.
17. A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
6
