2023 HESI RN EXIT MATERNITY EXAM GUARANTEED A+
ACTUAL QUESTIONS AND ANSWERS COMPLETE GUIDE.
• A client delivers a viable infant, but begins to have excessive
uncontrolled vaginal bleeding after the IV oxytocin is infused. When
notifying the healthcare provider of the client’s condition,which
information is most important to provide?
• Maternal blood pressure
• A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32 weeks
gestation. The client tells the nurse that she has been having
intermittent back pain since the night before. What is thepriority
nursing intervention?
• Ask the client if she has experienced any recent changes in
vaginal discharge
• A client who is HIV positive is receiving zidovudine during labor.
Which information should the nurse provide the client?
• This treatment helps prevent transmission of the virus to the fetus
• The nurse is preparing to draw blood from a newborn to obtain
hemoglobin and hematocrit levels. What is the best method to
obtain this blood sample?
• Use a lancet to puncture the outer lateral aspect of the heel.
• In assessing a client diagnosed with preeclampsia who is receiving
magnesium sulfate, the nurse determines that her deep tendon reflexes
, are 1+; respiratory rate is 12 breaths/min; urinary output is 90 mL in 4
hours; magnesium sulfate levels is 9 mEq/L. Based on these findings,
what intervention should the nurse implement?
• Stop the magnesium sulfate infusion immediately
• The nurse is assessing a client at 29 weeks gestation. Which assessment
method would provide the most accurate determinationof fetal position?
• Ultrasound
• A client in labor states “ i think my water just broke” the nurse
notes that the umbilical cord is on the perineum. What action
should the nurse perform first?
• Place the client in trendelenburg
• A client who is 14 days postpartum arrives to the clinic for a follow-up
examination. The nurse is unable to palpate the uterine fundus.
Which action should the nurse take
• Document the normal finding
• Following an amniocentesis a client verbalizes severall complaints.
What reported finding indicates the nurse that theclient is
experiencing a complication form the amniocentesis
• Low back pain with pelvic cramping
• A client who is positive for gonorrhea vaginally delivered a newborn.
Which medicdation should the nurse administer?
, • Erythromycin ointment
• The current vital signs for a promipara who delivered vaginally during the
previous shift are: temp 100.4, HR 58 beats/min, respiratory rate 16
breaths/min, and BP 130/74 mmHg. What actionshould the nurse
implement?
• Document the vital signs in the record
• Which content should the nurse plan to include in a nutritionclass
for pregnant adolescents?
• Take folic acid supplements daily
Increase food intake by 300 to 400 calories per day
c. Take iron and calciumsupplements daily
• After placing a 36 week gestation newborn in an isolette and
drying teh infant with several blankets, what should the nurse
implement next?
• Place erythromycin ophthalmic ointment in both eyes
• While on the delivery table a primipare tells the nurse that she wishes to
breastfeed her infant. To assist the new mother with her goal, which
intervention is best for the nurse to implement?
• Evaluate the infants sucking reflex then give the infant to the
mother
• The nurse is assessing a pregnant client who reports she smokes one
pack of cigarettes per day. The client believes she is 6 monthspregnant,
ACTUAL QUESTIONS AND ANSWERS COMPLETE GUIDE.
• A client delivers a viable infant, but begins to have excessive
uncontrolled vaginal bleeding after the IV oxytocin is infused. When
notifying the healthcare provider of the client’s condition,which
information is most important to provide?
• Maternal blood pressure
• A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32 weeks
gestation. The client tells the nurse that she has been having
intermittent back pain since the night before. What is thepriority
nursing intervention?
• Ask the client if she has experienced any recent changes in
vaginal discharge
• A client who is HIV positive is receiving zidovudine during labor.
Which information should the nurse provide the client?
• This treatment helps prevent transmission of the virus to the fetus
• The nurse is preparing to draw blood from a newborn to obtain
hemoglobin and hematocrit levels. What is the best method to
obtain this blood sample?
• Use a lancet to puncture the outer lateral aspect of the heel.
• In assessing a client diagnosed with preeclampsia who is receiving
magnesium sulfate, the nurse determines that her deep tendon reflexes
, are 1+; respiratory rate is 12 breaths/min; urinary output is 90 mL in 4
hours; magnesium sulfate levels is 9 mEq/L. Based on these findings,
what intervention should the nurse implement?
• Stop the magnesium sulfate infusion immediately
• The nurse is assessing a client at 29 weeks gestation. Which assessment
method would provide the most accurate determinationof fetal position?
• Ultrasound
• A client in labor states “ i think my water just broke” the nurse
notes that the umbilical cord is on the perineum. What action
should the nurse perform first?
• Place the client in trendelenburg
• A client who is 14 days postpartum arrives to the clinic for a follow-up
examination. The nurse is unable to palpate the uterine fundus.
Which action should the nurse take
• Document the normal finding
• Following an amniocentesis a client verbalizes severall complaints.
What reported finding indicates the nurse that theclient is
experiencing a complication form the amniocentesis
• Low back pain with pelvic cramping
• A client who is positive for gonorrhea vaginally delivered a newborn.
Which medicdation should the nurse administer?
, • Erythromycin ointment
• The current vital signs for a promipara who delivered vaginally during the
previous shift are: temp 100.4, HR 58 beats/min, respiratory rate 16
breaths/min, and BP 130/74 mmHg. What actionshould the nurse
implement?
• Document the vital signs in the record
• Which content should the nurse plan to include in a nutritionclass
for pregnant adolescents?
• Take folic acid supplements daily
Increase food intake by 300 to 400 calories per day
c. Take iron and calciumsupplements daily
• After placing a 36 week gestation newborn in an isolette and
drying teh infant with several blankets, what should the nurse
implement next?
• Place erythromycin ophthalmic ointment in both eyes
• While on the delivery table a primipare tells the nurse that she wishes to
breastfeed her infant. To assist the new mother with her goal, which
intervention is best for the nurse to implement?
• Evaluate the infants sucking reflex then give the infant to the
mother
• The nurse is assessing a pregnant client who reports she smokes one
pack of cigarettes per day. The client believes she is 6 monthspregnant,
