HESI PN MATERNITY EXAM-WITH LATEST SOLUTIONS
2023/2024
HESI OB 2021
• At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dullpain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood
sampleand initiates an IV. Thirty minutes after admission, the client reports feeling a
sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis,
a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should
the nurse implement next?
C. Increase the rate of IV fluids.
• During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking
onthe fetus. When compared with nonsmokers, mothers who smoke during pregnancy
tendto produce infants who have
D. a higher rate of congenital anomalies.
• Which action should the LPN/LVN implement when preparing to measure
thefundal height of a pregnant client?
A. Have the client empty her bladder.
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take
immediately?
D. Call the healthcare provider to question the prescription.
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for theLPN/LVN to ask this client?
D. Do you have a history of rheumatic fever?
• Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What
actionshould the LPN/LVN perform next?
A. Initiate positive pressure ventilation
, • A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing
herchildbearing history, the client indicates that she has delivered premature twins,
one full- term baby, and has had no abortions. Which GTPAL should the
LPN/LVN document in this client's record?
D. 3-1-1-0-3.
16)The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to pink
and then to white. The client asks, "What if I start having red bleeding after it changes?"
What should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
18) A pregnant client tells the LPN/LVN that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
B. May 9, 2007.
• The LPN/LVN 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.)
C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
• The LPN/LVN should explain to a 30-year-old gravida client that
alphafetoprotein testing is recommended for which purpose?
B. Screen for neural tube defects.
• A 38-week primigravida who works as a secretary and sits at a computer 8 hours
eachday tells the nurse that her feet have begun to swell. Which instruction would be
most effective in preventing pooling of blood in the lower extremities?
C. Move about every hour.
• During a prenatal visit, the nurse discusses with a client the effects of smoking
onthe fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have:
B. lower birth weight
2023/2024
HESI OB 2021
• At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
dullpain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood
sampleand initiates an IV. Thirty minutes after admission, the client reports feeling a
sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis,
a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should
the nurse implement next?
C. Increase the rate of IV fluids.
• During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking
onthe fetus. When compared with nonsmokers, mothers who smoke during pregnancy
tendto produce infants who have
D. a higher rate of congenital anomalies.
• Which action should the LPN/LVN implement when preparing to measure
thefundal height of a pregnant client?
A. Have the client empty her bladder.
5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased
from small to large and her fundus is boggy despite massage. The
client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take
immediately?
D. Call the healthcare provider to question the prescription.
7) A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for theLPN/LVN to ask this client?
D. Do you have a history of rheumatic fever?
• Immediately after birth a newborn infant is suctioned, dried, and placed under a
radiant warmer. The infant has spontaneous respirations and the nurse assesses an
apical heart rate of 80 beats/minute and respirations of 20 breaths/ minute. What
actionshould the LPN/LVN perform next?
A. Initiate positive pressure ventilation
, • A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing
herchildbearing history, the client indicates that she has delivered premature twins,
one full- term baby, and has had no abortions. Which GTPAL should the
LPN/LVN document in this client's record?
D. 3-1-1-0-3.
16)The nurse is providing discharge teaching for a client who is 24 hours postpartum.
The nurse explains to the client that her vaginal discharge will change from red to pink
and then to white. The client asks, "What if I start having red bleeding after it changes?"
What should the nurse instruct the client to do?
A. Reduce activity level and notify the healthcare provider.
18) A pregnant client tells the LPN/LVN that the first day of her last menstrual period was
August 2, 2006. Based on Nägele's rule, what is the estimated date of delivery?
B. May 9, 2007.
• The LPN/LVN 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.)
C. A sterile glove.
D. An amniotic hook.
F. A Doppler.
• The LPN/LVN should explain to a 30-year-old gravida client that
alphafetoprotein testing is recommended for which purpose?
B. Screen for neural tube defects.
• A 38-week primigravida who works as a secretary and sits at a computer 8 hours
eachday tells the nurse that her feet have begun to swell. Which instruction would be
most effective in preventing pooling of blood in the lower extremities?
C. Move about every hour.
• During a prenatal visit, the nurse discusses with a client the effects of smoking
onthe fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have:
B. lower birth weight
