lOMoARcPSD|34983377
MATERNITY NEWBORN HESI TEST
BANK LATEST UPDATED EXAM
VERSION
1. 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 nurse take
immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription.
2. At 14 weeks gestation, a client arrives at the EC complaining of a dull pain in the right lower quadrant of
her abdomen. The nurse obtains a blood sample and 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?
A. check the hematocrit results
B. administer pain medication
C. increase the rate of IV fluids
D. monitor client for contractions
, lOMoARcPSD|34983377
3. A pregnant client tells the nurse 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?
A. April 25, 2007.
B. May 9, 2007.
C. May 29, 2007.
D. June 2, 2007.
4. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28- weeks gestation in preterm labor.
She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline sulfate?
A. Drowsiness and bradycardia.
B. Depressed reflexes and increased respirations.
C. Tachycardia and a feeling of nervousness.
D. A flushed, warm feeling and a dry mouth.
5. During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared
with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have A. lower Apgar
scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
6. Which action should the nurse implement when preparing to measure the fundal height of a pregnant client?
A. Have the client empty her bladder.
, lOMoARcPSD|34983377
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
7. The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which
further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
8. The nurse is preparing to give an enema to a laboring client. Which client requires the most caution when
carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor
due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged.
9. 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 the nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever?
, lOMoARcPSD|34983377
10. The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks gestation. The nurse
determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no
FHR accelerations are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement.
D. Ask the client if she has felt any fetal movement
11. A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute.
12. The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red
vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm
dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers.
13. A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative
of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
MATERNITY NEWBORN HESI TEST
BANK LATEST UPDATED EXAM
VERSION
1. 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 nurse take
immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription.
2. At 14 weeks gestation, a client arrives at the EC complaining of a dull pain in the right lower quadrant of
her abdomen. The nurse obtains a blood sample and 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?
A. check the hematocrit results
B. administer pain medication
C. increase the rate of IV fluids
D. monitor client for contractions
, lOMoARcPSD|34983377
3. A pregnant client tells the nurse 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?
A. April 25, 2007.
B. May 9, 2007.
C. May 29, 2007.
D. June 2, 2007.
4. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28- weeks gestation in preterm labor.
She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline sulfate?
A. Drowsiness and bradycardia.
B. Depressed reflexes and increased respirations.
C. Tachycardia and a feeling of nervousness.
D. A flushed, warm feeling and a dry mouth.
5. During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared
with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have A. lower Apgar
scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
6. Which action should the nurse implement when preparing to measure the fundal height of a pregnant client?
A. Have the client empty her bladder.
, lOMoARcPSD|34983377
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
7. The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which
further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
8. The nurse is preparing to give an enema to a laboring client. Which client requires the most caution when
carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor
due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged.
9. 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 the nurse to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever?
, lOMoARcPSD|34983377
10. The nurse is assessing a client who is having a non-stress test (NST) at 41- weeks gestation. The nurse
determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no
FHR accelerations are occurring. What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement.
D. Ask the client if she has felt any fetal movement
11. A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute.
12. The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red
vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm
dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?
A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers.
13. A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative
of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
