HESI MATERNITY EXAM 2024 ACTUAL EXAM COMPLETE
100 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
Which piece of equipment does the nurse use to assess the fetal heartbeat? -
ANSWER: Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of appetite, weight loss,
and fatigue, and tuberculosis is suspected. A sputum culture reveals Mycobacterium
tuberculosis. The nurse, providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that: - ANSWER: The mother may need
to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester into lithotomy
position on the examining table in the obstetrician's office. The client suddenly
becomes dizzy, lightheaded, nauseated, and pale. The nurse immediately: - ANSWER:
Positions the client on her side
A nurse is monitoring a client who was given an epidural opioid for a cesarean birth.
The nurse notes that the client's oxygen saturation on pulse oximetry is 92%. The
nurse first: - ANSWER: Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to determine whether
labor has begun. For which sign of true labor does the nurse assess the client? -
ANSWER: Contractions that begin in the lower abdomen and back and radiate over
the entire abdomen
Placental abruption is suspected in a client who is experiencing vaginal bleeding. On
assessment, which of the following findings would the nurse expect to note? -
ANSWER: Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive pregnant woman
during the 32nd week of gestation. Which finding requires further follow-up? -
ANSWER: Increased shortness of breath and bilateral crackles in the lungs
A nurse is changing the diaper of a 1-day-old full-term female newborn. The nurse
notes that the labia are edematous and darker than the surrounding skin and that a
white mucous vaginal discharge is present. On the basis of these findings, the nurse
determines that the appropriate action is: - ANSWER: Documenting the findings
(normal findings)
A nurse assessing a pregnant woman in labor notes the presence of early
decelerations on the fetal monitor tracing. Which of the following situations would
the nurse suspect in light of this observation? - ANSWER: Pressure on the fetal head
during a contraction
, A rubella antibody screen is performed in a pregnant client, and the results indicate
that the client is not immune to rubella. The nurse tells the client that: - ANSWER: A
rubella vaccine must be administered after childbirth
A nurse is told that a newborn with myelomeningocele will be admitted to the
newborn nursery. In which position does the nurse plan to place the infant? -
ANSWER: Prone (to prevent pressure on the sac until surgical repair can be
performed)
Normal respiratory rate for a newborn infant - ANSWER: 30 to 60 breaths/min
A nurse is caring for a client experiencing a partial placental abruption. The client is
uncooperative, refusing any interventions until her husband arrives at the hospital.
The nurse analyzes the client's behavior as most likely the result of: - ANSWER:
Anxiety and the need for support
A client in the third trimester of pregnancy is complaining of urinary frequency, and
the nurse instructs the client in measures to alleviate the discomfort. Which
statement by the client indicates an understanding of these self-care measures? -
ANSWER: "I need to drink at least 2000 mL of fluid a day."
A pregnant woman at 38 weeks' gestation arrives at the emergency department,
reporting bright-red vaginal bleeding but denying pain. On the basis of this
information, the nurse determines that the client may be experiencing: - ANSWER:
Placenta previa
A nurse is monitoring a client who delivered a healthy newborn 12 hours ago. The
nurse takes the client's temperature and notes that it is 38° C (100.4° F). The most
appropriate nursing action would be to: - ANSWER: Encourage the intake of oral
fluids
A nurse is assessing the uterine fundus of a client who has just delivered a baby and
notes that the fundus is boggy. The nurse massages the fundus, and then presses to
expel clots from the uterus. To prevent uterine inversion during this procedure, the
nurse: - ANSWER: Simultaneously provides pressure over the lower uterine segment
A nurse assists the primary healthcare provider in performing an amniotomy on a
client in labor. In which order should the nurse perform the following actions after
the amniotomy? - ANSWER: 1. Determining the fetal heart rate
2. Noting the quantity, color, and odor of the amniotic fluid
3. Taking the client's temperature, pulse, and blood pressure
4. Replacing soiled underpads from beneath the client's buttocks
5. Planning evaluation of the client for signs and symptoms of infection
100 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
Which piece of equipment does the nurse use to assess the fetal heartbeat? -
ANSWER: Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of appetite, weight loss,
and fatigue, and tuberculosis is suspected. A sputum culture reveals Mycobacterium
tuberculosis. The nurse, providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that: - ANSWER: The mother may need
to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester into lithotomy
position on the examining table in the obstetrician's office. The client suddenly
becomes dizzy, lightheaded, nauseated, and pale. The nurse immediately: - ANSWER:
Positions the client on her side
A nurse is monitoring a client who was given an epidural opioid for a cesarean birth.
The nurse notes that the client's oxygen saturation on pulse oximetry is 92%. The
nurse first: - ANSWER: Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to determine whether
labor has begun. For which sign of true labor does the nurse assess the client? -
ANSWER: Contractions that begin in the lower abdomen and back and radiate over
the entire abdomen
Placental abruption is suspected in a client who is experiencing vaginal bleeding. On
assessment, which of the following findings would the nurse expect to note? -
ANSWER: Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive pregnant woman
during the 32nd week of gestation. Which finding requires further follow-up? -
ANSWER: Increased shortness of breath and bilateral crackles in the lungs
A nurse is changing the diaper of a 1-day-old full-term female newborn. The nurse
notes that the labia are edematous and darker than the surrounding skin and that a
white mucous vaginal discharge is present. On the basis of these findings, the nurse
determines that the appropriate action is: - ANSWER: Documenting the findings
(normal findings)
A nurse assessing a pregnant woman in labor notes the presence of early
decelerations on the fetal monitor tracing. Which of the following situations would
the nurse suspect in light of this observation? - ANSWER: Pressure on the fetal head
during a contraction
, A rubella antibody screen is performed in a pregnant client, and the results indicate
that the client is not immune to rubella. The nurse tells the client that: - ANSWER: A
rubella vaccine must be administered after childbirth
A nurse is told that a newborn with myelomeningocele will be admitted to the
newborn nursery. In which position does the nurse plan to place the infant? -
ANSWER: Prone (to prevent pressure on the sac until surgical repair can be
performed)
Normal respiratory rate for a newborn infant - ANSWER: 30 to 60 breaths/min
A nurse is caring for a client experiencing a partial placental abruption. The client is
uncooperative, refusing any interventions until her husband arrives at the hospital.
The nurse analyzes the client's behavior as most likely the result of: - ANSWER:
Anxiety and the need for support
A client in the third trimester of pregnancy is complaining of urinary frequency, and
the nurse instructs the client in measures to alleviate the discomfort. Which
statement by the client indicates an understanding of these self-care measures? -
ANSWER: "I need to drink at least 2000 mL of fluid a day."
A pregnant woman at 38 weeks' gestation arrives at the emergency department,
reporting bright-red vaginal bleeding but denying pain. On the basis of this
information, the nurse determines that the client may be experiencing: - ANSWER:
Placenta previa
A nurse is monitoring a client who delivered a healthy newborn 12 hours ago. The
nurse takes the client's temperature and notes that it is 38° C (100.4° F). The most
appropriate nursing action would be to: - ANSWER: Encourage the intake of oral
fluids
A nurse is assessing the uterine fundus of a client who has just delivered a baby and
notes that the fundus is boggy. The nurse massages the fundus, and then presses to
expel clots from the uterus. To prevent uterine inversion during this procedure, the
nurse: - ANSWER: Simultaneously provides pressure over the lower uterine segment
A nurse assists the primary healthcare provider in performing an amniotomy on a
client in labor. In which order should the nurse perform the following actions after
the amniotomy? - ANSWER: 1. Determining the fetal heart rate
2. Noting the quantity, color, and odor of the amniotic fluid
3. Taking the client's temperature, pulse, and blood pressure
4. Replacing soiled underpads from beneath the client's buttocks
5. Planning evaluation of the client for signs and symptoms of infection
