HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS AND
ANSWERS
][
A multiparous client's membranes rupture after 8 hours of labor. which action should
the practical nurse implement at this time? - ANSWER-Assess the fetal heart rate
(FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous
client who has just given birth to an 8-pound boy when dark red blood comes from
the client's vagina. What action is most important for the PN to implement? -
ANSWER-Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? -
ANSWER-A multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - ANSWER-Excessive
bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports the
PN's action? - ANSWER-The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - ANSWER-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - ANSWER-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) -
ANSWER-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - ANSWER-
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with
the client? - ANSWER-Notify the clinic if any vision changes are experienced.
PRACTICE EXAM QUESTIONS AND
ANSWERS
][
A multiparous client's membranes rupture after 8 hours of labor. which action should
the practical nurse implement at this time? - ANSWER-Assess the fetal heart rate
(FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous
client who has just given birth to an 8-pound boy when dark red blood comes from
the client's vagina. What action is most important for the PN to implement? -
ANSWER-Continue to massage the fundus until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? -
ANSWER-A multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
pound 3-ounce newborn and determines the client's bladder is distended. Which
additional finding should the PN report to the charge nurse? - ANSWER-Excessive
bleeding on the perineal pad.
The practical nurse (PN) places a newborn who is 4 hours old with an axillary
temperature of 97.2 F under the radiant heat warmer. Which rationale supports the
PN's action? - ANSWER-The newborn's thin layer of subcutaneous fat provides poor
insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal
infection for a client during the first postpartum week? - ANSWER-Implement strict
medical and aseptic technique.
Which client is a candidate for the administration of human immune globulin
(RhoGam) after delivery? - ANSWER-The Rh-negative mother who delivers a Rh-
positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical
nurse (PN) explain to a client in the first trimester? (Select all that apply.) -
ANSWER-A. Displacement of the colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement? - ANSWER-
Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at
risk for preeclampsia. Which information is most important for the PN reinforce with
the client? - ANSWER-Notify the clinic if any vision changes are experienced.
