3/29/25, 8:20
AM
HESI EXIT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (71)
A client is scheduled for a sonogram at Complete abruptio placentae(Severe pain accompanied by bleeding at term or
36 weeks' gestation. Shortly before the close to it is symptomatic of complete premature detachment of the placenta
test she tells the nurse that she is (abruptio placentae). A hydatidiform mole is diagnosed before 36 weeks' gestation;
experiencing severe abdominal pain. it is not accompanied by severe pain. There is no bleeding with vena cava
Assessment reveals heavy vaginal syndrome.
bleeding, a drop in blood Bleeding caused by placenta previa should not be painful.)
pressure, and an increased pulse rate.
Which complication does the nurse
suspect?Hydatidiform moleVena cava
syndromeMarginal placenta
previaComplete abruptio placentae
Which statement by a new mother It is such a tiny baby
observing her preterm infant in the
neonatal intensive care nursery indicates
that she has not yet begun the bonding
process?
Mild preeclampsia
Preeclampsia is hypertension that develops after 20 weeks' gestation in a
A 26-year-old G1 P0 client at 29 weeks' previously normotensive woman. With mild preeclampsia the systolic blood
gestation has gained 8 lb (3.6 kg) in 2 pressure is below 160 mm Hg and diastolic BP is below 110 mm Hg. Proteinuria is
weeks; her blood pressure has increased present, but there is no evidence of organ dysfunction. Severe preeclampsia is a
from 128/74 Hg to 150/90 mm Hg; and she systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at
has developed 1+ proteinuria on urine least 110 mm Hg and
dipstick. Which condition do these signs proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is
suggest? hypertension that is present before the pregnancy or diagnosed before 20 weeks'
gestation. Gestational hypertension is the onset of hypertension during pregnancy
without other signs or symptoms of preeclampsia and without preexisting
hypertension.
Answer: 3
Breech
A client is admitted at 40 weeks' gestation
with her cervix dilated 5 cm and 100% In the breech presentation, the fetal head is in the fundal portion of the uterus; the
effaced, the presenting part at station 0, chest or back is at or above the umbilicus, where fetal heart tones can be heard. In
and fetal heart tones heard just above the the vertex presentation the head is the presenting part; the chest and back are in
umbilicus. Which fetal presentation is lower quadrants, where the fetal heart is heard. The brow presentation is a type of
indicated by these assessment findings? cephalic presentation in which the fetal head is partially extended; the fetal heart
is heard in the lower abdomen, not above the umbilicus. In the shoulder
presentation the fetal heart usually is heard in the midabdominal region.
Which information would the nurse give a 1. The test can cause fetal anomalies.
pregnant client about having a chorionic
villus sampling (CVS) before the 10th and
12th weeks?
1/9
, 3/29/25, 8:20
AM
Why is a multiple-gestation pregnancy Perinatal mortality is two to three times more likely in multiple than in single births.
considered a high risk?
An 18-year-old primigravida at 36 weeks' Reducing her blood pressure
gestation is admitted with a diagnosis of
mild preeclampsia. Which is the nurse's
most important goal for the client at this
time?
A client in her 36th week of gestation is immediate cesarean birth
admitted with vaginal bleeding, severe
abdominal pain, a rigid fundus, and signs
of impending shock. For which
intervention would the nurse prepare?
A newly pregnant client reports that she Isotretinoin is teratogenic and is associated with major fetal malformations, so the
is taking isotretinoin. Which statement client should stop the medication immediately.
applies to the care of this client?
Which education is appropriate to give a Latex or polyurethane condoms must be used when the couple is having intercourse.
client at 16 weeks' gestation whose partner
has just informed her that he has genital
herpes?
A client is admitted to the birthing unit fundal height
with uterine tenderness and minimal
dark-red vaginal bleeding. She has a
marginal abruptio placentae. The priority
assessment includes fetal status, vital
signs, skin color,
and urine output. What additional
assessment is essential?
Which instruction regarding fluid and Continue pregnancy diet
nutritional intake would the nurse give to
a client with mild preeclampsia?
Which comfort intervention would the Apply pressure to her back during contractions
nurse recommend to a client's coach when
the client reports low back pain?
An electronic fetal monitor is applied to a Contractions every 1 to 2 minutes lasting 90 seconds
client in labor who is dilated to 4 cm.
Which assessment finding would cause the
nurse to notify the health care provider?
A client arrives at the hospital in the Pant while resisting the urge to bear down
second stage of labor. The head of the
fetus is crowning, the client is bearing
down, and birth appears imminent. Which
instruction would the nurse provide to the
client in this situation?
A pregnant client is concerned that The risks of passing the virus to the fetus.
she may have been infected with What positive or negative test results indicate.
human immunodeficiency virus (HIV). The emotional, legal, and medical implications of test results.
Which information should a nurse
include when counseling this client
2/9
AM
HESI EXIT EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (71)
A client is scheduled for a sonogram at Complete abruptio placentae(Severe pain accompanied by bleeding at term or
36 weeks' gestation. Shortly before the close to it is symptomatic of complete premature detachment of the placenta
test she tells the nurse that she is (abruptio placentae). A hydatidiform mole is diagnosed before 36 weeks' gestation;
experiencing severe abdominal pain. it is not accompanied by severe pain. There is no bleeding with vena cava
Assessment reveals heavy vaginal syndrome.
bleeding, a drop in blood Bleeding caused by placenta previa should not be painful.)
pressure, and an increased pulse rate.
Which complication does the nurse
suspect?Hydatidiform moleVena cava
syndromeMarginal placenta
previaComplete abruptio placentae
Which statement by a new mother It is such a tiny baby
observing her preterm infant in the
neonatal intensive care nursery indicates
that she has not yet begun the bonding
process?
Mild preeclampsia
Preeclampsia is hypertension that develops after 20 weeks' gestation in a
A 26-year-old G1 P0 client at 29 weeks' previously normotensive woman. With mild preeclampsia the systolic blood
gestation has gained 8 lb (3.6 kg) in 2 pressure is below 160 mm Hg and diastolic BP is below 110 mm Hg. Proteinuria is
weeks; her blood pressure has increased present, but there is no evidence of organ dysfunction. Severe preeclampsia is a
from 128/74 Hg to 150/90 mm Hg; and she systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at
has developed 1+ proteinuria on urine least 110 mm Hg and
dipstick. Which condition do these signs proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is
suggest? hypertension that is present before the pregnancy or diagnosed before 20 weeks'
gestation. Gestational hypertension is the onset of hypertension during pregnancy
without other signs or symptoms of preeclampsia and without preexisting
hypertension.
Answer: 3
Breech
A client is admitted at 40 weeks' gestation
with her cervix dilated 5 cm and 100% In the breech presentation, the fetal head is in the fundal portion of the uterus; the
effaced, the presenting part at station 0, chest or back is at or above the umbilicus, where fetal heart tones can be heard. In
and fetal heart tones heard just above the the vertex presentation the head is the presenting part; the chest and back are in
umbilicus. Which fetal presentation is lower quadrants, where the fetal heart is heard. The brow presentation is a type of
indicated by these assessment findings? cephalic presentation in which the fetal head is partially extended; the fetal heart
is heard in the lower abdomen, not above the umbilicus. In the shoulder
presentation the fetal heart usually is heard in the midabdominal region.
Which information would the nurse give a 1. The test can cause fetal anomalies.
pregnant client about having a chorionic
villus sampling (CVS) before the 10th and
12th weeks?
1/9
, 3/29/25, 8:20
AM
Why is a multiple-gestation pregnancy Perinatal mortality is two to three times more likely in multiple than in single births.
considered a high risk?
An 18-year-old primigravida at 36 weeks' Reducing her blood pressure
gestation is admitted with a diagnosis of
mild preeclampsia. Which is the nurse's
most important goal for the client at this
time?
A client in her 36th week of gestation is immediate cesarean birth
admitted with vaginal bleeding, severe
abdominal pain, a rigid fundus, and signs
of impending shock. For which
intervention would the nurse prepare?
A newly pregnant client reports that she Isotretinoin is teratogenic and is associated with major fetal malformations, so the
is taking isotretinoin. Which statement client should stop the medication immediately.
applies to the care of this client?
Which education is appropriate to give a Latex or polyurethane condoms must be used when the couple is having intercourse.
client at 16 weeks' gestation whose partner
has just informed her that he has genital
herpes?
A client is admitted to the birthing unit fundal height
with uterine tenderness and minimal
dark-red vaginal bleeding. She has a
marginal abruptio placentae. The priority
assessment includes fetal status, vital
signs, skin color,
and urine output. What additional
assessment is essential?
Which instruction regarding fluid and Continue pregnancy diet
nutritional intake would the nurse give to
a client with mild preeclampsia?
Which comfort intervention would the Apply pressure to her back during contractions
nurse recommend to a client's coach when
the client reports low back pain?
An electronic fetal monitor is applied to a Contractions every 1 to 2 minutes lasting 90 seconds
client in labor who is dilated to 4 cm.
Which assessment finding would cause the
nurse to notify the health care provider?
A client arrives at the hospital in the Pant while resisting the urge to bear down
second stage of labor. The head of the
fetus is crowning, the client is bearing
down, and birth appears imminent. Which
instruction would the nurse provide to the
client in this situation?
A pregnant client is concerned that The risks of passing the virus to the fetus.
she may have been infected with What positive or negative test results indicate.
human immunodeficiency virus (HIV). The emotional, legal, and medical implications of test results.
Which information should a nurse
include when counseling this client
2/9
