HESI OB/ HESI PEDIATRICS/ HESI
MATERNITY EXAM |Version 1 | (55 Q & A)
|QUESTIONS AND VERIFIED ANSWERS|
2023/ 2024 New Update
1. Client teaching is an important part of the maternity nurse's role. Which factor has the
greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn.
B. The client's educational background.
C. The order in which the information is presented.
D. The extent to which the pregnancy was planned.
✓ Answer: A. The client's readiness to learn
2. A 38-week primigravida who works as a secretary and sits at a computer 8 hours each
day 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?
A. Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing.
✓ Answer: C. Move about every hour
3. 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.
, ✓ Answer: B. Lower birth weights
4. A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
A. A home pregnancy test can be used right after your first missed period.
B. These tests are most accurate after you have missed your second period.
C. Home pregnancy tests often give false positives and should not be trusted.
D. The test can provide accurate information when used right after ovulation.
✓ Answer: A. A home pregnancy test can be used right after your
first missed period.
5. 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.
✓ Answer: C. Tachycardia and a feeling of nervousness
6. A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A. Wear a cotton bra.
B. Increase nursing time gradually.
C. Correctly place the infant on the breast.
D. Manually express a small amount of milk before nursing.
✓ Answer: C. Correctly place the infant on the breast
, 7. A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning immediate care for
the newborn?
A. Length of labor and method of delivery.
B. Infant's condition at birth and treatment received.
C. Feeding method chosen by the parents.
D. History of drugs given to the mother during labor.
✓ Answer: B. Infant's condition at birth and treatment received
8. In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
✓ Answer: D. Anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
9. When assessing a client who is at 12-weeks gestation, the nurse recommends that she and
her husband consider attending childbirth preparation classes. When is the best time for
the couple to attend these classes?
A. At 16-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
D. At 30-weeks gestation.
✓ Answer: D. at 30 weeks gestation
MATERNITY EXAM |Version 1 | (55 Q & A)
|QUESTIONS AND VERIFIED ANSWERS|
2023/ 2024 New Update
1. Client teaching is an important part of the maternity nurse's role. Which factor has the
greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn.
B. The client's educational background.
C. The order in which the information is presented.
D. The extent to which the pregnancy was planned.
✓ Answer: A. The client's readiness to learn
2. A 38-week primigravida who works as a secretary and sits at a computer 8 hours each
day 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?
A. Wear support stockings.
B. Reduce salt in her diet.
C. Move about every hour.
D. Avoid constrictive clothing.
✓ Answer: C. Move about every hour
3. 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.
, ✓ Answer: B. Lower birth weights
4. A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
A. A home pregnancy test can be used right after your first missed period.
B. These tests are most accurate after you have missed your second period.
C. Home pregnancy tests often give false positives and should not be trusted.
D. The test can provide accurate information when used right after ovulation.
✓ Answer: A. A home pregnancy test can be used right after your
first missed period.
5. 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.
✓ Answer: C. Tachycardia and a feeling of nervousness
6. A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A. Wear a cotton bra.
B. Increase nursing time gradually.
C. Correctly place the infant on the breast.
D. Manually express a small amount of milk before nursing.
✓ Answer: C. Correctly place the infant on the breast
, 7. A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning immediate care for
the newborn?
A. Length of labor and method of delivery.
B. Infant's condition at birth and treatment received.
C. Feeding method chosen by the parents.
D. History of drugs given to the mother during labor.
✓ Answer: B. Infant's condition at birth and treatment received
8. In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The nurse
bases the explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month.
✓ Answer: D. Anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
9. When assessing a client who is at 12-weeks gestation, the nurse recommends that she and
her husband consider attending childbirth preparation classes. When is the best time for
the couple to attend these classes?
A. At 16-weeks gestation.
B. At 20-weeks gestation.
C. At 24-weeks gestation.
D. At 30-weeks gestation.
✓ Answer: D. at 30 weeks gestation
