HESI EXIT NURSING Exam Answered
Questions New Update 2025 Assured Success Graded
A+ (answers explained)
The nurse is concerned that a client’s uterine activity is too intense and that her
obesity is preventing accurate assessment of the actual intrauterine pressure.
Based on this information,which action should the nurse take?
a. Reposition the tocotransducer.
b. Reposition the Doppler transducer.
c. Obtain an order from the health care provider for a spiral electrode.
d. Obtain an order from the health care provider for an intrauterine pressure catheter.
An intrauterine pressure catheter can measure actual intrauterine pressure. The
tocotransducermeasures the uterine pressure externally; this would not be accurate
with an obese client, evenwith repositioning. A Doppler auscultates the FHR. A
scalp electrode (or spiral electrode) measures the fetal heart rate (FHR). 218
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse
shouldassess the fetal heart rate in which quadrant of the maternal abdomen?
a. Right upper
b. Left
upper c.
Right lower
, a. Left lower
If the fetus is in a right occiput anterior position, the fetal spine will be on the
mother’s right side.The best location to hear the fetal heart rate is through the fetal
shoulder, which would be in the right lower quadrant. The right upper, left upper,
, a.The fetus is at 30 weeks of gestation.
b.The mother has a history of fast labors.
c.The mother has been given an epidural block.
d.The mother has mild preeclampsia but is not in labor.
The normal preterm fetus may have a baseline rate slightly higher than the term fetus
because ofan immature parasympathetic nervous system that does not yet exert a
slowing effect on the fetalheart rate (FHR). Fast labors should not alter the FHR
normally. Any change in the FHR with anepidural is not considered an expected
outcome. Preeclampsia should not cause a normal elevation of the FHR. 220
When the deceleration pattern of the fetal heart rate mirrors the uterine contraction,
whichnursing action is indicated?
a. Reposition the client.
b. Apply a fetal scalp
electrode. c. Record this
reassuring pattern.
d. Administer oxygen by nasal cannula.
The periodic pattern described is early deceleration that is not associated with fetal
compromise and requires no intervention. It is a reassuring pattern. Repositioning the
client, applying a fetal scalp electrode, or administering oxygen would be
interventions done for nonreassuring patterns.
221
When the mother’s membranes rupture during active labor, the fetal heart rate should
beobserved for the occurrence of which periodic pattern?
, a. Early decelerations b.
Variable decelerations
Questions New Update 2025 Assured Success Graded
A+ (answers explained)
The nurse is concerned that a client’s uterine activity is too intense and that her
obesity is preventing accurate assessment of the actual intrauterine pressure.
Based on this information,which action should the nurse take?
a. Reposition the tocotransducer.
b. Reposition the Doppler transducer.
c. Obtain an order from the health care provider for a spiral electrode.
d. Obtain an order from the health care provider for an intrauterine pressure catheter.
An intrauterine pressure catheter can measure actual intrauterine pressure. The
tocotransducermeasures the uterine pressure externally; this would not be accurate
with an obese client, evenwith repositioning. A Doppler auscultates the FHR. A
scalp electrode (or spiral electrode) measures the fetal heart rate (FHR). 218
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse
shouldassess the fetal heart rate in which quadrant of the maternal abdomen?
a. Right upper
b. Left
upper c.
Right lower
, a. Left lower
If the fetus is in a right occiput anterior position, the fetal spine will be on the
mother’s right side.The best location to hear the fetal heart rate is through the fetal
shoulder, which would be in the right lower quadrant. The right upper, left upper,
, a.The fetus is at 30 weeks of gestation.
b.The mother has a history of fast labors.
c.The mother has been given an epidural block.
d.The mother has mild preeclampsia but is not in labor.
The normal preterm fetus may have a baseline rate slightly higher than the term fetus
because ofan immature parasympathetic nervous system that does not yet exert a
slowing effect on the fetalheart rate (FHR). Fast labors should not alter the FHR
normally. Any change in the FHR with anepidural is not considered an expected
outcome. Preeclampsia should not cause a normal elevation of the FHR. 220
When the deceleration pattern of the fetal heart rate mirrors the uterine contraction,
whichnursing action is indicated?
a. Reposition the client.
b. Apply a fetal scalp
electrode. c. Record this
reassuring pattern.
d. Administer oxygen by nasal cannula.
The periodic pattern described is early deceleration that is not associated with fetal
compromise and requires no intervention. It is a reassuring pattern. Repositioning the
client, applying a fetal scalp electrode, or administering oxygen would be
interventions done for nonreassuring patterns.
221
When the mother’s membranes rupture during active labor, the fetal heart rate should
beobserved for the occurrence of which periodic pattern?
, a. Early decelerations b.
Variable decelerations
