HESI MATERNAL N271 EXAM 2025
QUESTIONS AND ANSWERS
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back,
and abdomen. What action should the nurse implement? - ANS Document the finding in the
infant's record.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
- ANS Central cyanosis when crying.
At 14 weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
RLQ of the abd. The nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abd pain and a shoulder pain. Assessment findings
including diaphoresis, a HR of 120 bpm, and a BP of 86/48. Which action should the nurse
implement next? - ANS Increase the rate of IV fluids.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her
husband is screening for someone to help his wife. What intervention has the highest priority? -
ANS Put the newborn to breast.
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before
initiating this prescription, it is most important to assess the client for which condition? -
ANS Gestational diabetes.
A full term infant is transferred to the nursery from L & D. Which information is most important
for the nurse to receive while planning care for the newborn? - ANS Infant's condition at
birth and treatment received.
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, A client who is in the second trimester of pregnancy tells the nurse she wants to use herbal
therapy. Which response is best for the nurse to provide? - ANS It is important you want to
take part in your care.
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy.
What equipment should the nurse have available at the client's bedside? - ANS Lubricant, a
sterile glove, and an anmnihook.
The nurse is performing a gestational age assessment on a full-term newborn during the first
hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating of 40 weeks. What findings should be nurse
identify to determine if the neonate is small for gestational age? - ANS Admission weight of 4
lbs, 15 oz (2244 grams)
Head to heel length of 17 inches (42.5 cm)
Frontal occipital circumference of 12.5 inches (31.25 cm)
When providing a class on newborn care for expectant parents, what content should the nurse
teach concerning the newborn infant born at term? - ANS Vernix is a white, cheesy
substance, predominantly located in the skin folds.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of gravid client? - ANS Client's readiness to learn
The nurse identifies crepitus when examining the chest of a newborn client who was delivered
vaginally. Which further assessment should the nurse perform? - ANS Observe for an
asymmetrical Moro (startle) reflex
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take? - ANS Advise
the client to breathe into her cupped hands.
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QUESTIONS AND ANSWERS
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back,
and abdomen. What action should the nurse implement? - ANS Document the finding in the
infant's record.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
- ANS Central cyanosis when crying.
At 14 weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the
RLQ of the abd. The nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abd pain and a shoulder pain. Assessment findings
including diaphoresis, a HR of 120 bpm, and a BP of 86/48. Which action should the nurse
implement next? - ANS Increase the rate of IV fluids.
An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her
husband is screening for someone to help his wife. What intervention has the highest priority? -
ANS Put the newborn to breast.
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before
initiating this prescription, it is most important to assess the client for which condition? -
ANS Gestational diabetes.
A full term infant is transferred to the nursery from L & D. Which information is most important
for the nurse to receive while planning care for the newborn? - ANS Infant's condition at
birth and treatment received.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, A client who is in the second trimester of pregnancy tells the nurse she wants to use herbal
therapy. Which response is best for the nurse to provide? - ANS It is important you want to
take part in your care.
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy.
What equipment should the nurse have available at the client's bedside? - ANS Lubricant, a
sterile glove, and an anmnihook.
The nurse is performing a gestational age assessment on a full-term newborn during the first
hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating of 40 weeks. What findings should be nurse
identify to determine if the neonate is small for gestational age? - ANS Admission weight of 4
lbs, 15 oz (2244 grams)
Head to heel length of 17 inches (42.5 cm)
Frontal occipital circumference of 12.5 inches (31.25 cm)
When providing a class on newborn care for expectant parents, what content should the nurse
teach concerning the newborn infant born at term? - ANS Vernix is a white, cheesy
substance, predominantly located in the skin folds.
Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of gravid client? - ANS Client's readiness to learn
The nurse identifies crepitus when examining the chest of a newborn client who was delivered
vaginally. Which further assessment should the nurse perform? - ANS Observe for an
asymmetrical Moro (startle) reflex
The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
complain of tingling fingers and dizziness. What action should the nurse take? - ANS Advise
the client to breathe into her cupped hands.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
