RN HESI Maternity
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A primigravida arrives at the observation
unit of the maternity unit because thinks
is in labor. The
nurse applies the external fetal heart
monitor and determines that the fetal
heart rate is 140
Contractions decrease with walking.
beats/minute and the contractions are
occurring irregularly every 10 to 15 min-
utes. What
assessment finding confirms to the
nurse that the client is not labor at this
time?
A primipara has delivered a stillborn fe-
tus at 30 weeks gestation. To asses the
parents in the grieving process which in-
tervention is most for the nurse to imple-
ment ?
A. explain the possible cause of the fetal B. provide a time for the parents to hold
demise their infant in privacy
B. Provide a time for the parents to hold
their infant in privacy
C. Encourage the parents to seek coun-
seling within the next few weeks
D. Assist the couple to request autopsy
What is the priority nursing assessment
immediately following the birth of an in-
fant with esophageal atresia and a tra-
cheoesophageal (the) fistula ?
A. body temperature
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
What is the most important assessment
for the nurse to conduct following the
administration of epidural anesthesia to D. Maternal blood pressure
a client who is at 40-weeks gestation?
A. Level of pain sensation
, RN HESI Maternity
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B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
A 34-week primigravida with pregnan-
cy induced hypertension (PIH) is receiv-
ing Ringer's Lactate 500 ml with mag-
nesium sulfate 20 grams at the rate of
3 grams/hour. How many ml/hour should
the nurse program the infusion pump? D. 75
(Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
A mother of a 3-year-old boy has just
given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How
should the nurse respond? (Select all
that apply) A. Explain that newborns get milk from
A. Explain that newborns get milk from their mothers in this way
their mothers in this way B. Reassure the older brother that it does
B. Reassure the older brother that it does not hurt his mother
not hurt his mother C. Remind him that his mother breastfed
C. Remind him that his mother breastfed him too
him too
D. Suggest that the baby can also drink
from a bottle
E. Clarify that breastfeeding is his moth-
er's choice
The nurse is examining an infant for pos-
sible cryptorchidism. Which exam tech-
nique should be used?
A. Place the infant in side-lying to facili- D. Place the infant in warm room and use
tate the exam a calm approach
B. Hold the penis and retract the foreskin
gently
C. Cleanse the penis with an antisep-
, RN HESI Maternity
Study online at https://quizlet.com/_am7ql9
tic-soaked pad
D. Place the infant in warm room and use
a calm approach
The nurse is planning care for a client
at 30-weeks gestation who is experienc-
ing preterm labor. What maternal pre-
scription is most important in prevent-
ing this fetus from developing respiratory
distress syndrome?
A. Betamethasone (Celestone) 12 mg
A. Betamethasone (Celestone) 12 mg
deep IM
deep IM
B. Butorphanol 1 mg IV push q2h PRN
pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcu-
taneously q15 minutes x3
A 3-month-old with myelomeningocele
and atonic bladder is catheterized every
4 hours to prevent urinary retention. The
home health nurse notes that the child
has developed episodes of sneezing, ur-
ticaria, watery eyes, and a rash in the di-
aper area. What action is most important
for the nurse to take? C. Change to latex-free gloves when han-
A. Auscultate the lungs for respiratory dling infant
pneumonia.
B. Draw blood to analyze for streptococ-
cal infection
C. Change to latex-free gloves when
handling infant
D. Apply zinc oxide to perineum with
each diaper change
The nurse is caring for a female client,
a primigravida, with preeclampsia. Find-
ings include +2 proteinuria, BP 172/112
D. Magnesium sulfate
mmHg, facial and hand swelling, com-
plaints of blurry vision and a se-
vere frontal headache. Which medica-
, RN HESI Maternity
Study online at https://quizlet.com/_am7ql9
tion should the nurse anticipate for this
client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
A client at 35-weeks gestation complains
of a "pain whenever the baby moves." On
assessment, the nurse notes the client's
temperature to be 101.2F, with severe
abdominal or uterine tenderness on pal-
pation. The nurse knows that these find- B. Chorioamnionitis
ings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
A male infant with a 2-day history of fever
and diarrhea is brought to a clinic by
his mother who tells the nurse that the
child refuses to drink anything. The nurse
determines that the child has a weak cry
with no tears. Which prescription is most
B. Infuse normal saline intravenously
important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket
A 6-month old child who had a cleft-lip
repair has elbow restraints in place. What
nursing intervention should the nurse
plan to implement?
D. remove restraints one at a time to pro-
vide ROM exercises
A. remove restraints q4h for 30 minutes
and place gloves on the child's hands
B. record observations of the restraints
q2h and ensure that they are in place at
Study online at https://quizlet.com/_am7ql9
A primigravida arrives at the observation
unit of the maternity unit because thinks
is in labor. The
nurse applies the external fetal heart
monitor and determines that the fetal
heart rate is 140
Contractions decrease with walking.
beats/minute and the contractions are
occurring irregularly every 10 to 15 min-
utes. What
assessment finding confirms to the
nurse that the client is not labor at this
time?
A primipara has delivered a stillborn fe-
tus at 30 weeks gestation. To asses the
parents in the grieving process which in-
tervention is most for the nurse to imple-
ment ?
A. explain the possible cause of the fetal B. provide a time for the parents to hold
demise their infant in privacy
B. Provide a time for the parents to hold
their infant in privacy
C. Encourage the parents to seek coun-
seling within the next few weeks
D. Assist the couple to request autopsy
What is the priority nursing assessment
immediately following the birth of an in-
fant with esophageal atresia and a tra-
cheoesophageal (the) fistula ?
A. body temperature
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
What is the most important assessment
for the nurse to conduct following the
administration of epidural anesthesia to D. Maternal blood pressure
a client who is at 40-weeks gestation?
A. Level of pain sensation
, RN HESI Maternity
Study online at https://quizlet.com/_am7ql9
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
A 34-week primigravida with pregnan-
cy induced hypertension (PIH) is receiv-
ing Ringer's Lactate 500 ml with mag-
nesium sulfate 20 grams at the rate of
3 grams/hour. How many ml/hour should
the nurse program the infusion pump? D. 75
(Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
A mother of a 3-year-old boy has just
given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby
sister eating my mommy's breast?" How
should the nurse respond? (Select all
that apply) A. Explain that newborns get milk from
A. Explain that newborns get milk from their mothers in this way
their mothers in this way B. Reassure the older brother that it does
B. Reassure the older brother that it does not hurt his mother
not hurt his mother C. Remind him that his mother breastfed
C. Remind him that his mother breastfed him too
him too
D. Suggest that the baby can also drink
from a bottle
E. Clarify that breastfeeding is his moth-
er's choice
The nurse is examining an infant for pos-
sible cryptorchidism. Which exam tech-
nique should be used?
A. Place the infant in side-lying to facili- D. Place the infant in warm room and use
tate the exam a calm approach
B. Hold the penis and retract the foreskin
gently
C. Cleanse the penis with an antisep-
, RN HESI Maternity
Study online at https://quizlet.com/_am7ql9
tic-soaked pad
D. Place the infant in warm room and use
a calm approach
The nurse is planning care for a client
at 30-weeks gestation who is experienc-
ing preterm labor. What maternal pre-
scription is most important in prevent-
ing this fetus from developing respiratory
distress syndrome?
A. Betamethasone (Celestone) 12 mg
A. Betamethasone (Celestone) 12 mg
deep IM
deep IM
B. Butorphanol 1 mg IV push q2h PRN
pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcu-
taneously q15 minutes x3
A 3-month-old with myelomeningocele
and atonic bladder is catheterized every
4 hours to prevent urinary retention. The
home health nurse notes that the child
has developed episodes of sneezing, ur-
ticaria, watery eyes, and a rash in the di-
aper area. What action is most important
for the nurse to take? C. Change to latex-free gloves when han-
A. Auscultate the lungs for respiratory dling infant
pneumonia.
B. Draw blood to analyze for streptococ-
cal infection
C. Change to latex-free gloves when
handling infant
D. Apply zinc oxide to perineum with
each diaper change
The nurse is caring for a female client,
a primigravida, with preeclampsia. Find-
ings include +2 proteinuria, BP 172/112
D. Magnesium sulfate
mmHg, facial and hand swelling, com-
plaints of blurry vision and a se-
vere frontal headache. Which medica-
, RN HESI Maternity
Study online at https://quizlet.com/_am7ql9
tion should the nurse anticipate for this
client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
A client at 35-weeks gestation complains
of a "pain whenever the baby moves." On
assessment, the nurse notes the client's
temperature to be 101.2F, with severe
abdominal or uterine tenderness on pal-
pation. The nurse knows that these find- B. Chorioamnionitis
ings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
A male infant with a 2-day history of fever
and diarrhea is brought to a clinic by
his mother who tells the nurse that the
child refuses to drink anything. The nurse
determines that the child has a weak cry
with no tears. Which prescription is most
B. Infuse normal saline intravenously
important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket
A 6-month old child who had a cleft-lip
repair has elbow restraints in place. What
nursing intervention should the nurse
plan to implement?
D. remove restraints one at a time to pro-
vide ROM exercises
A. remove restraints q4h for 30 minutes
and place gloves on the child's hands
B. record observations of the restraints
q2h and ensure that they are in place at
