NU472 HESI Obstetrics/Maternity Practice Exam NEWEST
VERSION 2025-2026 \COMPLETE 103 QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED 100%
GRADED A+\ AT MacEwan University
A client at 32-weeks gestation o "Do you have a history of rheumatic fever?"
comes to the prenatal clinic · Obtaining a client's health history is a priority because
with complaints of pedal clients with a history of rheumatic fever may develop
edema, dyspnea, fatigue, mitral valve prolapse, which increases the risk for
and a moist cough. Which cardiac decompensation due to the increased blood
question is most important volume that occurs during pregnancy.
for the nurse to ask this
client?
o "Which symptom did
you experience first?"
o "Are you eating large
amounts of salty foods?"
o "Have you visited a
foreign country
recently?"
o "Do you have a history
of rheumatic fever?"
A client who has an autosomal o Each pregnancy carries a 50% chance of inheriting the
dominant inherited disorder disorder.
· According to the laws of inheritance, an autosomal
is exploring family
planning options and the risk dominant disorder has a 50% chance of being
of
transmitted with each pregnancy, and if transmitted,
transmission of the disorder
the disorder will appear in the child.
to an infant. The nurse's
response should be based
on what information?
o Males inherit the disorder
with a greater frequency
than females.
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o Each pregnancy carries a
50% chance of inheriting
the disorder.
o The disorders can
occur in 25% of
pregnancies.
o All children will be
carriers of the
disorder.
A client who gave birth to a o Meet the mother's physical needs and demonstrate warmth
healthy 8 toward the infant.
pound infant 3 hours ago is · It is most important to meet the mother's requirement
admitted to the postpartum for attention to her needs so that she can begin infant
unit. Which nursing plan is care-taking. Nurse theorist Reva Rubin describes the
best in assisting this initial postpartal period as the "taking-in phase," which
mother to bond with her is characterized by maternal
newborn infant? reliance on others to satisfy the needs for comfort, rest,
o Encourage the mother to nourishment, and closeness to families and the
provide total care for her newborn.
infant.
o Provide privacy so the
mother can develop a
relationship with the
infant.
o Encourage the father to
provide most of the
infant's care during
hospitalization.
o Meet the mother's
physical needs and
demonstrate warmth
toward the infant.
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An expectant father tells the o Let him know that these behaviors are part of normal
nurse he fears that his wife "is maternal/fetal bonding which occur once the mother
losing her mind." He states feels fetal movement.
she is constantly rubbing her · These behaviors are positive signs of maternal/fetal
abdomen and talking to the bonding and do not reflect ambivalence. No
baby, and that she actually intervention is needed. Quickening, the first perception
reprimands the baby when of fetal movement, occurs at 17 to 20 weeks gestation
it moves too much. What and begins a new phase of prenatal bonding during
recommendation should the the second trimester.
nurse make to this
expectant father? o
Reassure him that these
are normal
reactions to pregnancy and
suggest that he discuss his
concerns with the childbirth
education nurse.
o Help him to understand
that his wife is
experiencing normal
symptoms of ambivalence
about the pregnancy and
no action is needed.
o Ask him to observe his wife's
behavior
carefully for the next few
weeks and report any similar
behavior to the nurse at the
next prenatal visit.
o Let him know that these
behaviors are part of
normal maternal/fetal
bonding which occur once
the mother feels fetal
movement.
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A client who is attending o It is difficult to consume 18 mg of additional iron by diet
antepartum alone.
classes asks the nurse why her Consuming enough iron-containing foods to facilitate
healthcare provider has adequate fetal storage of iron and to meet the
prescribed iron tablets. The demands of pregnancy is difficult so iron
nurse's response is based supplements are often recommended.
on what
knowledge?
o Supplementary iron is
more efficiently utilized
during pregnancy.
o It is difficult to
consume 18 mg of
additional iron by
diet alone.
o Iron absorption is
decreased in the GI tract
during pregnancy.
o Iron is needed to prevent
megaloblastic anemia in
the last trimester.
A newborn infant is brought to o Check the infant's oxygen saturation rate.
the nursery from the birthing · When possible, the nurse should first obtain
suite. The nurse notices measurable objective data; an oxygen saturation rate
that the infant is breathing provides such information.
satisfactorily but appears
dusky. What action should
the
nurse take first?
o Notify the pediatrician
immediately.
o Suction the infant's nares,
then the oral cavity.
o Check the infant's oxygen
saturation rate.
o Position the infant on the
right side.
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