RN HESI MATERNITY PRACTICE EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS NEW MODIFIED| MEDICINE|
OBSTETRICS EXAM
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 --CORRECT
ANSWER--A. Betamethasone (Celestone) 12 mg deep IM
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, urticaria, watery eyes, and a rash in the
diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change --CORRECT
ANSWER--C. Change to latex-free gloves when handling infant
Page 1 of 50
,The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate --CORRECT ANSWER--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 palpation. The nurse knows that these
findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. --CORRECT ANSWER--B. Chorioamnionitis
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 important to implement?
Page 2 of 50
,A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket --CORRECT ANSWER--B. Infuse normal
saline intravenously
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?
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
all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises --CORRECT
ANSWER--D. remove restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-
month-old child something besides breast milk, but is concerned that the infant
is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
Page 3 of 50
, C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal --
CORRECT ANSWER--D. reassure the mother that the infant is old enough to
eat iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position --CORRECT ANSWER--D. Change the
maternal position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies
--CORRECT ANSWER--D. RhoGam prevents maternal antibody formation for
future Rh-positive babies
Page 4 of 50
QUESTIONS WITH CORRECT DETAILED
ANSWERS NEW MODIFIED| MEDICINE|
OBSTETRICS EXAM
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most important in
preventing this fetus from developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 --CORRECT
ANSWER--A. Betamethasone (Celestone) 12 mg deep IM
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, urticaria, watery eyes, and a rash in the
diaper area. What action is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change --CORRECT
ANSWER--C. Change to latex-free gloves when handling infant
Page 1 of 50
,The nurse is caring for a female client, a primigravida, with preeclampsia.
Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling,
complaints of blurry vision and a severe frontal headache. Which medication
should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate --CORRECT ANSWER--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 palpation. The nurse knows that these
findings are indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. --CORRECT ANSWER--B. Chorioamnionitis
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 important to implement?
Page 2 of 50
,A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket --CORRECT ANSWER--B. Infuse normal
saline intravenously
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?
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
all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises --CORRECT
ANSWER--D. remove restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-
month-old child something besides breast milk, but is concerned that the infant
is too young to start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid
foods
Page 3 of 50
, C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal --
CORRECT ANSWER--D. reassure the mother that the infant is old enough to
eat iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse
notes a fetal heart rate pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position --CORRECT ANSWER--D. Change the
maternal position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune
globulin (RhoGam) after delivery of an infant who is Rh-positive. Which
information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive babies
--CORRECT ANSWER--D. RhoGam prevents maternal antibody formation for
future Rh-positive babies
Page 4 of 50
