HESI OB/MATERNITY PRACTICE QUIZ EXAM WITH
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+|
BRAND NEW VERSION!!
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous
IV infusion. Which assessment data indicates to the nurse that the client is experiencing magnesium
sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - CORRECT ANSWERS-D.Urine output 90 ml/4 hours.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation in preterm labor.
She is given a dose of terbutaline sulfate (Brethine) 0.25 mg subcutaneous. Which assessment is the
highest priority for the nurse to monitor during the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - CORRECT ANSWERS-B.Maternal and fetal heart rates.
The nurse attempts to help an unmarried teenager deal with her feelings following a spontaneous
abortion at 8-weeks gestation. What type of emotional response should the nurse anticipate?
A.Grief related to her perceptions about the loss of this child.
B.Relief of ambivalent feelings experienced with this pregnancy.
C.Shock because she may not have realized that she was pregnant.
D. Guilt because she had not followed her healthcare provider's instructions. - CORRECT
ANSWERS-A.Grief related to her perceptions about the loss of this child.
The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which
instruction should the nurse include as content in the class?
,A.Begin as soon as your baby is born to establish a four-hour feeding schedule.
B.Resting helps with milk production. Ask that your baby be fed at night in the nursery.
C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
D. Do not allow your baby to nurse any longer than the prescribed number of minutes. - CORRECT
ANSWERS-C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
A.Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together.
B.That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot.
C.The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby.
D.There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair. - CORRECT ANSWERS-D.There's a strong, tough membrane there to protect
the baby so you need not be afraid to wash or comb his/her hair.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare
provider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent?
A.Back pain
B.Abdominal pain.
C.Shoulder pain.
D. Leg cramps. - CORRECT ANSWERS-C.Shoulder pain.
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
,d. Monitor client for contractions. - CORRECT ANSWERS-c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she could use a home
pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation - CORRECT
ANSWERS-a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that
the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly - CORRECT ANSWERS-c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure
drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural - CORRECT ANSWERS-c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include information about when
the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second week
, d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month -
CORRECT ANSWERS-d. anterior fontanel closes at 12 to 18 months and the posterior by the
end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute - CORRECT ANSWERS-a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks. Which
assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - CORRECT ANSWERS-c. changes in
apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was August 2, 2006. Based
on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - CORRECT ANSWERS-b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of transition using the
Dubowitz scale. Based on this assessment, the nurse determines that the neonate has a maturity rating
of 40 weeks. Which findings should the nurse identify to determine if the neonate is SGA? (Select all that
apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+|
BRAND NEW VERSION!!
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous
IV infusion. Which assessment data indicates to the nurse that the client is experiencing magnesium
sulfate toxicity?
A.Deep tendon reflexes 2+.
B.Blood pressure 140/90.
C.Respiratory rate 18/minute.
D.Urine output 90 ml/4 hours. - CORRECT ANSWERS-D.Urine output 90 ml/4 hours.
30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks' gestation in preterm labor.
She is given a dose of terbutaline sulfate (Brethine) 0.25 mg subcutaneous. Which assessment is the
highest priority for the nurse to monitor during the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. - CORRECT ANSWERS-B.Maternal and fetal heart rates.
The nurse attempts to help an unmarried teenager deal with her feelings following a spontaneous
abortion at 8-weeks gestation. What type of emotional response should the nurse anticipate?
A.Grief related to her perceptions about the loss of this child.
B.Relief of ambivalent feelings experienced with this pregnancy.
C.Shock because she may not have realized that she was pregnant.
D. Guilt because she had not followed her healthcare provider's instructions. - CORRECT
ANSWERS-A.Grief related to her perceptions about the loss of this child.
The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which
instruction should the nurse include as content in the class?
,A.Begin as soon as your baby is born to establish a four-hour feeding schedule.
B.Resting helps with milk production. Ask that your baby be fed at night in the nursery.
C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
D. Do not allow your baby to nurse any longer than the prescribed number of minutes. - CORRECT
ANSWERS-C.Feed your baby every 2 to 3 hours or on demand, whichever comes first.
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
A.Some care is required when touching the large soft area on top of your baby's head until the bones
fuse together.
B.That's just an 'old wives' tale' so don't worry, you can't harm your baby's head by touching the soft
spot.
C.The soft spot will disappear within 6 weeks and is very unlikely to cause any problems for your baby.
D.There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair. - CORRECT ANSWERS-D.There's a strong, tough membrane there to protect
the baby so you need not be afraid to wash or comb his/her hair.
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare
provider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure
complaint indicates that the fallopian tubes are patent?
A.Back pain
B.Abdominal pain.
C.Shoulder pain.
D. Leg cramps. - CORRECT ANSWERS-C.Shoulder pain.
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right
lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
,d. Monitor client for contractions. - CORRECT ANSWERS-c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she could use a home
pregnancy test to diagnose pregnancy. Which response is best?
a. a home pregnancy test can be used right after your first missed period
b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be trusted
d. the test can provide accurate information when used right after ovulation - CORRECT
ANSWERS-a. a home pregnancy test can be used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that
the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly - CORRECT ANSWERS-c. a persistent cold
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure
drops from 120/80 to 90/60. What action should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural - CORRECT ANSWERS-c. place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to include information about when
the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second week
, d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month -
CORRECT ANSWERS-d. anterior fontanel closes at 12 to 18 months and the posterior by the
end of the second month
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute - CORRECT ANSWERS-a. patellar reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last three weeks. Which
assessment finding indicates to the nurse that the drug is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - CORRECT ANSWERS-c. changes in
apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual period was August 2, 2006. Based
on Nagele's rule, what is the estimated date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 - CORRECT ANSWERS-b. May 9, 2007
The nurse is performing a AGA on a full-term newborn during the first hour of transition using the
Dubowitz scale. Based on this assessment, the nurse determines that the neonate has a maturity rating
of 40 weeks. Which findings should the nurse identify to determine if the neonate is SGA? (Select all that
apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
