1
BSN-346 HESI 2026-2027 Complete 270
Questions and Correct Detailed Answers
(Verified Answers) – Already Graded A+ |
Brand New Version | Galen/BSN-346
Maternal-Newborn Nursing
Question 1: A nurse is assessing a newborn and notes diffuse edema of the fetal scalp that
crosses the suture lines. How should the nurse document this finding?
A. Cephalohematoma
B. Caput succedaneum
C. Molding
D. Subgaleal hemorrhage
☑ correct Answer: B. Caput succedaneum
Rationale: Caput succedaneum is diffuse edema of the fetal scalp that crosses suture lines and
typically reabsorbs within 1 to 3 days. Cephalohematoma is bleeding between the skull and
periosteum that does not cross suture lines.
Question 2: A client is receiving oxytocin (Pitocin) for induction of labor. The nurse understands
that oxytocin has which effect?
A. Decreases uterine contractility
B. Stimulates smooth muscle contraction
C. Relaxes cervical smooth muscle
D. Increases pain threshold
☑ correct Answer: B. Stimulates smooth muscle contraction
,2
Rationale: Oxytocin stimulates uterine smooth muscle contraction. It is not contraindicated for
asthma. Contraction peaks of 40–70 mm are expected in first stage of labor, and over 80 mm in
second stage.
Question 3: The nurse is monitoring uterine contractions in a laboring client. Which
Montevideo unit (MVU) range is expected in the first stage of labor?
A. 50–100
B. 100–250
C. 250–350
D. 300–400
☑ correct Answer: B. 100–250
Rationale: MVUs usually range from 100–250 in the first stage of labor and may rise to 300–400
in the second stage. MVUs are used only with internal monitoring of contractions.
Question 4: A client who received epidural anesthesia develops hypotension. Which
interventions should the nurse implement? Select all that apply.
A. Administer oxygen
B. Increase IV fluids
C. Place the client in lateral position
D. Place the client in Trendelenburg position
E. Monitor fetal status
☑ correct Answer: A, B, C, E (Administer O2, increase IV fluids, place in lateral position,
monitor fetal status)
Rationale: The interventions for hypotension after regional anesthesia include administering
oxygen, increasing IV fluids, placing the client in a lateral position to improve placental
perfusion, and monitoring fetal status. Trendelenburg position is not recommended.
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Question 5: A postpartum client is receiving magnesium sulfate. The nurse recognizes this client
is at increased risk for which complication?
A. Postpartum hemorrhage
B. Pulmonary embolism
C. Endometritis
D. Deep vein thrombosis
☑ correct Answer: A. Postpartum hemorrhage
Rationale: Magnesium sulfate administration increases the risk of postpartum hemorrhaging
due to its smooth muscle relaxant effects on the uterus.
Question 6: The nurse is teaching a client about post-delivery perineal care. Which instruction
is correct?
A. Spray warm water from back to front
B. Spray warm water from front to back
C. Use cold water only
D. Pat dry from back to front
☑ correct Answer: B. Spray warm water from front to back
Rationale: Post-delivery perineal care should involve spraying warm water from front to back to
prevent introducing rectal bacteria into the perineal area and urethra.
Question 7: A client undergoes chorionic villus sampling (CVS). Which assessment finding
requires immediate intervention?
A. Mild abdominal cramping
B. Uterine cramping
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C. Spotting of blood
D. Nausea
☑ correct Answer: B. Uterine cramping
Rationale: Uterine cramping after CVS requires immediate intervention as it may indicate
uterine irritation or potential complications including miscarriage.
Question 8: What is the major risk after a molar pregnancy?
A. Ectopic pregnancy
B. Choriocarcinoma
C. Placenta previa
D. Gestational diabetes
☑ correct Answer: B. Choriocarcinoma
Rationale: Choriocarcinoma is a malignant tumor of the placenta that is a major risk after a
molar pregnancy. It is detected by elevated HCG levels.
Question 9: How is choriocarcinoma detected?
A. Pelvic ultrasound
B. Elevated HCG levels
C. CA-125 levels
D. Endometrial biopsy
☑ correct Answer: B. Elevated HCG levels
Rationale: Choriocarcinoma is detected through elevated HCG levels, which remain high or rise
again after molar pregnancy evacuation.
BSN-346 HESI 2026-2027 Complete 270
Questions and Correct Detailed Answers
(Verified Answers) – Already Graded A+ |
Brand New Version | Galen/BSN-346
Maternal-Newborn Nursing
Question 1: A nurse is assessing a newborn and notes diffuse edema of the fetal scalp that
crosses the suture lines. How should the nurse document this finding?
A. Cephalohematoma
B. Caput succedaneum
C. Molding
D. Subgaleal hemorrhage
☑ correct Answer: B. Caput succedaneum
Rationale: Caput succedaneum is diffuse edema of the fetal scalp that crosses suture lines and
typically reabsorbs within 1 to 3 days. Cephalohematoma is bleeding between the skull and
periosteum that does not cross suture lines.
Question 2: A client is receiving oxytocin (Pitocin) for induction of labor. The nurse understands
that oxytocin has which effect?
A. Decreases uterine contractility
B. Stimulates smooth muscle contraction
C. Relaxes cervical smooth muscle
D. Increases pain threshold
☑ correct Answer: B. Stimulates smooth muscle contraction
,2
Rationale: Oxytocin stimulates uterine smooth muscle contraction. It is not contraindicated for
asthma. Contraction peaks of 40–70 mm are expected in first stage of labor, and over 80 mm in
second stage.
Question 3: The nurse is monitoring uterine contractions in a laboring client. Which
Montevideo unit (MVU) range is expected in the first stage of labor?
A. 50–100
B. 100–250
C. 250–350
D. 300–400
☑ correct Answer: B. 100–250
Rationale: MVUs usually range from 100–250 in the first stage of labor and may rise to 300–400
in the second stage. MVUs are used only with internal monitoring of contractions.
Question 4: A client who received epidural anesthesia develops hypotension. Which
interventions should the nurse implement? Select all that apply.
A. Administer oxygen
B. Increase IV fluids
C. Place the client in lateral position
D. Place the client in Trendelenburg position
E. Monitor fetal status
☑ correct Answer: A, B, C, E (Administer O2, increase IV fluids, place in lateral position,
monitor fetal status)
Rationale: The interventions for hypotension after regional anesthesia include administering
oxygen, increasing IV fluids, placing the client in a lateral position to improve placental
perfusion, and monitoring fetal status. Trendelenburg position is not recommended.
,3
Question 5: A postpartum client is receiving magnesium sulfate. The nurse recognizes this client
is at increased risk for which complication?
A. Postpartum hemorrhage
B. Pulmonary embolism
C. Endometritis
D. Deep vein thrombosis
☑ correct Answer: A. Postpartum hemorrhage
Rationale: Magnesium sulfate administration increases the risk of postpartum hemorrhaging
due to its smooth muscle relaxant effects on the uterus.
Question 6: The nurse is teaching a client about post-delivery perineal care. Which instruction
is correct?
A. Spray warm water from back to front
B. Spray warm water from front to back
C. Use cold water only
D. Pat dry from back to front
☑ correct Answer: B. Spray warm water from front to back
Rationale: Post-delivery perineal care should involve spraying warm water from front to back to
prevent introducing rectal bacteria into the perineal area and urethra.
Question 7: A client undergoes chorionic villus sampling (CVS). Which assessment finding
requires immediate intervention?
A. Mild abdominal cramping
B. Uterine cramping
, 4
C. Spotting of blood
D. Nausea
☑ correct Answer: B. Uterine cramping
Rationale: Uterine cramping after CVS requires immediate intervention as it may indicate
uterine irritation or potential complications including miscarriage.
Question 8: What is the major risk after a molar pregnancy?
A. Ectopic pregnancy
B. Choriocarcinoma
C. Placenta previa
D. Gestational diabetes
☑ correct Answer: B. Choriocarcinoma
Rationale: Choriocarcinoma is a malignant tumor of the placenta that is a major risk after a
molar pregnancy. It is detected by elevated HCG levels.
Question 9: How is choriocarcinoma detected?
A. Pelvic ultrasound
B. Elevated HCG levels
C. CA-125 levels
D. Endometrial biopsy
☑ correct Answer: B. Elevated HCG levels
Rationale: Choriocarcinoma is detected through elevated HCG levels, which remain high or rise
again after molar pregnancy evacuation.
