Maternity HESI Questions
Study online at https://quizlet.com/_9oi4jd
1. One day after vaginal delivery of a full-term baby, a post-partum client's
white blood cell count is 15,000/mm3. What action should the nurse take
first?: Check the differential, since WBC is normal for this client.
2. In preparing a gravid client for a triple screen analysis, which action should
the nurse take?: Prepare to draw blood for analysis.
3. During a routine first trimester prenatal exam, a pregnant client tells the
nurse that she has noticed an increase in vaginal discharge that is white, thin,
and watery. What action should the nurse implement?: Inform her that this is a
normal physiological change.
4. Following a precipitous labor, a postpartum client has a continuous trickling
of bright red blood from her vagina. Her uterus is firm and her vital signs are
within normal limits. The nurse determines that this sign may indicate which
condition?: *Laceration on the cervix*
5. A new mother asks the nurse about an area of swelling on her baby's head
near the posterior fontanel that lies across the suture line. How should the
nurse respond?: A. "This is called caput succedaneum. It will absorb and cause no
problems."
6. The parents of a male newborn have signed an informed consent for
circumcision. What priority intervention should the nurse implement upon
completion of the circumcision?: Place petrolatum gauze dressing on the site
7. A 34 week primigravida with preeclampsia is receiving Ringer's Lactate 500
ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many
ml/hour should the nurse program the infusion pump? (Enter numeric value
only): 75
8. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds,
14 ounces, has a head circumference of 13 inches, and a chest circumference
of 10 inches. Based on these physical findings, assessment for which condi-
tion has the highest priority?: Hypoglycemia
9. A primipara at 20-weeks gestation is scheduled for an ultrasound. In prepar-
ing the client for the procedure, the nurse should explain that the primary rea-
son for conducting this diagnostic study is to obtain which information?: Fetal
growth and gestational age.
10. 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?: Chorioamnionitis
11. A 38-week primigravida is admitted to labor and delivery after a non-reac-
tive stress test (NST). The nurse begins a contraction stress test (CST) with
1/2
Study online at https://quizlet.com/_9oi4jd
1. One day after vaginal delivery of a full-term baby, a post-partum client's
white blood cell count is 15,000/mm3. What action should the nurse take
first?: Check the differential, since WBC is normal for this client.
2. In preparing a gravid client for a triple screen analysis, which action should
the nurse take?: Prepare to draw blood for analysis.
3. During a routine first trimester prenatal exam, a pregnant client tells the
nurse that she has noticed an increase in vaginal discharge that is white, thin,
and watery. What action should the nurse implement?: Inform her that this is a
normal physiological change.
4. Following a precipitous labor, a postpartum client has a continuous trickling
of bright red blood from her vagina. Her uterus is firm and her vital signs are
within normal limits. The nurse determines that this sign may indicate which
condition?: *Laceration on the cervix*
5. A new mother asks the nurse about an area of swelling on her baby's head
near the posterior fontanel that lies across the suture line. How should the
nurse respond?: A. "This is called caput succedaneum. It will absorb and cause no
problems."
6. The parents of a male newborn have signed an informed consent for
circumcision. What priority intervention should the nurse implement upon
completion of the circumcision?: Place petrolatum gauze dressing on the site
7. A 34 week primigravida with preeclampsia is receiving Ringer's Lactate 500
ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many
ml/hour should the nurse program the infusion pump? (Enter numeric value
only): 75
8. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds,
14 ounces, has a head circumference of 13 inches, and a chest circumference
of 10 inches. Based on these physical findings, assessment for which condi-
tion has the highest priority?: Hypoglycemia
9. A primipara at 20-weeks gestation is scheduled for an ultrasound. In prepar-
ing the client for the procedure, the nurse should explain that the primary rea-
son for conducting this diagnostic study is to obtain which information?: Fetal
growth and gestational age.
10. 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?: Chorioamnionitis
11. A 38-week primigravida is admitted to labor and delivery after a non-reac-
tive stress test (NST). The nurse begins a contraction stress test (CST) with
1/2
