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N HESI
Test Preparation
New 2023 Edition
, HESI PN MATERNITY PROCTORED EXAM
VERSION 1
1. A nurse is care for a client who has oligohydramnios. Which of the following fetal
anomalies should the nurse expect?
- Renal agenesis
2. A nurse in a prenatal clinic is performing telephone triage for several clients. Which of
the following client reports should the nurse identify as an expected physiological
adaptation to pregnancy?
- Breast tenderness
3. A nurse is discussing the expected changes related to pregnancy with a client who is at 8
weeks gestation. Which of the following findings should the client to report to the
provider during the first trimester?
- Persistent vomiting
4. A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and
reports dizzieness when lying on her back. Into which of the following positions should
the nurse assist the client?
- Lateral
5. A nurse is caring for a newborn immediately following birth. Which of the following
actions should the nurse take first?
- Dry the newborn
6. Nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing
pain due to gas. Which of the following strategies should the nurse recommend?
- Rock in a rocking chair
7. A nurse is assessing a client who is 2 days postpartum. In which of the following
locations should the nurse expect to locate the client’s fundus?
,- 3 cm below the umbilicus
8. A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the
following pieces of information should the nurse include in the teaching?
- “Your milk supply will noticeably increase in volume around the 3 rd/4th day after delivery
9. A nurse is teaching the guardian of a newborn about caring for the newborn’s umbilical
cord. For which of the following reasons should the nurse instruct the guardian to avoid
using antimicrobial agents on the cord?
- They can cause delayed cord separation
10. A nurse is providing education for a pregnant client about symptoms that should be
reported immediately to the provider. Which of the following client responses indicates
a understanding of the teaching?
- If I notice that my eyes are puffy, I should call my provider
11. A nurse is providing teaching about the rubella immunization to a client who is 24 hours
postpartum. Which of the following client statemnts indicates an understanding of the
teaching?
- I should be careful to avoid becoming pregnant within next month
12. A nurse is caring for a client who is in labor. The client questions the application of an
internal fetal scalp monitor. Which of the following responses should the nurse provide?
- We need to observe your baby more closely
13. A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33
weeks of gestation. For which of the following results should the nurse notify the
provider?
- Platelet count 135,000
14. A nurse at a family planning clinic preparing to teach a class about how to use a
diaphragm. Which of the following pieces of information should the nurse plan to
include in the teaching?
- Use spermicidal jelly whenever you use your diaphragm
, 15. A nurse in a newborn nursery has received reports on 4 newborns. Which of the
following newborns should the nurse identify a requiring intervention?
- A newborn whose axillary temp is 36.1 degrees Celsius (96.9 degrees F)
16. A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take?
- Obtain blood samples for baseline lab values
17. A nurse is caring for a newborn who has irregular respirations of 52/min with several
periods of apnea lasting approximately 5 sec. the newborn is pink with acrocyanosis.
Which of the following actions should the nurse take?
- Continue to monitor the newborn routinely
18. A nurse is assessing a client who is 3 days post-partum. When examining the client’s
uterus, which of the following techniques should the nurse use?
- Measure the height of the fundus in fingerbreadths in relation to the umbilicus
19. A nurse is planning care for a newborn who has hyperbilirubinemia and a new
prescription for phototherapy. Which of the following interventions should the nurse
include in the plan?
- Reposition the newborn every 3 hours
20. A nurse is assessing a postpartum client who reports strong contractions whenever she
breastfeeds her newborn. The nurse should respond with which of the following
statement?
- The same hormone that is released in response to the baby’s sucking and causes milk to
flow also making the uterus contract.
21. A nurse is administering a rubella immunization to a client who is 2 days postpartum.
Which of the following client statements indicates a need for further instructions?
- I can conceive anytime I want after 10 days
22. A provider tells a client at 12 weeks gestation who practices Hinduism that she needs
more protein in her diet and suggests eating more meat. After the provider leaves the
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