HESI Maternity Exam 2024/2025 WITH
VERIFIED SOLUTIONS GRADED A
1. Which piece of equipment does the nurse use to assess the fetal
heartbeat?
Electronic Doppler
2. A pregnant woman reports to the clinic complaining of loss of appetite,
weight loss, and fatigue, and tuberculosis is suspected. A sputum culture
reveals Mycobacterium tuberculosis. The nurse, providing instructions to
the mother regarding therapeutic management of the disease, tells the
mother that:
The mother may need to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a
total of 9 months
3. A nurse assists a pregnant client who is in the second trimester into
lithotomy position on the examining table in the obstetrician's office. The
client suddenly becomes dizzy, lightheaded, nauseated, and pale. The
nurse immediately:
Positions the client on her side
4. A nurse is monitoring a client who was given an epidural opioid for a
cesarean birth. The nurse notes that the client's oxygen saturation on pulse
oximetry is 92%. The nurse first:
, Instructs the client to take several deep breaths
5. A nurse is performing an assessment of a pregnant woman to determine
whether labor has begun. For which sign of true labor does the nurse
assess the client?
Contractions that begin in the lower abdomen and back and radiate over the entire
abdomen
6. Placental abruption is suspected in a client who is experiencing vaginal
bleeding. On assessment, which of the following findings would the nurse
expect to note?
Uterine tender to palpation
7. A clinic nurse is performing an assessment of an HIV-positive pregnant
woman during the 32nd week of gestation. Which finding requires further
follow-up?
Increased shortness of breath and bilateral crackles in the lungs
8. A nurse is changing the diaper of a 1-day-old full-term female newborn. The
nurse notes that the labia are edematous and darker than the surrounding
skin and that a white mucous vaginal discharge is present. On the basis of
these findings, the nurse determines that the appropriate action is:
Documenting the findings (normal findings)
9. A nurse assessing a pregnant woman in labor notes the presence of early
decelerations on the fetal monitor tracing. Which of the following situations
would the nurse suspect in light of this observation?
Pressure on the fetal head during a contraction
, 10. A rubella antibody screen is performed in a pregnant client, and the results
indicate that the client is not immune to rubella. The nurse tells the client
that:
A rubella vaccine must be administered after childbirth
11. A nurse is told that a newborn with myelomeningocele will be admitted to
the newborn nursery. In which position does the nurse plan to place the
infant?
Prone (to prevent pressure on the sac until surgical repair can be performed)
12. Normal respiratory rate for a newborn infant
30 to 60 breaths/min
13. A nurse is caring for a client experiencing a partial placental abruption. The
client is uncooperative, refusing any interventions until her husband
arrives at the hospital. The nurse analyzes the client's behavior as most
likely the result of:
Anxiety and the need for support
14. A client in the third trimester of pregnancy is complaining of urinary
frequency, and the nurse instructs the client in measures to alleviate the
discomfort. Which statement by the client indicates an understanding of
these self-care measures?
"I need to drink at least 2000 mL of fluid a day."
15. A pregnant woman at 38 weeks' gestation arrives at the emergency
department, reporting bright-red vaginal bleeding but denying pain. On the
VERIFIED SOLUTIONS GRADED A
1. Which piece of equipment does the nurse use to assess the fetal
heartbeat?
Electronic Doppler
2. A pregnant woman reports to the clinic complaining of loss of appetite,
weight loss, and fatigue, and tuberculosis is suspected. A sputum culture
reveals Mycobacterium tuberculosis. The nurse, providing instructions to
the mother regarding therapeutic management of the disease, tells the
mother that:
The mother may need to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a
total of 9 months
3. A nurse assists a pregnant client who is in the second trimester into
lithotomy position on the examining table in the obstetrician's office. The
client suddenly becomes dizzy, lightheaded, nauseated, and pale. The
nurse immediately:
Positions the client on her side
4. A nurse is monitoring a client who was given an epidural opioid for a
cesarean birth. The nurse notes that the client's oxygen saturation on pulse
oximetry is 92%. The nurse first:
, Instructs the client to take several deep breaths
5. A nurse is performing an assessment of a pregnant woman to determine
whether labor has begun. For which sign of true labor does the nurse
assess the client?
Contractions that begin in the lower abdomen and back and radiate over the entire
abdomen
6. Placental abruption is suspected in a client who is experiencing vaginal
bleeding. On assessment, which of the following findings would the nurse
expect to note?
Uterine tender to palpation
7. A clinic nurse is performing an assessment of an HIV-positive pregnant
woman during the 32nd week of gestation. Which finding requires further
follow-up?
Increased shortness of breath and bilateral crackles in the lungs
8. A nurse is changing the diaper of a 1-day-old full-term female newborn. The
nurse notes that the labia are edematous and darker than the surrounding
skin and that a white mucous vaginal discharge is present. On the basis of
these findings, the nurse determines that the appropriate action is:
Documenting the findings (normal findings)
9. A nurse assessing a pregnant woman in labor notes the presence of early
decelerations on the fetal monitor tracing. Which of the following situations
would the nurse suspect in light of this observation?
Pressure on the fetal head during a contraction
, 10. A rubella antibody screen is performed in a pregnant client, and the results
indicate that the client is not immune to rubella. The nurse tells the client
that:
A rubella vaccine must be administered after childbirth
11. A nurse is told that a newborn with myelomeningocele will be admitted to
the newborn nursery. In which position does the nurse plan to place the
infant?
Prone (to prevent pressure on the sac until surgical repair can be performed)
12. Normal respiratory rate for a newborn infant
30 to 60 breaths/min
13. A nurse is caring for a client experiencing a partial placental abruption. The
client is uncooperative, refusing any interventions until her husband
arrives at the hospital. The nurse analyzes the client's behavior as most
likely the result of:
Anxiety and the need for support
14. A client in the third trimester of pregnancy is complaining of urinary
frequency, and the nurse instructs the client in measures to alleviate the
discomfort. Which statement by the client indicates an understanding of
these self-care measures?
"I need to drink at least 2000 mL of fluid a day."
15. A pregnant woman at 38 weeks' gestation arrives at the emergency
department, reporting bright-red vaginal bleeding but denying pain. On the
