HESI RN: Maternity -
Test Bank
[Type the document subtitle]
HESI RN: Maternity - Test
Bank EXAM 2024-2025
QUESTIONS AND ANSS
JIMSE
1/10/2025
,HESI RN: Maternity - Test Bank EXAM 2024-
2025 QUESTIONS AND ANSS 100 % PASS
SOLUTION A+ GRADE
A 39*week gestational multigravida is admitted to labor and delivery spontaneous
rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam
indicates that the cervix is dilated 6cm, 90% effaced and the fetus is at a +2 station.
During the last 45 minutes the fetal heart rate has ranged between 170 and 180
beats/minute. What action should the nurse implement?
A) Obtain a blood specimen for hemoglobin
B) Take an oral maternal temperature
C) Straight Catheterize client
D) Send amniotic fluid for analysis * ANS***B) Take an oral maternal temperature
An obviously pregnant woman walks into the hospital's emergency department
entrance shouting. "Help me! Help me! My baby is coming! I'm so afraid!" The
nurse determines if delivery is indeed imminent, what action is most important
for the nurse to take?
A) Determines the gestational age of fetus
B) Assess the amount and color of the amniotic fluid
C) Obtain peripheral IV access and begin administration of IV fluids
D) Provide clear concise instructions in a calm, deliberate manner * ANS***D)
1
,Provide clear concise instructions in a calm, deliberate manner
A client who is 3 weeks postpartum tells the nurse. "I am so tired all the time. I didn't
know having a baby would be so hard." What response should the nurse provide.
a) It is common to feel exhausted for the first 3 months. Try to sleep when the baby
sleeps.
b) It is normal to feel tired for the first couple weeks. Be patient with yourself and rest
more.
c) You should not be doing any housework. Are any of your family members helping you?
d) Adjusting to a new baby can be difficult. Tell me more about any help you are
receiving. * ANS***d) Adjusting to a new baby can be difficult. Tell me more
about any help you are receiving.
2
, The home health nurse visits a client who delivered a full*term baby three days ago.
The mother reports that the infant is waking up every 2 hours to bottle feed. The
nurse notes white, curl*like patches on the newborns oral mucous membranes. What
action should the nurse implement?
A) Discuss the need for medication to treat curl*like oral patches
B) Suggest switching the infant's formula
C) Assess the baby's blood glucose level
D) Remind mother not put the baby to bed with a propped bottle * ANS***A) Discuss
the need for medication to treat curl*like oral patches
One hour after delivery the nurse is unable to palpate the uterine fundus of a client
who had an epidural and notes a large amount of lochia on the perineal pad. The
nurse massages at the umbilicus and obtains current vital signs. Which intervention
should the nurse implement next.
A) Document number of pad changes in the last hour
B) Provide bedpans to void if unable to ambulate
C) Palpate the supra pubic area for bladder distention
D) Increases the rate of the oxytocin infusion * ANS***C) Palpate the supra
pubic area for bladder distention
The father of a 3*day old infant who is breast feeding calls the postpartum help line
to report that his wife is acting strangely. She is irritable, cannot cope with the baby,
and frequently cries for no appeared reason. What information is most important for
the nurse to provide the father?
A) Contact the clinic if the behaviors continue for more than two weeks or becomes worse
B) Tell the father count the newborns number of soiled diapers over the next few days.
3
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