HESI TEST FOR MATERNITY PAEDIATRIC CARE
IN NURSING. 100% RESEARCH BASED
QUESTIONS WITH ANSWERS AND
EXPLANATIONS
1. The nurse observes a new mother avoiding eye contact with
her newborn. Which action should the nurse take? Observe the
mother for other attachment behaviors.
2. The nurse should explain to a 30-year-old gravid client that
alpha fetoprotein testing is recommended for which purpose?
Screen for neural tube defects. 3. What action should the nurse
implement to decrease the client's risk for hemorrhage after a
cesarean section? Check the firmness of the uterus every 15
minutes.
4. The nurse attempts to help an unmarried teenager deal
with her feelings following a spontaneous abortion at 8-weeks’
gestation. What type of emotional response should the nurse
anticipate? Grief related to her perceptions about the loss of
this child.
5. The nurse is assessing a 3-day old infant with a
cephalohematoma in the newborn nursery. Which assessment
finding should the nurse report to the healthcare provider?
Yellowish tinge to the skin.
6. When assessing a client who is at 12-weeks’ gestation, the
nurse recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the couple
to attend these classes? At 30-weeks’ gestation is closest to the
time parents would be ready for such classes. Learning is facilitated
by an interested pupil! The couple is most interested in childbirth
toward the end of the pregnancy when they are psychologically
ready for the termination of the pregnancy, and the birth of their
child is an immediate concern.
7. A client at 32-weeks’ gestation is diagnosed with
preeclampsia. Which assessment finding is most indicative of an
1/15
, HESI TEST FOR MATERNITY PAEDIATRIC CARE
IN NURSING. 100% RESEARCH BASED
QUESTIONS WITH ANSWERS AND
EXPLANATIONS
impending convulsion? Epigastric pain (C) is indicative of an
edematous liver or pancreas which is an early warning sign of
an impending convulsion (eclampsia) and requires immediate
attention.
8. A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to report
to the healthcare provider immediately? Onset of uterine
contractions.
9. A client who is in the second trimester of pregnancy tells
the nurse that she wants to use herbal therapy. Which response
is best for the nurse to provide? It is important that you want to
take part in your care.
10. A couple, concerned because the woman has not been able
to conceive, is referred to a healthcare provider for a fertility
workup and a hysterosalpingography is scheduled. Which post
procedure complaint indicates that the fallopian tubes are
patent? If the tubes are patent (open), pain is referred to the
shoulder (C) from a subdiaphragmatic collection of peritoneal
dye/gas.
1 1. A client who delivered an infant an hour ago tells the nurse
that she feels wet underneath her buttock. The nurse notes that
both perinea' pads are completely saturated and the client is
lying in a 6-inch diameter pool of blood. Which action should the
nurse implement next? Palpate the firmness of the fundus.
12. One hour after giving birth to an 8-pound infant, a
client's lochia rubra has increased from small to large and her
fundus is boggy despite massage. The client's pulse is 84
beats/minute and blood pressure are 156/96. The healthcare
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