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Complete and Latest Guide
For
HESI RN MATERNAL NEWBORN PROCTORED EXAM
2023
,RN HESI MATERNAL NEWBORN PROCTORED
EXAM
VERSION 1
1. A nurse is caring for a client undergoing an oxytocin-stimulated contraction
test. The nurse notes three contractions in 10 min with late decelerations
occurring with two of the contractions. Which of the following findings
should the nurse report to the provider
a. Reactive
b. Nonreactive
c. Positive- Indicates an adverse reaction by the fetus and should be
reported to the
provider
d. Negative
2. A nurse is providing family planning education to a client who has decided
to use a diaphragm.
Which of the following should the nurse include in the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after
intercourse
c. You should use an oil based product as a lubricant when inserting the
diaphragm
d. You should insert he diaphragm when your bladder is full
3. A nurse is providing discharge teaching to a client who is postpartum about
resuming sexual activity. Which of the following instructions should the
nurse include in the teaching?
a. You should use a water soluble gel for lubrication- This will prevent
discomfort
b. You can resume sexual activity in 10 days
c. Your physical reaction to sexual stimulation ill not be altered
d. You will not ovulate for 3 months after delivery
4. A nurse is admitting a client who is in labor. The client admits to recent
cocaine use. For which of the following complications should the nurse
assess?
, a. Abruptio placenta- Cocaines increases the risk for vasoconstriction
and possible abruption placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
5. A nurse is providing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following statements by the client indicates an
understanding of the teaching?
a. I should eat to taste instead of trying to balance my meals- Eat to taste
to avoid nausea
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone
6. A nurse is caring for a client who is in active labor and reports back pain.
The nurse performs a vaginal exam and determines the client is 8cm dilated,
100% effaced, and -2 station. The fetus is in the occiput posterior position.
Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
b. Place the client in lithotomy position
c. Assist the client to the hands and knees position- Helps relieve back
pain and help the fetus rotate
d. Apply a fetal scalp electrode
7. A nurse is assessing a client during a weekly prenatal visit that is at 38
weeks of gestation. Which of the following client findings should the nurse
report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg- Above the expected reference range and could
indicate complications
d. Report of Braxton-Hicks contractions
8. A nurse is caring for a client who is pregnant and has epilepsy. The nurse
observes the client having a seizure. After turning the client’s head to one
side, which of the following actions should the nurse take next?
a. Monitor the fetal heart rate
b. Assess uterine activity
c. Administer oxygen via a non-breather mask
d. Start a bolus of IV fluids
, 9. A nurse is providing discharge instructions to a client who had a vaginal
delivery and is breastfeeding her newborn. Which of the following
statements indicates an understanding of the teaching?
a. I will need to eat an additional 330 calories a day while I’m
breastfeeding-
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours
10. A nurse is caring for a client who is at 38 weeks of gestation. Which of the
following actions should the nurse take prior to applying an external
transducer for fetal monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers- helps the nurse assess the position of the fetus to
best determine the optimal placement for the fetal monitoring
transducer.
c. Sterile speculum exam
d. Nitrazine test
11. A client who is pregnant presents to a prenatal clinic for her first visit. She
tells the nurse that her last normal menstrual period began Oct 13. Using
Nagele’s rule, the nurse should determine the client’s estimated date of
delivery as which of the following?
a. July 6
b. July 13
c. July 20- Add a year, subtract 3 months, add 7 days
d. July 27
12. A nurse is caring for a client undergoing an oxytocin-stimulated contraction
test. The nurse notes three contractions in 10 min with late decelerations
occurring with two of the contractions. Which of the following findings
should the nurse report to the provider a. Reactive
b. Nonreactive
c. Positive- Indicates an adverse reaction by the fetus and should be
reported to the provider
d. Negative
13. A nurse is providing family planning education to a client who has decided
to use a diaphragm.
Which of the following should the nurse include in the plan of care?
a. You should replace the diaphragm every 3 years
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