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N HESI
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New 2023 Edition
, HESI RN MATERNITY PROCTORED EXAM
VERSION 1
1. A nurse is caring for an infant who begins displaying manifestations of neonatal
abstinence syndrome ( NAS). Which of the following actions should the nurse take?
- Avoid eye contact during feedings
2. A nurse is teaching a client about squatting excercises during pregnancy. Which of the
following statements should the nurse include?
- These exercises should be done for 15 minutes each day to strengthen the perineal
muscle
3. A nurse is caring for a clinet at 39 weeks gestation who is in the active phase of labor.
The nurse observes late decelerations in the fatal heart rate. Which of the following
findings should the nurse identify as the cause of late decelerations?
- Uteroplacental insufficiency
4. A nurse is caring for a client in the third trimester of pregnancy who reports difficulty
sleeping. Which of the following instructions should the nurse provide?
- Use additional pillows to support extremities and abdomen
5. A nurse is teaching a female client about nutrition during pregnancy. Which of the
following instructions should the nurse include in the teaching?
- Do not eat swordfish, shark, or king mackerel while you are pregnant
6. A nurse is speaking with an expectant father who says that he feels resentful of the
added attention others are giving to his wife since the pregnancy was announced
several weeks ago. Which of the following responses should the nurse make?
- These feelings are common for expectant fathers in early pregnancy
7. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions?
, - I will purchase a firm mattress for the crib
8. A nurse is teaching a parent how to care for his newborn’s circumcision site. Which of
the following client statements indicates an understanding of the teaching?
- I should apply the diaper loosely until the circumcision site is healed
9. A nurse is providing teaching to the parents of a newborn about how to care for his
circumcision at home. Which of the following instructions should the nurse include in
the teaching?
- Encourage nonnutritive sucking for pain relief
10. A nurse is teaching a client during the clients first prenatal visit. Which of the following
instructions should the nurse include?
- A Doppler device can detect your baby’s heart rate at 12 weeks.
11. A nurse is preparing to perform leopold manuevaers on a client who is in labor. Which
of the following actions should the nurse plan to take?
- Stand at the clients right side if the nurse is right handed
12. A nurse is assessing a 2 day old newborn and notes an egg shaped, edematous. Bluish
discoloration that does not cross the suture line. Which of the following pieces of
information should the nurse provide to the mother when she asks about this finding?
- This will resolve in 3 to 6 weeks without treatment
13. A nurse is teaching a client who is postpartum and breastfeeding. Which of the
following statements should the nurse include?
- A reduction in sexual interest could indicate postpartum depression
14. A nurse is reviewing the laboratory findings for 4 clients. Which of the following
infections should be reported to the public health department?
- Gonorrhea
15. A nurse is assessing an 18 hour old newborn. Which of the following findings should be
reported to the provider?
- Yellow tinged skin
, 16. A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36
degree C). which of the following actions should the nurse perform?
- Assess the newborn’s blood glucose level
17. A nurse is caring for a client who is in active labor and whose birth plan requests only
nonpharmacological pain relief strategies. Which of the following strategies should the
nurse offer as a form of cutaneous stimulations?
- Counter pressure
18. A nurse is monitoring a newborn who is receiving phototherapy. The nurse should
identify which of the following findings as requiring intervention?
- Weight loss 12% of birth weight
19. A nurse is assessing the respiratory status of a newborn who was born 2 hours ago.
Which of the following findings should the nurse identify as a manifestation of
respiratory distress?
- Expiratory grunting
20. A nurse in a providers office is caring for a client who is in the first trimester of
pregnancy. Which of the following psychological tasks should the nurse expect the client
to accomplish during this trimester?
- Accepting the pregnancy
21. The parents of a child with phenylketonuria ask the nurse if their second unborn child
could have the same condition. The nurse should base the response on which of the
following inheritance patterns responsible for PKU?
- Autosomal recessive
22. A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which
of the following findings should the nurse report to the provider?
- Frequent Headaches
23. A nurse is caring for a client who experienced a fetal loss. When initiHESIng
communication with this client. Which of the following statements should the nurse
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