HESI Maternity Exam 2023 A+
Which finding for a client in labor at 41weeks gestation requires
additional assessment by the nurse?
Cervix dilated 2 cm and 50% effaced.
Score of 8 on the biophysical profile.
Fetal heart rate of 116 beats per
minute. One fetal movement noted in
an hour.
A client at 28weeks gestation arrives at the labor and delivery unit
with a complaint of bright red, painless vaginal bleeding. For which
diagnostic procedure should the nurse prepare the client?
Contraction stress test.
Internal fetal monitoring.
Abdominal ultrasound.
Lecithinsphingomyelin
ratio.
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon
fundal assessment, the nurse determines the uterus is boggy and is
displaced above and to the right of the umbilicus. Which action
should the nurse implement next?
Document the color of the
lochia. Observe maternal vital
signs.
Assist the client to the
bathroom. Notify the
healthcare provider.
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, A multiparous client is experiencing bleeding 2 hours after a vaginal
delivery. What action should the nurse implement next?
Determine the firmness of the
fundus. Give oxytocin (Pitocin)
intravenously.
Inform the healthcare provider of the
bleeding. Assess the vital signs for
indicators of shock.
The nurse notes a pattern of the fetal heart rate decreasing after each
contraction. What action should the nurse implement?
Give 10 liters of oxygen via face mask.
Prepare for an emergency cesarean section.
Continue to monitor the fetal heart rate
pattern. Obtain an oral maternal
temperature.
A client at 28weeks gestation experiences blunt abdominal trauma.
Which parameter should the nurse assess first for signs of internal
hemorrhage?
Vaginal bleeding.
Complaints of abdominal pain.
Changes in fetal heart rate
patterns. Alteration in maternal
blood pressure.
Downloaded by Irfan Ali ()
Which finding for a client in labor at 41weeks gestation requires
additional assessment by the nurse?
Cervix dilated 2 cm and 50% effaced.
Score of 8 on the biophysical profile.
Fetal heart rate of 116 beats per
minute. One fetal movement noted in
an hour.
A client at 28weeks gestation arrives at the labor and delivery unit
with a complaint of bright red, painless vaginal bleeding. For which
diagnostic procedure should the nurse prepare the client?
Contraction stress test.
Internal fetal monitoring.
Abdominal ultrasound.
Lecithinsphingomyelin
ratio.
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon
fundal assessment, the nurse determines the uterus is boggy and is
displaced above and to the right of the umbilicus. Which action
should the nurse implement next?
Document the color of the
lochia. Observe maternal vital
signs.
Assist the client to the
bathroom. Notify the
healthcare provider.
Downloaded by Irfan Ali ()
, A multiparous client is experiencing bleeding 2 hours after a vaginal
delivery. What action should the nurse implement next?
Determine the firmness of the
fundus. Give oxytocin (Pitocin)
intravenously.
Inform the healthcare provider of the
bleeding. Assess the vital signs for
indicators of shock.
The nurse notes a pattern of the fetal heart rate decreasing after each
contraction. What action should the nurse implement?
Give 10 liters of oxygen via face mask.
Prepare for an emergency cesarean section.
Continue to monitor the fetal heart rate
pattern. Obtain an oral maternal
temperature.
A client at 28weeks gestation experiences blunt abdominal trauma.
Which parameter should the nurse assess first for signs of internal
hemorrhage?
Vaginal bleeding.
Complaints of abdominal pain.
Changes in fetal heart rate
patterns. Alteration in maternal
blood pressure.
Downloaded by Irfan Ali ()
