HESI Obstetrics/Maternity Practice Exam
(100%) correct answers
A 23 y/o client who is receiving Medicaid benefits is pregnant with her 1st child. Based
on knowledge of the stats r/t infant mortality, which plan should the nurse implement
w/this client? - CORRECT ANSWERS-C. teach the client why keeping prenatal care
appointments is important.
A 24-hour old newborn has pink papular rash with vesicles superimposed on the thorax,
back, and abdomen. What action should the nurse implement? - CORRECT
ANSWERS-C. Document the finding in the newborns record.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation
in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
subcutaneously to stop her labor contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate? - CORRECT ANSWERS-C. Tachycardia and
a feeling of nervousness
a 30 y/o G2P1 client is admitted to the hospital at 26-weeks gestation in preterm labor.
She is given a dose of terbulatine sulfate (Brethine) 0.25 mg subq. Which assessment is
the highest priority for the nurse to monitor during the administration of this drug? -
CORRECT ANSWERS-B. maternal and fetal HRs
A 30-year old gravida 2. para 1 client is admitted to the hospital at 26-weeks gestation
in preterm labor. She is started on am IV solution of terbutaline (Brethine). Which
assessment is the highest priority for the nurse to monitor during the administration of
the drug? - CORRECT ANSWERS-B. maternal and fetal heart rates
A 30-year old multiparous woman who has a 3-y/o and a newborn tells the nurse,"My
son is so jealous of my daughter. I don't know how I'll ever manage both children when I
get home". How should the nurse respond? - CORRECT ANSWERS-D. "regression in
behaviors in the older child is a typical reaction so he needs attention at this time".
, A 35-year-old primagravida client with severe preeclampia is receiving magnesium
sulfate via continuous IV infusion. Which assessment data would indicate to the nurse
that the client is experiencing magnesium sulfate toxicity? - CORRECT ANSWERS-D.
Urine output 90 ml/4 hours.
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day
tells the nurse that her feet have begun to swell. Which instruction would be most
effective in preventing pooling of blood in the lower extremities? - CORRECT
ANSWERS-C. Move about every hour
A 4-week old premature infant has been receiving epoetin alfa for the last 3 weeks.
Which assessment finding indicated to the nurse that the drug is effective? - CORRECT
ANSWERS-C. changes in apical heart rate from the 180s to the 140s
A 40-week gestation primigravida client is being induced with an oxytocin (Pitocin)
secondary infusion and complains of pain in her lower back. Which intervention should
the nurse implement? - CORRECT ANSWERS-D. apply firm pressure to the sacral
area.
A 42-week gestational client is receiving an IV infusion of oxytocin (Pitocin) to augment
early labor. The nurse should d/c the oxytocin infusion for which pattern of contractions?
- CORRECT ANSWERS-A. transition labor with contraction every 2 min, lasting 90
seconds each.
A client 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based
on these data, which intervention should the nurse implement first? - CORRECT
ANSWERS-C. obtain a specimen for urine analysis
A client at 28-weeks gestation calls the antepartal clinic and states that she is
experiencing a small amount of vaginal bleeding which she describes as bright red. She
further states that she is not experiencing any uterine contractions or abdominal pain.
What instruction should the nurse provide? - CORRECT ANSWERS-A. Come to the
clinic today for an ultrasound.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal
edema, dyspnea, fatigue, and a moist cough. Which question is most important for the
nurse to ask the client? - CORRECT ANSWERS-D. Do you have a history of rheumatic
fever?
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment
finding is most indicative of an impending convulsion? - CORRECT ANSWERS-A. 3 +
DTRs and hyperclonus
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