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HESI Maternity final Exam Questions and Correct Answers
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lOMoAR cPSD| 8510046HESI Maternity final Exam Questions and Correct Answers
1. The nurse is assessing newborn who was precipitously delivered at 38 weeks' gestation.
The newborn is tremulous. Tachycardic, and hypertensive. Which assessment action is
most important for the nurse to assess?
A. Perform gestational age assessment.
B. Obtain a drug screen for cocaine.
C. Determine reactivity of neonatal reflexes.
D. Weigh and measure the newborn.
2. 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis
of eclampsia. She is not presently convulsing. Which intervention should the nurse plan
to include in the clients nursing care plan.
A. Assess temperature every hour.
B. Allow liberal family visitation
C. Monitor blood pressure, pulse, and respirations every 4 hours
D. Keep an airway at the bedside
3. The healthcare provider prescribes magnesium. Sulfate 6 grams intravenously (IV)to be
infused over 20 minutes for client with preterm labor. The IV bag contains magnesium
sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse
set the infusion pump? (Enter numerical value only.) A: O:
20g 6g 6g × 500mL =3,000
500mL (x) 3,000÷20=150mL in 20
450 mL/hour
4. A Client who Is receiving oxytocin to augment early
mins Set IV pump mL per hour
60mins÷20mins=3
labor begins to3×150mL=
experience450mL/hour
tachysystolic tetanic contractions with variable fetal heart decelerations. Which action
should the nurse implement?
A. Turn off the oxytocin infusion.
B. Reposition the fetal monitor transducers.
C. Decrease the rate of the oxytocin infusion.
D. Alert the charge nurse to the patient's condition.
5. A client who is scheduled for induction of labor receives a prescription for oxytocin 2
milliunits/min intravenously (I1V) The IV bag contains oxytocin 5 units in lactated
Ringer’s 500 mL_. How many mL/hour should the nurse program the IV infusion pump
to deliver? (Enter numerical value only.)
12mL/hr
2 milliunits × mins = 120 milliunits ÷ 1000 = .12 Units
.12 Units × 500mL = 60 ÷ 5 Units = 12mL
, 6. A woman at 36-weeks' gestation who is Rh negative is admitted to labor and delivery
reporting abdominal cramping. She is placed on strict bed rest the and fetal Heart rate
andcontraction pattern are monitored with an external fetal Nurse notes a large amount
of bright red vaginal bleeding Which nursing intervention has the highest priority?
A. Perform sterile vaginal examination to determine dilatation.
B. Determine fetal position by performing Leopold maneuvers.
C. Assess the fetal heart rate and client's contraction pattern.
D. Confirm Rh and Coombs status for Rho(D) immunoglobin administration.
7. A client 40-weeks gestation presents to the obstetrical floor and indicates that the
amniotic membranes ruptured. Spontaneously home. She in active labor, and feels the
need to bear down and push. Which information most Important for the nurse to
obtain?
A. Color and consistency of fluid.
B. Estimated amount of fluid.
C. Any odor noted when membranes ruptured.
D. Lime the membranes r ruptured.
8. When performing the daily head-to-toe assessment of a 1-day-old newborn. The nurse
observes yellow tint to the skin on the forehead. Sternum and abdomen. Which action
should the nurse take?
A. Measure bilirubin levels using transcutaneous bilrubinometry.
B. Evaluate cord blood Coomb's test results.
C. Review maternal medical records for blood type and Rh factor.
D. Prepare the newborn for phototherapy.
9. A pregnant client receives Rho(D). immune globulin after an amniocentesis. The day
following Report a temperature of 99.8 F (37.67C). Which. Action should the nurse
Implement?
A. Schedule visit with the healthcare provider today
B. Verify ay administered Rho(D) immune globulin's compatibility.
C. Encourage the client to increase her intake of oral fluids.
D. Instruct the client to maintain bedrest for 24 hours
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