HESI RN Maternity Exam Questions & Answers
Which finding for a client in labor at 41-weeks 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.
4.One fetal movement noted in an hour.(Ans- 4.One fetal movement noted in an hour.
A client at 28-weeks 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.
- Lecithin-sphingomyelin ratio.
(Ans- 3. Abdominal ultrasound
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. 1 / 3
- Assist the client to the bathroom.
- Notify the healthcare provider
(Ans- 3. Assist the client to the bathroom.
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.
(Ans- 1. Determine the firmness of the fundus
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
(Ans- 1. Give 10 liters of oxygen via face mask.
A client at 28-weeks 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.
(Ans- 3. Changes in fetal heart rate patterns. 2 / 3
Which client should the nurse report to the healthcare provider as needing a prescription for Rh Immune Globulin (RhoGAM)?
- Woman whose blood group is AB Rh-positive.
- Newborn with rising serum bilirubin level.
- Newborn whose Coombs test is negative.
- Primigravida mother who is Rh-negative.
(Ans- 4. Primigravida mother who is Rh-negative.
The nurse is caring for a client whose labor is being augmented with oxytocin (Pitocin). Which finding indicates that the nurse should discontinue the oxytocin infusion?
- The client needs to void.
- Amniotic membranes rupture
- Uterine contractions occur every 8 to 10 minutes.
- The fetal heart rate is 180 bpm without variability
(Ans- 4. The fetal heart rate is 180 bpm without variability
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next?
- Check the hematocrit results.
- Administer pain medication.
- / 3