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Maternity Hesi Questions And Correct Detailed Answers (Verified Answers) Already Graded A+.
- Question: One hour after giving birth to an 8-pound infant, a client's lochia rubra has
- Question: A client is admitted with the diagnosis of total placenta previa. Which finding
increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM X 1. What action should the nurse take immediately?Correct Answer: Call the healthcare provider to question the prescription (Methergine is contraindicated in hypertension).
is most important for the nurse to report to the healthcare provider immediately?
Correct Answer: Onset of uterine contractions.
- Question: The nurse is teaching care of the newborn to a group of prospective parents
and describes the need for administering antibiotic ointment into the eyes of the newborn.Which infectious organism will this treatment prevent from harming the infant?
Correct Answer: Gonorrhea.
- Question: A client who is attending antepartum classes asks the nurse why her
- Question: A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge?Correct Answer: It is difficult to consume 18 mg of additional iron by diet alone.
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. Which assessment finding would provide the nurse the earliest indication that the client is experiencing primary side effects of terbutaline sulfate?
Correct Answer: Tachycardia and a feeling of nervousness.
- Question: The nurse assesses a client admitted to the labor and delivery unit and
obtains the following data: dark red vaginal bleeding, uterus slightly tense between
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contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?
Correct Answer: C. Monitor bleeding from IV sites.
- Question: A 35-year-old primigravida client with severe preeclampsia 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 Answer: Urine output 90mL / 4 hours.
- Question: When explaining "postpartum blues" to a client who is 1 day postpartum,
which symptoms should the nurse include in the teaching plan?
Correct Answer: Mood swings; Tearfulness.
9. Question: When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth preparation classes.When is the best time for the couple to attend these classes?
Correct Answer: 30 weeks gestation.
- Question: The healthcare provider prescribes terbutaline (Brethine) for a client in
preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition?
Correct Answer: Gestational diabetes.
- Question: The nurse is preparing a client with a term pregnancy who is in active labor
for an amniotomy. What equipment should the nurse have available at the client's bedside?
Correct Answer: A sterile glove, An amnihook, Lubricant.
- Question: A 28-year-old G1 P0 client who is currently 32 weeks pregnant is started on
IV magnesium sulfate after being diagnosed with severe preeclampsia. After determining the serum magnesium level to be 15 mEq/L, the nurse should expect which of the following manifestations in the client?
Correct Answer: Respiratory distress.
- Question: A healthcare provider informs the charge nurse of a labor and delivery unit
that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate?
Correct Answer: Dark, red vaginal bleeding; A rigid abdomen.
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- Question: Immediately after birth a newborn infant is suctioned, dried, and placed
under a radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. What action should the nurse perform next?
Correct Answer: A. Initiate positive pressure ventilation.
- Question: The nurse attempts to help an unmarried teenager deal with her feelings
following a spontaneous abortion at 8-weeks gestation. What type of emotional response should the nurse anticipate?
Correct Answer: Grief related to her perceptions about the loss of this child.
- Question: The nurse is assessing a client who is having a non-stress test (NST) at 41-
weeks gestation. The nurse determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring. What action should the nurse take?
Correct Answer: Ask the client if she has felt any fetal movement.
- Question: A multigravida client at 41-weeks gestation presents in the labor and delivery
unit after a non-stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the nurse prepare the client for additional information about fetal status?
Correct Answer: Biophysical profile (BPP).
- Question: 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 an IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of this drug?
Correct Answer: Maternal and fetal heart rates.
19. Question: When evaluating maternal bonding, which of the following maternal
behaviors exhibited by the client would the nurse most likely expect to see when a new mother receives her infant for the first time?Correct Answer: Her arms and hands receive the infant and she then traces the infant's profile with her fingertips.
- Question: A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg
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subcutaneous. Which assessment is the highest priority for the nurse to monitor during the administration of this drug?
Correct Answer: Maternal and fetal heart rates.
- Question: A woman with Type 2 diabetes mellitus becomes pregnant, and her oral
- Question: When assisting a client to relieve postpartum uterine contractions, which
hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement?Correct Answer: Describe diet changes that can improve the management of her diabetes.
nursing intervention would be most helpful for the nurse to take?
Correct Answer: Lying client prone with a pillow on the abdomen.
- Question: A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse implement first?
Correct Answer: A. Raise the foot of the bed.
- Question: A client with no prenatal care arrives at the labor unit screaming, "The baby
is coming!" The nurse performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75?faced. What additional information is most important for the nurse to obtain?
Correct Answer: C. Date of last normal menstrual period.
- Question: A client at 32-weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most indicative of an impending convulsion?
Correct Answer: Epigastric pain.
- Question: A 38-week primigravida who works as a secretary and sits at a computer 8
hours each 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 Answer: Move about every hour.
- Question: A client who has an autosomal dominant inherited disorder is exploring
family planning options and the risk of transmission of the disorder to an infant. The nurse's response should be based on what information?
