Maternity HESI Test bank (combined red hesi and other
sources) Questions With Complete Solutions
28 year old client in active labor complains of cramps in her
leg.What intervention should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. Correct Answers B. Extend
the leg and dorsiflex the foot.
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 subcutaneous. Which
assessment is the highest priority for the nurse to monitor during
the administration of this drug?
A. Maternal blood pressure and respirations.
B.Maternal and fetal heart rates.
C.Hourly urinary output.
D.Deep tendon reflexes. Correct Answers B.Maternal and fetal
heart rates.
A 13-year-old girl tells the nurse at the pediatric clinic that she
took a pregnancy test and got a positive result. She confides that
her grandfather, with whom she, her younger sisters, and her
mother live, has repeatedly molested her for the past 3 years.
When the nurse asks the girl whether she has told anyone else,
she replies, "Yes, but my mother doesn't believe me." Legally,
who should the nurse notify?
1
,Police concerning a possible sex crime
2
Health care provider to confirm the pregnancy
3
Child protective services for immediate intervention
4
Girl's mother about the pregnancy test's positive result Correct
Answers Correct3
Child protective services for immediate intervention
A 23-year-old client who is receiving Medicaid benefits is
pregnant with her first child. Based on knowledge of the
statistics related to infant mortality, which plan should the nurse
implement with this client?
a.Refer the client to a social worker to arrange for home care.
b.Recommend perinatal care from an obstetrician, not a nurse-
midwife.
c.Teach the client why keeping prenatal care appointments is
important.
d.Advise the client that neonatal intensive care may be needed.
Correct Answers c.Teach the client why keeping prenatal care
appointments is important.
A 23-year-old woman arrives at the prenatal clinic because she
thinks that she is pregnant. Her last menstrual period began on
March 31, and her pregnancy test reveals a positive result.
According to Nägele's rule, what is this client's expected date of
birth (EDB)?
A. July 8
B. Jan 7
,C. Dec 7
D. Dec 24 Correct Answers B. Jan 7
A 24-hour-old newborn has a pink papular rash with vesicles
superimposed on the thorax, back, and abdomen. What action
should the nurse implement?
a.Notify the healthcare provider.
b.Move the newborn to an isolation nursery.
c.Document the finding in the infant's record.
d.Obtain a culture of the vesicles. Correct Answers
c.Document the finding in the infant's 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?
A. Drowsiness and bradycardia.
B. Depressed reflexes and increased respirations.
C. Tachycardia and a feeling of nervousness.
D. A flushed, warm feeling and a dry mouth Correct Answers
C. Tachycardia and a feeling of nervousness.
A 28-year-old client in active labor complains of cramps in her
leg. What intervention should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
, D. Elevate the leg above the heart. Correct Answers B. Extend
the leg and dorsiflex the foot
A 30-year-old multiparous woman who has a 3-year-old boy and
an newborn girl 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?
a.Tell the older child that he is a big boy now and should love
his new sister.
b.Ask friends and relatives not to bring gifts to the older sibling
because you do not want to spoil him.
c.Let the older child stay with his grandparents for the first six
weeks to allow him to adjust to the newborn.
d.Regression in behaviors in the older child is a typical reaction
so he needs attention at this time. 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 primigravida client with severe preeclampsia is
receiving magnesium sulfate via continuous IV infusion. Which
assessment data indicates to the nurse that the client is
experiencing magnesium sulfate toxicity?
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