HESI A2 Exit Exam Maternity Practice
Questions And Correct Answers verified
2024.
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower
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quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes after
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admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
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diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
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implement next?
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a. Check the hematocrit results.
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b. Administer pain medication.
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c. Increase the rate of IV fluids.
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d. Monitor client for contractions. - correct Answers ✔✔ -c. increase the rate of IV fluids
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A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she could use a home
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pregnancy test to diagnose pregnancy. Which response is best?
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a. a home pregnancy test can be used right after your first missed period
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b. these tests are most accurate after you have missed your second period
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c. home pregnancy tests often give false positives and should not be trusted
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d. the test can provide accurate information when used right after ovulation - correct Answers ✔✔ -a. a home
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pregnancy test can be used right after your first missed period
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A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the
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most likely presenting symptom for a pediatric client with AIDS is:
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a. shortness of breath
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b. joint pain
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c. a persistent cold
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d. organmegaly - correct Answers ✔✔ -c. a persistent cold
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Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops
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from 120/80 to 90/60. What action should the nurse take?
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a. notify the healthcare provider or anesthesiologist
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b. continue to assess the blood pressure q5min
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c. place the woman in a lateral position
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d. turn off continuous epidural - correct Answers ✔✔ -c. place the woman in a lateral position
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In developing a teaching plan for expectant parents, the nurse plans to include information about when the
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parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the
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normal newborn, the
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a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
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b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
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c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the second week
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,d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month - correct
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Answers ✔✔ -d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
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month
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A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
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planning this client's care?
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a. patellar reflex 4+
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b. blood pressure 158/80
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c. four hour urine output 240 ml
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A 4 week old premature infant has been receiving epoetin alfa for the last three weeks. Which assessment
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finding indicates to the nurse that the drug is effective?
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a. slowly increasing urine output over the last week
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b. respiratory rate changes from the 40s to the 60s
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c. changes in apical heart rate from the 180 to the 140s
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d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl - correct Answers ✔✔ -c. changes in apical rate from
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the 180s to the 140s
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A pregnant client tells the nurse that the first day of her last menstrual period was August 2, 2006. Based on
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Nagele's rule, what is the estimated date of delivery?
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a. April 25, 2007
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b. May 9, 2007
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c. May 29, 2007
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d. June 2, 2007 - correct Answers ✔✔ -b. May 9, 2007
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The nurse is performing a AGA on a full-term newborn during the first hour of transition using the Dubowitz
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scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40 weeks.
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Which findings should the nurse identify to determine if the neonate is SGA? (Select all that apply.)
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a. admission weight of 4 lbs 15 oz
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b. head to heel length of 17 in
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c. frontal occipital circumference of 12.5 in
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d. skin smooth with visible veins and abundant vernix
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e. anterior plantar crease and smooth heel surfaces
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f. full flexion of all extremities in resting supine position - correct Answers ✔✔ -a, b, c
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The nurse assess a client admitted to the labor and delivery unit and obtains the following data: BP 110/68,
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FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention
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should the nurse implement?
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a. insert a fetal monitor
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b. assess for cervical changes q1H
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c. monitor bleeding from IV sites
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d. perform Leopold's maneuvers - correct Answers ✔✔ -c. monitor for bleeding from IV sites
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Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. The infant
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has spontaneous respirations and the nurse assess an apical heart rate of 80 bpm and respirations 20. What
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action should the nurse perform next?
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a. initiate positive pressure ventilation
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b. intervene after one minute APGAR is assessed
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, c. initiate CPR on the infant
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A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse performs a
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vaginal examination that reveals the cervix is 3 cm dilated and 75% effaced. What additional information is
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most important for the nurse to obtain?
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a. gravidity and parity
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b. time and amount of last oral intake
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c. date of last normal menstrual period
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d. frequency and intensity of contractions - correct Answers ✔✔ -c. date of last normal menstrual period
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A mutigravida client at 41 weeks gestation present in the labor and delivery unit after a non-stress test
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indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the nurse
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prepare the client for additional information about fetal status?
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a. biophysical profile
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b. ultrasound for fetal abnormalities
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c. maternal serum alpha-fetoprotein screening
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A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What
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intervention should the nurse implement first?
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a. raise the foot of the bed
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b. assess for vaginal bleeding
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c. evaluate the fetal heart rate
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d. take the client's blood pressure - correct Answers ✔✔ -a. raise the foot of the bed
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A client at 28 weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of
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vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine
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contractions or abdominal pain. What instruction should the nurse provide?
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a. come to the clinic today for an ultrasound
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b. go immediately to the emergency room
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c. lie on your left side for about one hour and see if the bleeding stops
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d. bring a urine specimen to the lab tomorrow to determine if you have a UTI - correct Answers ✔✔ -a.
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come to the clinic today for an ultrasound
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Which nursing intervention is helpful in relieving "afterpains"?
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a. using relaxation breathing techniques
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The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the
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nurses should know that ovulation usually occurs
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a. two weeks before menstruation
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b. immediately after menstruation
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c. immediately before menstruation
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d. three weeks before menstruation - correct Answers ✔✔ -a. two weeks before menstruation
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A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk
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