Maternity HESI Assignment exam with
correct answers
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do not
indicate that she is pregnant. How should the nurse explain the most likely cause for
obtaining false-positive pregnancy test results? - CORRECT ANSWERS-B. Using an
anticonvulsant for epilepsy
A 36 week gestation client with pregnancy induced hypertension is receiving an IV
infusion of magnesium sulfate. Which assessment finding should the nurse report to the
healthcare provider? - CORRECT ANSWERS-D. Respiratory rate of 11 breaths/minute
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last
week and her baby jumped in response to the noise. What information should the nurse
provide? - CORRECT ANSWERS-B. The fetus can respond to sound by 24-weeks
gestation
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? - CORRECT ANSWERS-C. Abdominal ultrasound
A client at 28 weeks gestation experiences blunt abdominal trauma. Which parameter
should the nurse assess first for signs of internal hemorrhage? - CORRECT
ANSWERS-C. Changes in fetal heart rate patterns
A client at 28 weeks gestation is concerned about her weight gain of 17 pounds. What
information should the nurse provide this client? - CORRECT ANSWERS-D. The weight
gain is acceptable for the number of weeks pregnant
A client at 29 weeks gestation with possible placental insufficiency is being prepared for
prenatal testing. Information about which diagnostic study should the nurse provide
information to the client? - CORRECT ANSWERS-B. Ultrasonography
A client at 35 weeks gestation visits the clinic for a prenatal check up. Which complaint
by the client warrants further assessment by the nurse? - CORRECT ANSWERS-A.
Periodic abdominal pain
, A client at 39 weeks gestation is admitted to the labor and delivery unit. Her obstetrical
history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks. Using GTPAL, what
is the most accurate summary of her history? - CORRECT ANSWERS-B. 4-1-2-0-3
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but
her husband thinks she is imagining things. What information should the nurse provide?
- CORRECT ANSWERS-B. The fetus in utero is capable of hearing and does respond
to the mother's voice
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur? -
CORRECT ANSWERS-D. The heart develops in the third to fifth weeks after conception
A client comes in to the clinic for her six week postpartum check up and complains that
her left breast is eythematous and painful. The client asks, "Can I still breastfeed my
baby?" What is the best response for the nurse to provide? - CORRECT ANSWERS-B.
Inform the client to continue breastfeeding
A client delivers her first infant and asks the nurse if her skin changes from pregnancy
are permanent. Which change should the nurse tell the client will remain after
pregnancy? - CORRECT ANSWERS-D. Striae gravidarum
A client delivers twins, one is stillborn and the other is recovering in intensive care
nursery. As the nurse provides assistance to the bathroom, the client softly crying,
states, "I wish my baby could have lived." Which response is best for the nurse to give?
- CORRECT ANSWERS-C. "I am sorry for your loss. Do you want to talk about it?"
A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation
on the perineum. The nurse notices pale, straw-colored fluid with small white particles.
After reviewing the fetal monitor strip for fetal disturbance, what action should the nurse
take? - CORRECT ANSWERS-C. Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an
average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted.
The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this information,
what action should the nurse implement? - CORRECT ANSWERS-D. Document the
findings in the client record
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client? - CORRECT ANSWERS-D.
Abstinence is strongly recommended throughout the pregnancy
A client in labor receives an epidural block. What intervention should the nurse
implement first? - CORRECT ANSWERS-C. Monitor blood pressure
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