HESI RN Maternity Practice Exam (2023/ 2024) Questions and Verified Answers
QUESTION
A 4-week old premature infant has been receiving epoetin alfa for
... [Show More] the last 3 weeks. Which assessment finding indicated to the nurse that the drug is effective?
Answer:
C. changes in apical heart rate from the 180s to the 140s
QUESTION
The healthcare provider prescribes terbulatine (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?
Answer:
A. gestational diabetes
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% effaced. What additional information is most important for the nurse to obtain?
Answer:
C. date of last normal menstrual period.
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 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?
Answer:
C. monitor bleeding from IV sites.
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 BPM and respirations of 20 BPM. What action should the nurse perform next?
Answer:
A. initiate positive pressure ventilation.
QUESTION
The nurse is preparing to give an enema to a laboring client. Which client would require the most caution when carrying out this procedure?
Answer:
D. a 40-week primagravida who presents at 100% effacement, 3 cm dilation, and a -1 station.
QUESTION
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, "What if I start having red bleeding after it changes?" What should the nurse instruct the client to do?
Answer:
A. Reduce activity level and notify healthcare provider.
QUESTION
One hour after giving birth to an 8-pound infant, a client's lochia rubra has 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 × 1. What action should the nurse take immediately?
Answer:
D. Call the healthcare provider to question the prescription.
QUESTION
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion?
Answer:
C. epigastric pain
QUESTION
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask the client?
Answer:
D. Do you have a history of rheumatic fever? [Show Less]