HESI Maternity (Maternal And Child Health Nursing) Exam

During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which of the following heart rates is noted?

• 80 beats per minute

• 100 beats per minute

• 150 beats per minute

• 180 beats per minute

During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which of the following heart rates is noted?

• 80 beats per minute

• 100 beats per minute

• 150 beats per minute

• 180 beats per minute

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

• Dysuria

• Frequency

• Incontinence

• Burning urination

A client LMP began July 5. Her EDD should be which of the following?

• January 2

• March 28

• April 12

• October 12

A 25-year-old client with diabetes type I visits the clinic to discuss her and her husband's desire to start a family. This diabetic client 

• Should be discouraged from becoming pregnant

• Has a greater risk of complications during pregnancy

• Should be informed about treatment for infertility

• Will be able to carry out a completely normal pregnancy

The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says:

• “Nausea and vomiting can be decreased if I eat a few crackers before arising”

• “If I start to leak colostrum, I should cleanse my nipples with soap and water”

• “If I have a vaginal discharge, I should wear nylon underwear”

• “Leg cramps can be alleviated if I put an ice pack on the area”

A client suspects that she is pregnant and visits the clinic. Of the following changes caused by pregnancy, which is the only positive sign that the client is pregnant?

• Enlarge abdomen

• Positive pregnancy test

• Detection of fetal heartbeat

• Uterine contraction

Family centered nursing care for women and newborn focuses on which of the following?    

• Assisting individuals and families achieve their optimal health

• Diagnosing and treating problems promptly

• Preventing further complications from developing

• Conducting nursing research to evaluate clinical skills

The fetal heart is carefully monitored throughout pregnancy and during labor to assess fetal well being. Which of the following represents an appropriate fetal heart rate?

• 108

• 127

• 170

• 185

This is a dark streak down the midline of the abdomen that may appear as the uterus is enlarging. The LPN correctly describes this to the pregnant woman as?

According to Diane, her LMP is November 15, 2002, using the Naegle’s rule what is her EDC? 

• August 23, 2003

• August 18, 2003

• July 22, 2003

• February 22, 2003

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

• Introversion, egocentrism, narcissism

• Awkwardness, clumsiness, and unattractiveness

• Anxiety, passivity, extroversion

• Ambivalence, fear, fantasies

A nurse is collecting data during the admission asessment of a client who is pregnant with twins. The client also has 5 year old child. The nurse would document which gravida and para status on this client?

• G1P1

• G2P1

• G2P2

• G3P2

Which of the following represents the average amount of weight gained during pregnancy?

• 12 to 2 lbs

• 15 to 25 lbs

• 25 to 35 lbs

• 25 to 40 lbs

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

• Post partum phase

• First trimester

• Second trimester

• Third trimester

The LPN has initiated the administration of vancomycin via IV piggyback. In which of the following situations should the nurse recognize that the client may be experiencing a fatal reaction to this medication?

• The client start coughing

• The client complains of pain at the intravenous catheter insertion site

• The nurse hears the client snoring from the hall

• The nurse notices the client's neck and chest is bright red

While the postpartum client is receiving herapin for thrombophlebitis, which of the following drugs would the nurse Mica expect to administer if the client develops complications related to heparin therapy?

• Calcium gluconate

• Protamine sulfate

• Methylegonovine

• Nitrofurantoin

The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The LPN should tell the patient that she can expect to feel the fetus move at which time?

• Between 10 and 12 weeks’ gestation

• Between 16 and 20 weeks’ gestation

• Between 21 and 23 weeks’ gestation

• Between 24 and 26 weeks’ gestation

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

• Uterus in the pelvis

• Uterus at the xiphoid process

• Uterus in the abdomen

• Uterus in the umbilicus

The LPN is preparing to administer Solu-Medrol 40 mg mixed in 150 mL of sodium chloride via intravenous piggyback. The medication is to be administered over 30 minutes. Using the tubing with a drop factor of 15 ggts/mL, what would the LPN calculate the rate to be in drops per minute?

• 40

• 50

• 75

• 150

A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond?

• “Yes, it produces no adverse effect.”

• “No, it can initiate premature uterine contractions.”

• “No, it can promote sodium retention.”

• “No, it can lead to increased absorption of fat-soluble vitamins.”

On which of the following areas would the nurse expect to observe chloasma?

• Breast, areola, and nipples

• Chest, neck, arms, and legs

• Abdomen, breast, and thighs

• Cheeks, forehead, and nose

During the prenatal visit, the client states that she has been experiencing heartburn frequently. The LPN provides instruction on the cause and prevention of heartburn. When she ask to verbalize understanding of the information, which of the following statements by the client indicates further instruction may be necessary?

• "The sphincter that normally prevents stomach contents from going back up into the esophagus is relaxed."

• "I should try to avoid drinking fluids while I'm eating."

• "Eating six or seven small meals a day may help my symptoms."

• "I'll eat enough to ensure that I am full at every meal."

Which of the following would the nurse identify as a presumptive sign of pregnancy?

• Hegar sign

• Nausea and vomiting

• Skin pigmentation changes

• Positive serum pregnancy test

She complained of leg cramps, which usually occurs at night. To provide relief, the nurse tells Diane to: 

• Dorsiflex the foot while extending the knee when the cramps occur

• Dorsiflex the foot while flexing the knee when the cramps occurs

• Plantar flex the foot while flexing the knee when the cramps occur

• Plantar flex the foot while extending the knee when the cramp occur

Cervical softening and uterine souffle are classified as which of the following?

• Diagnostic signs

• Presumptive signs

• Probable signs

• Positive signs

 A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform:

• Tailor sitting

• Leg lifting

• Shoulder circling

• Squatting exercises

When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?

• Thrombophlebitis

• Pregnancy induced hypertension

• Pressure on blood vessels from the enlarging uterus

• The force of gravity pulling down on the uterus

A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?

• The ultrasound will help to locate the placenta

• The ultrasound identifies blood flow through the umbilical cord

• The test will determine where to insert the needle

• The ultrasound locates a pool of amniotic fluid

A client is pregnant with her third child. Medical history of the client indicates a previous precipitate labor and birth. Which of the following interventions would NOT be expected during labor of the present pregnancy?

• Use of magnesium sulfate

• Close monitoring of the fetus for hypoxia

• The nurse stays at the bedside constantly or as much as possible

• Amnioinfusion will be performed

During a lecture on reproduction, a student nurse asks the instructor what determines the sex of a fetus. Accurate information in response to this question would be:

• "The sex of the fetus is not determined until the eighth week of gestation."

• "The fertilization of the zygote is the point at which sex is determined."

• "Males have one less pair of chromosomes than females."

• "Sex is determined by the chromosomes contributed by the ovum."

A patient in her 14^th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several cloth. What is the primary nursing diagnosis for this patient

• Knowledge deficit

• Fluid volume deficit

• Anticipatory grieving

• Pain

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?

• Fear related to the unknown

• Pain related to numerous procedures.

• Ineffective family coping related to infertility.

• Self-esteem disturbance related to infertility.

Mrs. Puente is visiting the clinic for a prenatal assessment. This is the client's fourth pregnancy. She lost one pregnancy during the ninth week of gestation. One pregnancy resulted in the birth of a stillborn infant at full term, and she has one living child who was born the 35th week of gestation. Which of the following best describes the client?

• G5P2111

• G4P1111

• G4P1211

• G5P1112

The physcician orders epinephrine 0.1 mg SQ x 1 now. The constitution of epinephrine according to the vial is 1;1000, or 1 g of epinephrine per 1,000 mL of solution. How much solution should be drawn into the syringe by the LPN?

• 0.01 mL

• 0.1 mL

• 1.0 mL

• 10 mL

When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion? 

• Sperm count

• Sperm motility

• Sperm maturity

• Sperm volume

The hormone responsible for the development of the ovum during the menstrual cycle is?    

• Estrogen

• Progesterone

• Follicle stimulating hormone

• Leutenizing hormone

Ativan 0.5 mg IM every 1 hour as needed is prescribed for a client experiencing delirium tremens. The medication vial reads 2mg/mL of solution. How many mL should the LPN draw into the syringe for single-dose administration?

What is the recommended drug for the prevention of maternal-fetal HIV transmission; it is usually administered orally beginning after 14 weeks' gestation, intravenously during labor, and in the form of syrup to the neonate after birth for 6 weeks?

Which of the following prenatal laboratory test values would the nurse consider as significant?

• Hematocrit 33.5%

• Rubella titer less than 1:8

• White blood cells 8,000/mm3

• One hour glucose challenge test 110 g/dL

The nurse identifies substance abuse behaviors exhibited by a pregnant client during an initial prenatal screening. While promoting a therapeutic and accepting environment, the care managment by the nurse would be MOST appropriate if focused on which of the following?

• Discouraging substance use during pregnancy

• Termination of the pregnancy at an early stage

• Eliminating substance use during pregnancy

• Setting boundaries with the client in regards to substance use

Which of the following would cause a false-positive result on a pregnancy test?

• The test was performed less than 10 days after an abortion

• The test was performed too early or too late in the pregnancy

• The urine sample was stored too long at room temperature

• A spontaneous abortion or a missed abortion is impending

Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How many mg of sulfisoxazole is this client receiving in a 24-hour period?

• 160 mg

• 320 mg

• 480 mg

• 960 mg

The nurse is educating a primigravida patient who is 12 weeks pregnant about the danger signs of pregnancy. The information provided is clearly understood by the expectant mother if the client states the following danger signs of pregnancy: Slect all that apply.

• Gush of vaginal discharge

• Vaginal bleeding

• Persistent vomiting

• Constipation

• Urinary frequency

• Epigastric or abdominal pain

• Fetal heart rate of 120

A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?

• The large size of the newborn

• Pressure on the pelvic brim

• Relaxation of the pelvic joints

• Excessive weight gain

A nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. The nurse checks the client for which classic signs of preeclampsia? Select all that apply.

• Proteinuria

• Hypertension

• Low grade fever

• Generalized edema

• Increase pulse rate

• Increase respiratory rate

Reddish purple strech marks that usually occur on the abdomen, breasts, thighs, and upper arm. As a nurse, you would document this correctly in the client's chart by using what medical terminology?

During which of the following phase of the menstrual cycle is it ideal for implantation of a fertilized egg to occur? 

• Ischemic phase

• Mentrual phase

• Proliferative phase

• Secretory phase