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2024 HESI PN MATERNITY EXAM QUESTIONS & CORRECT ANSWERS GRADED A LATEST EXAM, Exams of Nursing

2024 HESI PN MATERNITY EXAM QUESTIONS & CORRECT ANSWERS GRADED A LATEST EXAM

Typology: Exams

2024/2025

Available from 07/03/2025

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2024 HESI PN MATERNITY EXAM QUESTIONS &
CORRECT ANSWERS GRADED A LATEST EXAM
1) At 14-weeks gestation, a client arrives at the Emergency Center complaining
of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains
a blood sample and initiates an IV. Thirty minutes after admission, the client
reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood
pressure of 86/48. Which action should the nurse implement next?
C. Increase the rate of IV fluids.
2) During a prenatal visit, the LPN/LVN discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who smoke
during pregnancy tend to produce infants who have
D. a higher rate of congenital anomalies.
3) Which action should the LPN/LVN implement when preparing to
measure the fundal height of a pregnant client?
A. Have the client empty her bladder.
5) 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
LPN/LVN take immediately?
D. Call the healthcare provider to question the prescription.
7) 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 LPN/LVN to ask this client?
D. Do you have a history of rheumatic fever?
12) 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 beats/minute and respirations of 20 breaths/
minute. What action should the LPN/LVN perform next?
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2024 HESI PN MATERNITY EXAM QUESTIONS &

CORRECT ANSWERS GRADED A LATEST EXAM

1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? C. Increase the rate of IV fluids. 2) During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have D. a higher rate of congenital anomalies. 3) Which action should the LPN/LVN implement when preparing to measure the fundal height of a pregnant client? A. Have the client empty her bladder.

  1. 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 Å ~ 1. What action should the LPN/LVN take immediately? D. Call the healthcare provider to question the prescription.
  2. 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 LPN/LVN to ask this client? D. Do you have a history of rheumatic fever? 12) 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 beats/minute and respirations of 20 breaths/ minute. What action should the LPN/LVN perform next?

A. Initiate positive pressure ventilation

during pregnancy tend to produce infants who have: B. lower birth weight

29) A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness? C. Correctly place the infant on the breast. 30) A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the LPN/LVN to receive when planning immediate care for the newborn? B. Infant's condition at birth and treatment received.

  1. The LPN/LVN is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs A. two weeks before menstruation.
  2. A 28 - year-old client in active labor complains of cramps in her leg. What intervention should the LPN/LVN implement? B. Extend the leg and dorsiflex the foot.
  3. Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The LPN/LVN knows that, in the newborn, an accumulation of blood between the periosteum and skull which does not cross the suture line is a newborn variation known as A. a cephalhematoma caused by forceps trauma and may last up to 8 weeks. 41) A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the LPN/LVN is best? C. That is normal; the head will return to a round shape within 7- 10 days. 42) A new mother asks the LPN/LVN, "How do I know that my daughter is getting enough breast milk?" Which explanation should the nurse provide? B. Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day. 43) After each feeding, a 3-day-old newborn is spitting up large amounts of

44) A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant? D. Meet the mother's physical needs and demonstrate warmth toward the infant. 45) Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" A. Lying prone with a pillow on the abdomen. 46) Which maternal behavior is the LPN/LVN most likely to see when a new mother receives her infant for the first time? B. Her arms and hands receive the infant and she then traces the infant's profile with her fingertips.

  1. The LPN/LVN is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse ly calculates that the woman's next fertile period is C. January 30 - 31. 50 Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action should the LPN/LVN take? C. Place the woman in a lateral position.
  2. A client at 28 - weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the LPN/LVN provide? A. Come to the clinic today for an ultrasound.
  3. A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the LPN/LVN to provide this client? A. Complete bedrest decreases oxygen needs and demands on the heart muscle

tissue.

  1. Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention is best for the LPN/LVN to implement first? D. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.

her lower back. An effective relief measure would be to use: A) Counterpressure against the sacrum

27) A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The LPN/LVN increases the woman's intravenous fluid for a pre-procedural bolus. She reviews her laboratory values and notes that the woman's hemoglobin is 12 g/dl, hematocrit is 38%, platelets are 67,000, and white blood cells (WBCs) are 12,000/mm3. Which factor would contraindicate an epidural for the woman? C) She has thrombocytopenia

  1. With regard to systemic analgesics administered during labor, LPN/LVN should be aware that: B) Effects on the fetus and newborn can include decreased alertness and delayed sucking. 32) Nursing care measures are commonly offered to women in labor. Which nursing measure reflects application of the gate-control theory? A) Massaging the woman's back 33) A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The LPN/LVN should: D) Help her breathe into a paper bag
  2. Through vaginal examination the nurse determines that a woman is 4 cm dilated, and the external fetal monitor shows uterine contractions every 3.5 to 4 minutes. The LPN/LVN would report this as: B) First stage, active phase
  3. For women who have a history of sexual abuse, a number of traumatic memories may be triggered during labor. The woman may fight the labor process and react with pain or anger. Alternately she may become a passive player and emotionally absent herself from the process. The nurse is in a unique position of being able to assist the client to associate the sensations of labor with the process of childbirth and not the past abuse. The nurse can implement a number of care measures to help her client view the childbirth experience in a positive manner. Which intervention would be key for the LPN/LVN to use while providing care?

48) When planning care for a laboring woman whose membranes have ruptured, the LPN/LVN recognizes that the woman's risk for has increased. A) Intrauterine infection 50) When assessing a multiparous woman who has just given birth to an 8 - pound boy, the nurse notes that the woman's fundus is firm and has become globular in shape. A gush of dark red blood comes from her vagina. The LPN/LVN concludes that: A) The placenta has separated. 51) LPN can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate? B) Active: Moderate, regular contractions; 4- to 7 - cm dilation; duration of 3 to 6 hours 53) Which of the following is true about placenta previa? D) Once placenta previa is diagnosed by a 20 week ultrasound, it is very likely the placenta previa will resolve in the third trimester. 54) What assessment is least likely to be associated with a breech presentation? C) Postterm gestation 55) During labor, the patient at 4 cm suddenly becomes dyspneic, cyanotic, and hypotensive. The nurse must prepare immediately for: (Select all that apply.) B) Cesarean delivery C) CPR A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge? b. It difficult to consume 18 mg of additional iron by diet alone The nurse is teaching care of the newborn to a group of prospective parents and

describes the need for administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant? c. Gonorrhea The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate? d. September 8

C. Record the findings on the chart. They are within normal limits

  1. A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute, and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not in labor at this time? D. Contractions decrease with walking. 13. The health care provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously (IV) for client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hr should the nurse program the infusion pump? 50 14. An UAP reports to the charge nurse that a client who delivered a 7-pound infant 12 hours ago is reporting a severe headache. The clients' blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and temperature is 98.6 F. The client’s fundus is firm and one fingerbreadth above the umbilicus. Which action should the charge nurse implement first? A. Assign a practical nurse to reassess the client’s vital signs 15. A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse implement? D. Inform her that a decreased need for insulin occurs while breastfeeding
  2. The healthcare provider prescribes 10 units/L of oxytocin via IV drip to augment a client’s labor because she is experiencing a prolonged active phase. Which finding would cause the nurse to immediately discontinue the oxytocin? C. Contraction duration of 100 seconds 22. A client tells the nurse that she thinks she is pregnant. Which sign or symptom provides the best indication that the client is pregnant? A. Amenorrhea
  3. The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first? D. Change the client’s position
  1. A client at 37 - weeks’ gestation presents to labor and delivery with contractions every 2 minutes. The nurse observes several shallow, small vesicles on her pubis, labia, and perineum. The nurse should recognize the client is exhibiting symptoms of which condition? C. Herpes simplex virus

49. The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period? C. A primiparous woman who has recently immigrated to the U.S. with her spouse 50. a client in the first trimester of pregnancy calls the prenatal clinic to report she is nauseated, and her stools are black and thick since she started taking iron supplements last week. how should the nurse respond? (Select all that apply) B. Take the iron supplement at bedtime C. Changes in color and consistency of stool are normal 54. The mother of a breastfeeding 24-hour-old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is "doing it right." She tells the nurse, "I just know my daughter is not getting enough to eat." What response would be best for the nurse to make? C. If your baby's urine is straw-colored, she is getting enough milk 55. A client at 18-weeks’ gestation was informed this morning that she has an elevated alpha fetoprotein level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide? D. Explain that a sonogram should be scheduled for definitive results