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HESI Maternity all 55 Questions and Answers 2022., Exams of Nursing

HESI Maternity all 55 Questions and Answers 2022.

Typology: Exams

2021/2022

Available from 08/03/2022

Terrie001
Terrie001 🇺🇸

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HESI Maternity all 55 Questions and
Answers 2022.
1. Pregnant patient, with contractions that are 5 min apart, goes to the bathroom and
you hear a baby crying. What is the best action for the nurse to do? - hit the call light to
call for help
2. Post partal patient has a spinal headache 24 hours after delivery. Prior to
anesthesiologist's arrival what action is best for the nurse to perform? - have
equipment at bedside
3. Patient 20 weeks gestation has HPV. What is the best information for the nurse to
provide? - treatment is available but limited due to pregnancy
4. One hour after delivery the nurse is unable to palpate the fundus. Large amount of
lochia on pad. Massage umbilicus and get vitals. What intervention does the nurse
implement next? - palpate for bladder distention
5. Infant with cephalatoma. What action should the nurse do next? - assess for
jaundice q 8 hours
6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr - 12 mL/hr
7. Patient receiving Pitocin is experiencing tetanic contractions with variable FHR. What
action should the nurse implement? - - turn off the Pitocin drip
8. Patient scheduled for cesarean for 0600 tells the nurse that she drank some coffee at
0400 to avoid getting a headache. What action does the nurse take next? - tell the
anesthesiologist
9. After delivery of a 10 pound baby 2 hours ago, the fundus is above and to the right of
the umbilicus. She voids 250 mL in a bed pan, Action to implement? - palpate
suprapubic region for distention
10. 33 weeks gestation. Moderate bleeding. No contractions. What intervention to
implement? - Weigh pads
11. Primipara 42 weeks gestation. Pitocin started then stopped. O2 applied.
Contractions 5 minutes apart for 20 seconds. Intervention to implement? - restart
Pitocin per protocol
12. Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v"
shaped pattern. Nurse action to take first? - change position of patient
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HESI Maternity all 55 Questions and

Answers 2022.

  1. Pregnant patient, with contractions that are 5 min apart, goes to the bathroom and you hear a baby crying. What is the best action for the nurse to do? - ✅hit the call light to call for help
  2. Post partal patient has a spinal headache 24 hours after delivery. Prior to anesthesiologist's arrival what action is best for the nurse to perform? - ✅have equipment at bedside
  3. Patient 20 weeks gestation has HPV. What is the best information for the nurse to provide? - ✅treatment is available but limited due to pregnancy
  4. One hour after delivery the nurse is unable to palpate the fundus. Large amount of lochia on pad. Massage umbilicus and get vitals. What intervention does the nurse implement next? - ✅palpate for bladder distention
  5. Infant with cephalatoma. What action should the nurse do next? - ✅assess for jaundice q 8 hours
  6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr - ✅12 mL/hr
  7. Patient receiving Pitocin is experiencing tetanic contractions with variable FHR. What action should the nurse implement? - ✅- turn off the Pitocin drip
  8. Patient scheduled for cesarean for 0600 tells the nurse that she drank some coffee at 0400 to avoid getting a headache. What action does the nurse take next? - ✅tell the anesthesiologist
  9. After delivery of a 10 pound baby 2 hours ago, the fundus is above and to the right of the umbilicus. She voids 250 mL in a bed pan, Action to implement? - ✅palpate suprapubic region for distention
  10. 33 weeks gestation. Moderate bleeding. No contractions. What intervention to implement? - ✅Weigh pads
  11. Primipara 42 weeks gestation. Pitocin started then stopped. O2 applied. Contractions 5 minutes apart for 20 seconds. Intervention to implement? - ✅restart Pitocin per protocol
  12. Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v" shaped pattern. Nurse action to take first? - ✅change position of patient
  1. 28 weeks gestation with twins. Fundal height 27 cm. fundal height measured 28 cm 3 weeks ago. What does the nurse conclude from this? - ✅may indicate IUGR
  2. Patient received prostaglandin gel vaginally to induce labor. 30 minutes after insertion of gel, patient complains of vaginal warmth. What action should nurse implement first? - ✅turn patient to a side lying position
  3. Parents tell nurse that baby is trying to walk. Nurse's response? - ✅explain it is a normal stepping reflex
  4. Patient delivered baby 24 hours ago and complains of urinating every hour or so. She asks the nurse "is that ok?" Nurse's action? - ✅measure next voiding
  5. Magnesium sulfate infusion begins. Patient develops slurred speech and decreased reflexes. What nurse action to implement? - ✅stop the infusion
  6. After breastfeeding for 10 minutes on each breast, baby spits up. Action to implement first? - ✅Turn baby to the side and suction
  7. 35 weeks gestation. Breech baby. Contractions 3-5 minutes apart and mom states "I think my water just broke". Inspection reveals umbilical cord protruding. Intervention to implement? - ✅place patient in the knee-chest position
  8. Extrauterine transition - ✅cries vigorously when stimulated
  9. 3 day old baby. Feeds every 2 hours. Nurse notes white curd patches on oral mucus membranes. Action to implement? - ✅needs medicine
  10. 38 weeks gestation with a history of PIH. Pitocin started. 1 hour after Pitocin, patients gets a headache. Contractions are 1-2 minutes apart lasting 60-75 seconds. Intervention most important? - ✅discontinue the Pitocin
  11. After delivery patient asks the nurse when she can leave to go home. Information most important to provide? - - ✅when bleeding stops
  12. Mother who is lactoovovegetarian plans to breastfeed. Information to provide before discharge? - ✅continue taking prenatal vitamins Teaching how to perform kick counts. Instruction to include? - ✅- 10 kicks not felt, drink orange juice and count again
  13. 40 weeks gestation and spontaneous rupture of membranes that is meconium stained. What additional finding should the nurse report? - ✅- FHR 100-
  14. Patient with gestational diabetes has an amniocentesis. Why is the amniocentesis being performed? - ✅fetal lung maturity
  1. Education most important for nurse to implement to teenage pregnant patient? - ✅iron deficiency anemia
  2. Nurse identifies localized swelling that does not cross the suture line of parietal bone. Action to implement? - ✅notify pediatrician of cephalhematoma
  3. Action to implement before administering Hep B vaccine? - ✅get consent signed
  4. Beractant given for RDS in preemie. Assessment finding indicates condition is improving? - - ✅urinary output increased
  5. 34 weeks gestation. Bimonthly visit. Assessment finding important to report to health care provider? - ✅weight gain 7 pounds
  6. Primigravida asks nurse about exercise during pregnancy. What recommendation? - ✅stretching
  7. Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute. Intervention best to implement? - ✅gradually warm under heat source
  8. Patient comes in stating that she is in labor. Which finding confirms not in labor? - ✅contractions decrease when walks
  9. Multigravida asks for more pain meds. Just received pain meds, Stadol 2 mg, 30 minutes ago. Action to implement? - ✅instruct to deep breathe
  10. Postpartum patient complains of severe pain and feeling pressure in perineal area. Nurse finds hematoma beginning to form. Which assessment finding should nurse obtain first? - ✅blood pressure and heart rate
  11. Patient complains of morning sickness. Nurse recommends? - ✅ginger
  12. 3 day postpartum patient. Husband calls states wife is crying, irritable. Inform the husband? - ✅contact the clinic in 2 weeks if symptoms become worse