HESI RN Maternity Exam Questions & Answers: Latest Updated : Guaranteed A+ Guide

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Which finding for a client in labor at 41weeks gestation requires additional assessment by the nurse? Cervix dilated 2 cm and 50% effaced. Score of 8 on the biophysical profile. Fetal heart rate of 11... 6 beats per minute. One fetal movement noted in an hour. A client at 28weeks 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? Contraction stress test. Internal fetal monitoring. Abdominal ultrasound. Lecithinsphingomyelin ratio. A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse determines the uterus is boggy and is displaced above and to the right of the umbilicus. Which action should the nurse implement next? Document the color of the lochia. Observe maternal vital signs. Assist the client to the bathroom. Notify the healthcare provider. A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action should the nurse implement next? Determine the firmness of the fundus. Give oxytocin (Pitocin) intravenously. Inform the healthcare provider of the bleeding. Assess the vital signs for indicators of shock. The nurse notes a pattern of the fetal heart rate decreasing after each contraction. What action should the nurse implement? Give 10 liters of oxygen via face mask. Prepare for an emergency cesarean section. Continue to monitor the fetal heart rate pattern. Obtain an oral maternal temperature. A client at 28weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse assess first for signs of internal hemorrhage? Vaginal bleeding. Complaints of abdominal pain. Changes in fetal heart rate patterns. Alteration in maternal blood pressure. Which client should the nurse report to the healthcare provider as needing a prescription for Rh Immune Globulin (RhoGAM)? Woman whose blood group is AB Rhpositive. Newborn with rising serum bilirubin level. Newborn whose Coombs test is negative. Primigravida mother who is Rhnegative. The nurse is caring for a client whose labor is being augmented with oxytocin (Pitocin). Which finding indicates that the nurse should discontinue the oxytocin infusion? The client needs to void. Amniotic membranes rupture. Uterine contractions occur every 8 to 10 minutes. The fetal heart rate is 180 bpm without variability A client in labor receives an epidural block. What intervention should the nurse implement first? Encourage oral fluids. Assess contractions. Monitor blood pressure. Obtain a radial pulse. A multiparous client is admitted to the postpartum unit after a rapid labor and birth of an infant weighing 4,000 grams. The client's fundus is boggy, lochia is heavy, and vital signs are unchanged. After having the client void and massaging the uterus, the client's fundus remains difficult to locate, and the rubra lochia remains heavy. What action should the nurse implement next? Recheck the client's vital signs. Notify the healthcare provider. Insert an indwelling urinary catheter. Massage the fundus in 30 minutes. The nurse is providing discharge teaching for a gravid client who is being released from the hospital after placement of cerclage. Which instruction is the most important for the client to understand? Plan for a possible cesarean birth. Arrange for home uterine monitoring. Make arrangements for care at home. Report uterine cramping or low backache. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate 48 breaths/minute. Based on these findings, which action should the nurse take first? Check the infant's arterial blood gases. Notify the pediatrician of the infant's vital signs. Assess the infant's blood glucose level. Encourage the infant to take the breast or sugar water. Rationale The nurse should first assess the infant's bloo [Show More]

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