HESI PN MATERNITY PROCTORED EXAM

HESI PN MATERNITY PROCTORED EXAM

VERSION 3

• A nurse is care for a client who has oligohydramnios. Which of the following fetal

anomalies should the nurse expect?

• Renal agenesis

• A nurse in a prenatal clinic is performing telephone triage for several clients. Which of

the following client reports should the nurse identify as an expected physiological adaptation to pregnancy?

• Breast tenderness

• A nurse is discussing the expected changes related to pregnancy with a client who is at 8

weeks gestation. Which of the following findings should the client to report to the provider during the first trimester?

• Persistent vomiting

• A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and

reports dizzieness when lying on her back. Into which of the following positions should the nurse assist the client?

• Lateral

• A nurse is caring for a newborn immediately following birth. Which of the following

actions should the nurse take first?

• Dry the newborn

• Nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing

pain due to gas. Which of the following strategies should the nurse recommend?

• Rock in a rocking chair

• A nurse is assessing a client who is 2 days postpartum. In which of the following locations

should the nurse expect to locate the client’s fundus?

• 3 cm below the umbilicus

• A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the

following pieces of information should the nurse include in the teaching?

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• “Your milk supply will noticeably increase in volume around the 3

rd /4 th day after delivery

• A nurse is teaching the guardian of a newborn about caring for the newborn’s umbilical

cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord?

• They can cause delayed cord separation

• A nurse is providing education for a pregnant client about symptoms that should be

reported immediately to the provider. Which of the following client responses indicates a understanding of the teaching?

• If I notice that my eyes are puffy, I should call my provider

• A nurse is providing teaching about the rubella immunization to a client who is 24 hours

postpartum. Which of the following client statemnts indicates an understanding of the teaching?

• I should be careful to avoid becoming pregnant within next month

• A nurse is caring for a client who is in labor. The client questions the application of an

internal fetal scalp monitor. Which of the following responses should the nurse provide?

• We need to observe your baby more closely

• A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33

weeks of gestation. For which of the following results should the nurse notify the provider?

• Platelet count 135,000
• A nurse at a family planning clinic preparing to teach a class about how to use a

diaphragm. Which of the following pieces of information should the nurse plan to include in the teaching?

• Use spermicidal jelly whenever you use your diaphragm

• A nurse in a newborn nursery has received reports on 4 newborns. Which of the

following newborns should the nurse identify a requiring intervention?

• A newborn whose axillary temp is 36.1 degrees Celsius (96.9 degrees F)

• A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal

bleeding. Which of the following actions should the nurse take?

• Obtain blood samples for baseline lab values
• A nurse is caring for a newborn who has irregular respirations of 52/min with several

periods of apnea lasting approximately 5 sec. the newborn is pink with acrocyanosis.Which of the following actions should the nurse take?

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