HESI PN
Maternity Exam
Pack Best for
2023 Exam
A 39-week primigravida expresses anxiety
about how she will handle the labor process.
How should the practical nurse respond? - ANS-
It's normal to be anxious about labor; let's talk
about your concerns."
A 30-year-old female client with insulin
dependent diabetes tells the practical nurse
(PN) that she wants to become pregnant.
Which subject is most important for the PN to
discuss with the client? - ANS-Glycemic control
during pregnancy.
A client at 14-weeks gestation tells the practical
nurse (PN) that she has not had any alcohol
during her first trimester but wants to have a
glass of wine with dinner now. Which response
is best for the practical nurse (PN) to provide? -
ANS-It is recommended that you abstain from
drinking any alcohol throughout your
pregnancy."
What information should the practical nurse
reinforce before a gravid client begins a
prescription for an iron supplement to prevent
iron-deficiency anemia? - ANS-Expect stools to
be dark green or black.
Which intervention should the practical nurse
(PN) use to facilitate mother-infant attachment
in a 15-year-old primigravida who seems to
ignore her newborn? - ANS-Show the mother
how the baby initiates interaction and responds
to her.
When monitoring a laboring client, which fetal
heart rate (FHR) finding should the practical
nurse report to the charge nurse immediately?
- ANS-Late decelerations.
The practical nurse should ensure that the
healthcare provider writes a prescription for
Rho(D) immune globulin for which client? -
ANS-Rh-negative mother with an Rh-positive
baby.
A newborn infant boy who is rooming-in with
his mother has an axillary temperature of 96 0
F. What action should the practical nurse take
first? - ANS-Wrap the infant in two warm
blankets and place a cap on his head.
A primigravida is admitted to the antepartum
unit with a diagnosis of hyperemesis
gravidarum (HG). Which priority action in the
plan of care should the practical nurse (PN)
address? - ANS-Monitor nutritional and fluid
intake and output.
A client who is at 23-weeks gestation calls the
clinic and reports that she is concerned because
fluid is leaking from her vagina. What should
the practical nurse tell the client? - ANS-Come
to the office immediately to have the fluid
checked.
The practical nurse (PN) is completing the daily
assessment of a 2-day-old newborn. Which
finding should the PN report to the nurse that
indicates impaired hearing? - ANS-Absence of
the startle or blink reflex to loud sound.
A gravida 1 para 1 client is scheduled to be
discharged from the postpartum unit with her
infant. Which action by the mother should the
practical nurse identify as a need for further
information about infant care? - ANS-Wipes the
infant's perineum from front to back
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