HESI RN: Maternity - Test Bank
HESI RN MED SURG EXIT EXAM
VERSION 1 AND 2 COMPLETE
ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+
A client at 30 weeks gestation reports that she
has not felt the baby move in the last 24 hours.
Concerned, she arrives in a panic at the
obstetric clinic where she is immediately sent
to the hospital. Which assessment finding
warrants immediate intervention by the nurse?
a. the onset of uterine contractions
b. leaking amniotic fluid
c. fetal heart rate 60 beats/min*
d. ruptured amniotic membrane - ANSWER-c.
fetal heart rate 60 beats/min*
A client at 40-weeks' gestation presents to the
obstetrical floor and indicates that the amniotic
membranes ruptured spontaneously at home.
She is in active labor and feels the need to bear
down and push. What information is most
important for the nurse to obtain first?
a. the estimated amount of fluid
b. time the membranes ruptured
c. color and consistency of the fluid
d. any odor noted when membranes ruptured. -
ANSWER-c. color and consistency of the fluid
A 32-week gestation client has deep tendon
reflexes (DTRs) are 4+. What action should the
nurse take first?
a. assess the urine for proteinuria
b. record the finding on a flowsheet
c. obtain blood pressure reading
d. notify the healthcare provider - ANSWER-d.
notify the healthcare provider
The nurse is preparing to draw blood from a
newborn to obtain hemoglobin and hematocrit
levels. What is the best method to obtain this
blood sample?
a. use a butterfly, small gauge needle to do a
venous puncture on the hand
b. draw blood from the infant's antecubital vein
using a small gauge needle
c. use a small gauge needle to puncture the
vastus lateralis
d. use a lancet to puncture the outer lateral
aspect of the heel * - ANSWER-d. use a lancet
to puncture the outer lateral aspect of the heel
*
A 38-week primigravida who works as a
secretary and sits at a computer for 8 hours
each day tells the nurse that her feet have
begun to swell. Which instruction would be
most effective in preventing pooling of blood in
the lower extremities? - ANSWER-Move about
every hour
RATIONALE: Pooling of blood in the lower
extremities results from the enlarged uterus
exerting pressure on the pelvic veins. Moving
about every hour will straighten out the pelvic
veins and increase venous return.
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