HESI MATERNITY EXAM WITH CORRECT QUESTIONS AND ANSWERS

HESI MATERNITY EXAM WITH CORRECT QUESTIONS AND ANSWERS
• TheLPN/LVN identifiescrepitus whenexaminingthechestofanewborn whowasdelivered
vaginally. Whichfurtherassessmentshouldthenurseperform?
A. Elicitapositivescarfsignontheaffected side.
B. Observeforanasymmetrical Moro(startle) reflex.
C. Watchforswellingof fingersontheaffected side.
D. Noteparalysisofaffectedextremityand muscles.
Correct Answer: B
• Onehouraftergivingbirthtoan 8-poundinfant,aclient's lochia rubrahasincreased from
small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute
and blood pressure is 156/96. The healthcare
providerprescribes Methergine 0.2 mgIM Å~ 1. WhatactionshouldtheLPN/LVNtake immediately?
A. Givethe medicationasprescribedand monitorfor efficacy.
B. Encouragetheclient tobreastfeedrather thanbottle feed.
C. Have theclientemptyherbladderand massagethe fundus.
D. Call thehealthcareprovider toquestionthe prescription.
Correct Answer: D
• TheLPN/LVN ispreparingtogiveanenematoalaboringclient. Whichclientrequires the most
caution whencarrying out this procedure?
A. A gravida 6,para 5 whois 38 yearsofageandinearly labor.
B. A 37-weekprimigravida whopresentsat 100%effacement, 3 cm cervicaldilatation, and a
-1 station.
C. A gravida2,para1 whois at 1cm cervicaldilatationanda 0 stationadmitted for
inductionof labordue topost dates.
D. A 40-weekprimigravida whoisat 6 cm cervicaldilatationandthe
presentingpart isnot engaged.
Correct Answer:D
• At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull
pain in the right lower quadrant of her abdomen.The LPN/LVN obtains abloodsample and
initiates an IV.Thirty minutes afteradmission, theclient reports feelingasharp
abdominalpainandashoulder pain. Assessment findings include diaphoresis, a heart
rate of120 beats/minute, and a blood pressure of 86/48. Which action shouldthe nurse
implement next?
A. Checkthehematocrit results.
B. Administerpain medication.
C. Increasetherateof IVfluids.
D. Monitorclient forcontractions.
Correct Answer: C
• Duringaprenatalvisit, theLPN/LVN discusses withaclient theeffectsofsmoking on the
fetus. When compared with nonsmokers, mothers who smoke duringpregnancytend to
produce infants who have
A. lower Apgarscores.
B. lowerbirth weights.
C. respiratorydistress.
D. ahigher rateofcongenital anomalies.
Correct Answer: D
• WhichactionshouldtheLPN/LVN implement whenpreparingto measurethefundal
heightofapregnantclient?
A. Havetheclientemptyherbladder.
B. Request theclient lie onher left side.
C. Perform Leopold's maneuvers first.
D. Give theclientsomecold juiceto drink.
Correct Answer:A
• A client at 32-weeks gestation comes to the prenatal clinic with complaintsof pedal edema,
dyspnea, fatigue, and a moist cough. Which question is most important for the LPN/LVN to ask
this client?
A. Whichsymptom didyouexperience first?
B. Areyoueatinglargeamounts ofsalty foods?
C. Haveyouvisitedaforeigncountry recently?
D. Doyouhaveahistoryof rheumatic fever?
Correct Answer: D