Care Hope College RN HESI Maternity Proctored Exam

A client informs the nurse that she believes she is pregnant. Which sign or symptom is the best indicator that the client is pregnant?

A patient in early labor is receiving oxytocin and begins to experience tachysystolic or tetanic contractions with variable fetal heart decelerations.What should the nurse do next?

What is the most crucial topic for the nurse to include in a nutrition education program for pregnant teenagers?

The nurse is about to administer phytonadione to a newborn.Which statement by the parents shows they understand why this medication is being given?

During a newborn assessment, which symptom, if present, would indicate respiratory distress?

Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)

An infant, born yesterday and initially weighing 7.5 lbs (3,402 grams), weighs 7 lbs (3,175 grams) today. What action should the nurse take?

A client at 10-weeks gestation calls the clinic reporting a low-grade fever, moderate cramping, and heavy bright-red bleeding.What advice should the nurse give the client?

A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child.What action should the nurse take?

What physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?

A multiparous client at 36-hours postpartum reports increased bleeding and cramping. On examination, the nurse finds the uterine fundus 2 cm above the umbilicus.What action should the nurse take first

At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement.Fundal height measurement is 20 cm, and the client’s only com

A woman at 36-weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping.She is placed on strict bedrest and the fetal heart rate and contraction pattern are mon

One day after vaginal delivery of a full-term baby, a postpartum client’s white blood cell count is 15,000/mm (15 x 109/L). What action should the nurse take first?

A neonate, who is one day old, develops a cephalhematoma.Which common complication should the nurse assess this neonate for?

A client, who is three days postpartum and formula feeding her newborn, reports experiencing painful, hard, and full breasts to the nurse.What recommendation should the nurse provide?

A 16-year-old client, who is pregnant for the first time and has no children, has been admitted to the hospital with a diagnosis of eclampsia.She is not currently convulsing.What intervention should t

The nurse is providing preconception counseling.Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?

The nurse observes on the fetal monitor that a laboring client has a variable deceleration. What action should the nurse implement first?

A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.What instruction should the nurse give to

The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations.What priority issue should the nurse address to ensure the newborn’s su

During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment.Which technique should the nurse implement

A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damage”. The nurse knows that this client is at particular risk for de

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant’s eyes. He asks the nurse what is the purpose of the ointment.The nurse would be correct

What should be the primary focus of nursing care in the transitional phase of labor for a client who anticipates an unmedicated delivery?