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MATERNITY HESI EXIT 2023 VERSION B/HESI
EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES|AGRADE
VERSION B
1.
A full-term infant is admitted to the newborn nursery and, after careful
assessment, the nurse suspects that the infant may have an esophageal atresia.
Which symptoms is this newborn likely to have exhibited?
A) Choking, coughing, and cyanosis.
Feedback: CORRECT
B) Projectile vomiting and cyanosis.
Feedback: INCORRECT
C) Apneic spells and grunting.
Feedback: INCORRECT
D) Scaphoid abdomen and anorexia.
Feedback: INCORRECT
Feedback: INCORRECT
(A) includes the “3 Cs” of esophageal atresia caused by the overflow of secretions into
the trachea. (B) is characteristic of pyloric stenosis in the infant. (C) could be due to
prematurity or sepsis, and grunting is a sign of respiratory distress. (D) is characteristic
of diaphragmatic hernia.
Correct Answer(s): A
2.
A female client with insulin-dependent diabetes arrives at the clinic seeking a plan
to get pregnant in approximately 6 months. She tells the nurse that she want to
have an uncomplicated pregnancy and a healthy baby. What information should
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the nurse share with the client?
A) Your current dose of Insulin should be maintained throughout your pregnancy.
B) Maintain blood sugar levels in a constant range within normal limits
during pregnancy.
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C) The course and outcome of your pregnancy is not an achievable goal with diabetes.
D) Expect an increase in insulin dosages by 5 units/week during the first trimester.
Feedback: INCORRECT
Maintaining blood sugar within a normal range during pregnancy has a strong
correlation with a good outcome (B). Insulin requirements normally change during
pregnancy (A).
Active participation of the client with her diabetes management during pregnancy is
associated with better outcomes, not (C). Insulin needs are individually determined by
blood glucose values, not a set schedule, not (D).
Correct Answer(s): B
3.
The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take?
A) Ask the mother why she won’t look at the infant.
Feedback: INCORRECT
B) Observe the mother for other attachment behaviors.
Feedback: CORRECT
C) Examine the newborn’s eyes for the ability to focus.
Feedback: INCORRECT
D) Recognize this as a common reaction in new mothers.
Feedback: INCORRECT
Feedback: INCORRECT
Parent-infant bonding or attachment is based on a mutual relationship between parent
and infant and is commonly established by the “enface position,” which is
demonstrated by the mother’s and infant’s eyes meeting in the same plane. To assess
for other attachment behaviors, continued observation of the new mother’s
interactions with her infant (B) helps the nurse determine problems in attachment.
(A) may cause undue confusion, stress, or impact the mother’s self-confidence. (C)
is not indicated. The “enface position” is a significant, early behavior that leads to the
formation of affectional ties and should be encouraged (D).
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Correct Answer(s): B
4.
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse’s response is based on what
knowledge?
A) Supplementary iron is more efficiently utilized during pregnancy.
Feedback: INCORRECT
B) It is difficult to consume 18 mg of additional iron by diet alone.
Feedback: CORRECT
C) Iron absorption is decreased in the GI tract during pregnancy.
Feedback: INCORRECT
D) Iron is needed to prevent megaloblastic anemia in the last trimester.
Feedback: INCORRECT
Feedback: INCORRECT
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron
and to meet the demands of pregnancy is difficult (B) so iron supplements are often
recommended. Dietary iron (A) is just as “good” as iron in tablet form. Iron
absorption occurs readily during pregnancy, and is not decreased within the GI tract
(C).
Megaloblastic anemia (D) is caused by folic acid deficiency.
Correct Answer(s): B
5.
Just after delivery, a new mother tells the nurse, “I was unsuccessful
breastfeeding my first child, but I would like to try with this baby.” Which
intervention is best for the nurse to implement first?