{"id":116992,"date":"2023-08-26T20:19:40","date_gmt":"2023-08-26T20:19:40","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116992"},"modified":"2023-08-26T20:19:42","modified_gmt":"2023-08-26T20:19:42","slug":"maternity-hesi-exit-exam-2023-latest-versions-abc-d-hesi-exit-maternity-latest-versions-abc-d-real-exam-questions-and-correct-answersagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/maternity-hesi-exit-exam-2023-latest-versions-abc-d-hesi-exit-maternity-latest-versions-abc-d-real-exam-questions-and-correct-answersagrade\/","title":{"rendered":"MATERNITY HESI EXIT EXAM 2023 LATEST VERSIONS A,B,C & D\/HESI EXIT MATERNITY LATEST VERSIONS A,B,C,& D REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE"},"content":{"rendered":"\n

lOMoAR cPSD|19500986
lOMoAR cPSD|19500986
MATERNITY HESI EXIT 2023 VERSION D\/HESI
EXIT MATERNITY HESI EXIT LATEST EXAM
QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES|AGRADE
VERSION D<\/p>\n\n\n\n

    \n
  1. 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?
    Move about every hour
    Pooling of blood in the lower extremities results from the enlarged uterus exerting
    pressure on the pelvic veins. Moving about every hour willstraighten out the pelvic
    veins and increase venous return.<\/li>\n\n\n\n
  2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation
    in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
    subcutaneously to stop her labor contractions. The nurse plans to monitor for which
    primary side effect of terbutaline sulfate?
    Tachycardia and a feeling of nervousness
    Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,stimulates beta-adrenergic
    receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
    properties of the drug may cause tachycardia, increased cardiac output, restlessness,<\/li>\n<\/ol>\n\n\n\n

    lOMoAR cPSD|19500986
    headache, and a feeling of “nervousness”.<\/p>\n\n\n\n

      \n
    1. When do the anterior and posterior fontanels close?
      anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
      month.<\/li>\n\n\n\n
    2. When assessing a client who is at 12-weeks gestation, the nurse recommends that she
      and her husband consider attending childbirth preparation classes. When is the best
      time for the couple to attend these classes?
      30 weeks gestation
      at 30 weeks gestation is closest (of the options) to the time parents would be ready for
      such classes. Learning is facilitated by an interested pupil! The couple is most
      interested in childbirth toward the end of the pregnancy when they are psychologically
      ready for the termination of the pregnancy, and the birth of their child is an immediate
      concern.<\/li>\n\n\n\n
    3. The nurse should encourage the laboring client to begin pushing when\u2026
      the cervix is completely dilated.
      Pushing begins with the second stage of labor, i.e., when the cervix is completely
      dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix
      can become edematous and may never completely dilate, necessitating an operative
      delivery. Many primigravida\u2019s begin active labor 100% effaced and then proceed to
      dilate.<\/li>\n<\/ol>\n\n\n\n

      lOMoAR cPSD|19500986<\/p>\n\n\n\n

        \n
      1. The nurse instructs a laboring client to use accelerated-blow breathing. The client
        beginsto complain of tingling fingers and dizziness. What action should the nurse take?
        Have the client breathe into her cupped hands
        Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon
        dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated
        by breathing into a paper bag or cupped hands.<\/li>\n\n\n\n
      2. Twenty-four hours after admission to the newborn nursery, a full-term male infant
        develops localized edema on the right side of his head. The nurse knows that, in the
        newborn, an accumulation of blood between the periosteum and skull which does not
        cross the suture line is a newborn variation known as\u2026
        a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
        Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the
        first 24 hours after delivery. Trauma from delivery causes capillary bleeding between the
        periosteum and the skull.<\/li>\n\n\n\n
      3. When does the head return to its normal shape?
        7-10 days<\/li>\n\n\n\n
      4. What did Nurse theorist Reva Rubin describe?
        The initial postpartum period as the “taking-in phase,” which is characterized by
        maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and<\/li>\n<\/ol>\n\n\n\n

        lOMoAR cPSD|19500986
        closeness to families and the newborn.<\/p>\n\n\n\n

          \n
        1. A couple, concerned because the woman has not been able to conceive, is referred to a
          healthcare provider for a fertility workup and a hysterosalpingography is scheduled.
          Which post procedure complaint indicates that the fallopian tubes are patent?
          Shoulder pain
          If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
          collection of peritoneal dye\/gas.<\/li>\n\n\n\n
        2. Which nursing intervention is most helpful in relieving postpartum uterine contractions or
          “afterpains?”
          Lying prone with a pillow on the abdomen
          Lying prone keeps the fundus contracted and is especially useful with multiparas, who
          commonly experience afterpains due to lack of uterine tone.<\/li>\n\n\n\n
        3. Which maternal behavior is the nurse most likely to see when a new mother receives
          her infant for the first time?
          Her arms and handsreceive the infant and she then traces the infant’s profile with her
          fingertips.
          Attachment\/bonding theory indicatesthat most mothers will demonstrate behaviors
          described in during the first visit with the newborn, which may be at delivery or later.<\/li>\n\n\n\n
        4. A client at 32-weeks gestation is hospitalized with severe pregnancy-induced<\/li>\n<\/ol>\n\n\n\n

          lOMoAR cPSD|19500986
          MATERNITY HESI EXIT EXAM 2023 VERSION C\/HESI
          EXIT MATERNITY VERSION C REAL EXAM QUESTIONS
          AND CORRECT ANSWERS|AGRADE
          VERSION C
          1 The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse
          observes red marks on the head with swelling that does not cross the suture line. Which condition
          should the nurse documents in the medical record?
          A Caput succedaneum
          B Hydrocephalus
          C Cephalhematoma
          D Microcephaly
          2 A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that
          began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal bleeding.<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          Fetal rate of 130 – 140 beats per minute, no contractions and no complaints of pain what is the most
          likely cause of these client’s bleeding.
          A Abruptio Placenta
          B Placenta Previa
          C Normal bloody show indicting induction of labor
          D A ruptured blood vessel in the vaginal vault.
          3 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 warrants immediate intervention by the nurse.
          A Fetal Heart rate 60 beats per minute
          B Ruptured amniotic membrane
          C onset of uterine contractions<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          D leaking amniotic fluid.
          4 A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes
          the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should
          recognize the clients is prohibiting symptoms of which condition?
          A Genital Warts
          B Syphilis
          C Herpes Simplex Virus
          D German Measles
          5 The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm
          labor which maternity description is most important in preventing this fetus from developing respiratory
          distress syndrome.
          A Ampicillin 1 gram IV push q8h
          B Betamethasone 12 mg deep IM<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          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<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          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.<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          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).<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          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?<\/p>\n\n\n\n

          lOMoAR cPSD|19500986
          LOMOARCPSD|195
          MATERNITY HESI EXIT EXAM 2023 VERSION
          A\/HESI EXIT MATERNITY VERSION A REAL
          EXAM QUESTIONS AND CORRECT
          ANSWERS|AGRADE
          VERSION A
          1.The nurse is planning discharge teaching for a client who had an evacuation of
          gestational trophoblastic disease (GTD) two days ago. Which information is most
          important for the nurse to include in this client\u2019s teaching plan?
          A.Oral contraceptive use for at least one year.
          2.The nurse is planning care for a client at 30-weeks\u2019 gestation who is experiencing preterm
          labor. What maternal prescription is most important in preventing this fetus from developing
          respiratory distress syndrome?
          C. Betamethasone (Celestone) 12 mg deep IM.
          3.The nurse places one hand above the symphysis while massaging the fundus of a multiparous
          client whose uterine tone is boggy 15 minutes after delivering a 7-pound 10-ounce infant.
          Which information should the nurse provide the client about this finding?
          B. Both the lower uterine segment and the fundus must be massaged.
          4.Which instruction should the nurse include in the discharge teaching plan of a 7-year-old girl
          with a history of frequent urinary tract infections?
          D. Monitor for changes in urinary odor.<\/p>\n\n\n\n

            \n
          1. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg\/dl and a
            hematocrit of 25.1%. What foot should the nurse encourage this client to include in her diet?
            B. Chicken.<\/li>\n\n\n\n
          2. The newborn nursery admission protocol includes a perception for phytonadione
            (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
            provides 2 mg\/ml. How many ml should the nurse administer?
            0.3<\/li>\n<\/ol>\n\n\n\n

            lOMoAR cPSD|19500986
            1 | P a g e<\/p>\n\n\n\n

            lOMoAR cPSD|19500986<\/p>\n\n\n\n

              \n
            1. The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum
              client. Based on what assessment finding should the nurse withhold the drug?
              C.Blood pressure 149\/90.<\/li>\n\n\n\n
            2. The nurse is preparing a 10-year-old with a lacerated forehead forsuturing. Both parents and
              a 12- year-old sibling are the child bedside. Which instruction best supports this family?
              A.\u201cWhile waiting for the healthcare provider, only one visitor may stay with the child\u201d<\/li>\n\n\n\n
            3. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA).
              The nurse includes activities to strengthen and mobilize the joints and surrounding muscle.
              Which physical therapy regimen should the nurse encourage the adolescent to implement?
              C.Exercise in a swimming pool.<\/li>\n\n\n\n
            4. A primigravida arrives at the observation unit of the maternity unit because thinks is in
              labor. The nurse applies the external fetal heart monitor and determines that the fetal heart
              rate is 140 beats\/minute and the contractions are occurring irregularly every 10 to 15
              minutes. What assessment finding confirms to the nurse that the client is not labor at this
              time?
              D.Contractions decrease with walking.<\/li>\n\n\n\n
            5. Which toy is most appropriate for a 10-year-old child with acute rheumatic fever who is
              on strict bedrest?
              D. Checkers<\/li>\n\n\n\n
            6. The nurse has completed a teaching plan for the mother of a child who is taking digitalis
              and a diuretic for treatment of the heart failure. Choosing which lunch would indicate
              that the mother understands the best diet for her child?
              B. Peanut butter and banana sandwich with orange juice.<\/li>\n\n\n\n
            7. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of
              thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
              explanation for this finding?
              2 | P a g e<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

              lOMoAR cPSD|19500986lOMoAR cPSD|19500986MATERNITY HESI EXIT 2023 VERSION D\/HESIEXIT MATERNITY HESI EXIT LATEST EXAMQUESTIONS AND DETAILED ANSWERS WITHRATIONALES|AGRADEVERSION D lOMoAR cPSD|19500986headache, and a feeling of “nervousness”. lOMoAR cPSD|19500986 lOMoAR cPSD|19500986closeness to families and the newborn. lOMoAR cPSD|19500986MATERNITY HESI EXIT EXAM 2023 VERSION C\/HESIEXIT MATERNITY VERSION C REAL EXAM QUESTIONSAND CORRECT ANSWERS|AGRADEVERSION C1 The nurse is providing […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116992","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116992","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116992"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116992\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}