HESI RN Maternity

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Sample questions from HESI RN Maternity

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client at 10 weeks of gestation reports nausea that is worse in the morning. Which instruction should the nurse provide?

   • A.Eat a few crackers before getting out of bed
   • B.Lie flat for 30 minutes after eating
   • C.Skip breakfast until the nausea resolves
   • D.Drink a large glass of water with each meal

   Rationale: Eating dry crackers before rising and having small, frequent meals may lessen nausea in early pregnancy. Large amounts of fluid with meals can worsen gastric fullness, and skipping meals may aggravate nausea. Lying flat after eating can promote reflux rather than relieve symptoms.

2. 2.A client at 34 weeks of gestation reports a severe headache and seeing spots. Which action should the nurse take first?

   • A.Ask whether the client has eaten recently
   • B.Offer acetaminophen and reassess in 1 hour
   • C.Assess the client's blood pressure
   • D.Encourage the client to rest in a dark room

   Rationale: A severe headache and visual changes may indicate preeclampsia with severe features, so prompt blood pressure assessment is the priority. Rest may be helpful but must not delay evaluation. Analgesia or questions about food do not address the potentially urgent hypertensive disorder.

3. 3.A nurse is teaching a client at 28 weeks of gestation about warning signs that should be reported promptly. Which findings should the client report? Select all that apply.

   • A.A severe, persistent headache
   • B.Occasional heartburn after a large meal
   • C.Mild ankle swelling at the end of the day
   • D.Vaginal bleeding
   • E.A noticeable decrease in fetal movement

   Rationale: Vaginal bleeding, a severe persistent headache, and decreased fetal movement require prompt evaluation. Mild dependent ankle swelling and occasional meal-related heartburn are common discomforts, although worsening or unusual symptoms should still be discussed with the clinician. The key is to distinguish potential maternal or fetal compromise from common, mild pregnancy changes.

4. 4.A client at 12 weeks of gestation has blood type O negative. Which intervention should the nurse anticipate if the client has no evidence of sensitization?

   • A.Administer Rh immune globulin only if the newborn is Rh negative
   • B.Administer Rho(D) immune globulin at 28 weeks
   • C.Withhold Rh immune globulin until after delivery
   • D.Administer Rh immune globulin at every prenatal visit

   Answer and rationale are in the full material.

5. 5.A client at 24 weeks of gestation has a 1-hour glucose screening result of 158 mg/dL. Which response by the nurse is appropriate?

   • A.Reassure the client that no follow-up is needed
   • B.Instruct the client to begin insulin therapy today
   • C.Tell the client the result confirms gestational diabetes
   • D.Explain that a diagnostic glucose tolerance test is likely to be ordered

   Answer and rationale are in the full material.