RN Maternity and Pediatrics (OB/Peds) HESI Exam

Free preview · Original latest version

Sample questions from RN Maternity and Pediatrics (OB/Peds) HESI Exam

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

1. 1.At a prenatal visit, a client at 10 weeks of gestation reports nausea that is worse in the morning. Which instruction is most appropriate?

   • A.Take an over-the-counter antiemetic without consulting the provider.
   • B.Eat a few crackers before getting out of bed.
   • C.Skip breakfast until the nausea resolves.
   • D.Drink a large glass of fluid with each meal.

   Rationale: Eating a small amount of dry food before rising may lessen nausea, and small, frequent meals are often better tolerated. Large fluid volumes with meals may worsen fullness; fluids can be taken between meals. Skipping meals and taking medication without guidance are not appropriate strategies.

2. 2.A primigravida at 32 weeks asks how to count fetal movements. Which instruction should the nurse provide?

   • A.Count movements only when the fetus has hiccups.
   • B.Wait until the next prenatal appointment to report a decrease in movement.
   • C.Call the provider if fewer than 10 movements occur within 2 hours during a usual active period.
   • D.Count movements once daily at a time when the fetus is usually active.

   Rationale: A commonly used method is to count fetal movements during a usual active period and report fewer than 10 movements in 2 hours, following the provider's specific instructions. Hiccups are not the only movements to count. A significant decrease should be reported promptly rather than deferred.

3. 3.Refer to the client's chart. Which findings require prompt follow-up because they are consistent with worsening preeclampsia? Select all that apply.

   • A.Blood pressure increased from 146/92 to 164/110 mm Hg.
   • B.Fetal heart rate is 140/min with moderate variability.
   • C.Urine protein-to-creatinine ratio is 0.12.
   • D.New persistent headache reported at 1000.
   • E.New right upper quadrant pain reported at 1000.

   Rationale: The persistent headache, severe-range blood pressure, and new right upper quadrant pain are concerning for severe features and require prompt evaluation. A protein-to-creatinine ratio of 0.12 is below the usual diagnostic threshold of 0.3, although the overall clinical picture still matters. A fetal heart rate of 140/min with moderate variability is reassuring at this time.

4. 4.Which client statement about iron supplementation during pregnancy indicates correct understanding?

   • A.I will take the iron with a source of vitamin C if my stomach tolerates it.
   • B.I should take the iron at the same time as my antacid.
   • C.Dark stools mean I should stop taking the supplement.
   • D.I should take the iron with milk to improve absorption.

   Answer and rationale are in the full material.

5. 5.A client at 28 weeks is receiving instructions about preventing complications during pregnancy. Which instructions should the nurse include? Select all that apply.

   • A.Take prescribed prenatal vitamins as directed.
   • B.Use a seat belt with the lap portion below the abdomen.
   • C.Call the provider for vaginal bleeding.
   • D.Call the provider for a severe headache or visual changes.
   • E.Avoid all physical activity until delivery.

   Answer and rationale are in the full material.