HESI LPN
Maternity HESI Test Bank Questions
Question 1 of 5
After a mother was diagnosed with gonorrhea immediately after delivery, what is an important goal of the nurse when providing care for her baby?
Correct Answer: A
Rationale: The correct answer is A: Prevent the development of ophthalmia neonatorum. When a mother has gonorrhea, the baby can be infected during delivery, leading to ophthalmia neonatorum, which can cause permanent blindness.
Therefore, it is crucial for the nurse to prevent this condition by treating the baby's eyes with an antibiotic prophylactically after birth.
Choice B, lubricating the eyes, is not the primary goal in this situation as preventing infection takes precedence.
Choice C, preventing the development of infection, is too broad and does not specifically address the potential complication of ophthalmia neonatorum.
Choice D, teaching about the risks of breastfeeding with gonorrhea, is important but not the immediate goal in this scenario where preventing ophthalmia neonatorum and potential blindness is the priority.
Question 2 of 5
A 38-week primigravida is admitted to labor and delivery after a non-reactive result on a non-stress test (NST). The nurse begins a contraction stress test (CST) with an oxytocin infusion. Which finding is most important for the nurse to report to the healthcare provider?
Correct Answer: A
Rationale: The correct answer is A: A pattern of fetal late decelerations. Late decelerations during a contraction stress test are concerning as they indicate uteroplacental insufficiency, which can pose a risk to fetal well-being. Reporting this finding to the healthcare provider is crucial for prompt intervention.
Choice B, fetal heart rate accelerations with fetal movement, is a reassuring sign of fetal well-being and does not raise immediate concerns.
Choice C, absence of uterine contractions within 20 minutes, may require further assessment but is not as critical as late decelerations.
Choice D, spontaneous rupture of membranes, is important but not the most immediate concern during a contraction stress test.
Question 3 of 5
What is the purpose of amniocentesis?
Correct Answer: B
Rationale: Amniocentesis is a diagnostic procedure used to detect genetic abnormalities in the fetus, such as chromosomal disorders like Down syndrome. It is not performed to induce abortion. The primary purpose of amniocentesis is to assess the genetic health of the fetus, not to determine the baby's gender (
Choice
C). While amniocentesis can provide information about the baby's health and development, it is not primarily used for monitoring fetal growth (
Choice
D).
Therefore, the correct answer is B.
Question 4 of 5
A healthcare provider is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following finding should the healthcare provider expect?
Correct Answer: A
Rationale: When assessing a preterm newborn at 32 weeks of gestation, healthcare providers should expect minimal arm recoil. This finding is common in preterm infants due to lower muscle tone.
Choice B, a popliteal angle of less than 90°, is incorrect for this age group. Creases over the entire sole (
Choice
C) typically develop at term age, not at 32 weeks of gestation. Sparse lanugo (
Choice
D) is a normal finding in preterm infants but is not specific to those at 32 weeks of gestation.
Question 5 of 5
A client who is 24 weeks gestation arrives at the clinic reporting swollen hands. On examination, the nurse notes the client has had a rapid weight gain over six weeks. Which action should the nurse implement next?
Correct Answer: B
Rationale: Swollen hands and rapid weight gain could be signs of preeclampsia, so the next step is to check the client's blood pressure. Elevated blood pressure is a key indicator in assessing for preeclampsia in pregnancy. Reviewing the client's previous blood pressures may provide additional context but obtaining the current blood pressure is crucial for immediate assessment. Observing and timing contractions are not relevant in this scenario as the client is not presenting with signs of active labor. Examining for pedal edema is important in assessing for fluid retention, but obtaining the blood pressure takes precedence in this case due to the potential seriousness of preeclampsia.