HESI RN
Herzing University HESI Maternity Questions
Extract:
Question 1 of 5
A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?
Correct Answer: D
Rationale: An elevated AFP level is a screening indicator, not a diagnosis. A sonogram is the next step to assess for neural tube defects or other anomalies, providing definitive information.
Question 2 of 5
A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this client?
Correct Answer: D
Rationale: Severe postpartum hemorrhage increases the risk of disseminated intravascular coagulation (DI
C), a life-threatening condition requiring urgent assessment.
Question 3 of 5
A client at 40-weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which actions should the nurse plan to perform? (Select all that apply.)
Correct Answer: C,D,E
Rationale: HIV is transmitted through blood, body fluids, or breast milk, not air or droplets. Bottle-feeding (
C) prevents transmission via breast milk, IV antiviral medication (
D) reduces perinatal transmission, and standard precautions (E) are sufficient for infection control.
Question 4 of 5
A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, 'I just started taking methadone. Is there anything else I can do to make sure my baby is healthy?' Which information should the nurse provide?
Correct Answer: D
Rationale: Early prenatal care is critical for monitoring maternal and fetal health, managing opioid addiction with methadone under medical supervision, and addressing potential complications.
Question 5 of 5
Which physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?
Correct Answer: D
Rationale: A pulse rate of 56 beats/minute is within the normal range for a resting postpartum client. The other options indicate potential complications like DVT, uterine atony, or excessive bleeding.