HESI Maternity Test Bank 2021/2022

The nurse is caring for a pregnant woman who admits to using cocaine and ecstasy on a regular

basis. The client states, "Everybody knows that alcohol is bad during pregnancy, but what's the

big deal about ecstasy?" What is the nurse's best response?

1. "Ecstasy can cause a high fever in you and therefore cause the baby harm."

2. "Ecstasy leads to deficiencies of thiamine and folic acid, which help the baby develop."

3. "Ecstasy produces babies with small heads and short bodies with brain function alterations."

4. "Ecstasy producesintrauterine growth restriction and meconium aspiration."

The nurse is doing preconception counseling with a 28-year-old woman with no prior

pregnancies. Which statement made by the client indicates to the nurse that the client has

understood the teaching?

1. "I can continue to drink alcohol until I am diagnosed as pregnant."

2. "I need to stop drinking alcohol completely when I start trying to get pregnant."

3. "A beer once a week will not damage the fetus."

4. "I can drink alcohol while breastfeeding because it doesn't pass into breast milk."

A woman's history and appearance suggest drug abuse. What is the nurse's best approach?

1. Ask the woman directly, "Do you use any street drugs?"

2. Ask the woman whethershe would like to talk to a counselor.

3. Ask some questions about over-the-counter medications and avoid mention of illicit drugs.

4. Explain how harmful drugs can be for her baby.

A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse,

and urine screening indicates that she has recently used heroin. The nurse should recognize that

the woman is at increased risk for which condition?

1. Erythroblastosisfetalis

2. Diabetes mellitus

3. Abruptio placentae

4. Pregnancy-induced hypertension

The nurse is working with a woman who abuses stimulants. The nurse is aware that the fetus is

at risk for which of the following? Select all that apply.

1. Withdrawalsymptoms

2. Cardiac anomalies

3. Sudden infant death syndrome

4. Being small for gestational age

5. Fetal alcoholsyndrome

The nurse is assessing a woman at 10 weeks' gestation who is addicted to alcohol. The woman

asks the nurse, "What is the point of stopping drinking now if my baby probably has been hurt

by it already?" What is the best response by the nurse?

1. "It won't help your baby, but you will feel better during your pregnancy if you stop now."

2. "If you stop now, you and your baby have less chance of serious complications."

3. "If you limit your drinking to once a week, your baby will be okay."

4. "You might as well stop it now, because once your baby is born, you'll have to give up alcohol

if you plan on breastfeeding."

The client has just been diagnosed as diabetic. The nurse knows teaching was effective when

the client makes which statement?

1. "Ketones in my urine mean that my body is using the glucose appropriately."

2. "I should be urinating frequently and in large amounts to get rid of the extra sugar."

3. "My pancreas is making enough insulin, but my body isn't using it correctly."

4. "I might be hungry frequently because the sugar isn't getting into the tissues the way it

should."

The client with insulin-dependent type 2 diabetes and an HbA1c of 5.0% is planning to become

pregnant soon. What anticipatory guidance should the nurse provide this client?

1. Insulin needs decrease in the first trimester and usually begin to rise late in the first

trimester as glucose use and glycogen storage by the woman and fetus increase.

2. The risk of ketoacidosis decreases during the length of the pregnancy.

3. Vascular disease that accompanies diabetesslows progression.

4. The baby is likely to have a congenital abnormality because of the diabetes.

A newly diagnosed insulin-dependent type 1 diabetic with good blood sugar control is at 20

weeks' gestation. She asks the nurse how her diabetes will affect her baby. What would the best

explanation include?

1. "Your baby could be smaller than average at birth."

2. "Your baby will probably be larger than average at birth."

3. "As long as you control your blood sugar, your baby will not be affected at all."

4. "Your baby might have high blood sugar forseveral days."

A 26-year-old client is 28 weeks pregnant. She has developed gestational diabetes. She is

following a program of regular exercise, which includes walking, bicycling, and swimming. What

instructions should be included in a teaching plan for this client?

1. "Exercise either just before meals or wait until 2 hours after a meal."

2. "Carry hard candy (or other simple sugar) when exercising."

3. "If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate."

4. "If your blood sugar is more than 120 mg/dL, drink a glass of whole milk."

A 26-year-old client is 26 weeks pregnant. Her previous births include two large-for-gestationalage babies and one unexplained stillbirth. Which tests would the nurse anticipate as being most

definitive in diagnosing gestational diabetes?

1. A 50g, 1-hour glucose screening test

2. A single fasting glucose level

3. A 100g, 1-hour glucose tolerance test

4. A 100g, 3-hour glucose tolerance test

A client with diabetes isreceiving preconception counseling. The nurse will emphasize that

during the first trimester, the woman should be prepared for which of the following?

1. The need for less insulin than she normally uses

2. Blood testing for anemia

3. Assessmentfor respiratory complications

4. Assessment for contagious conditions

The nurse has written the nursing diagnosis Injury, Risk for a diabetic pregnant client.

Interventions for this diagnosis include which of the following? Select all that apply.

1. Assessment of fetal heart tones

2. Perform oxytocin challenge test, if ordered

3. Refer the client to a diabetessupport group

4. Assist with the biophysical profile assessment

5. Develop an appropriate teaching plan

A diabetic client goes into labor at 36 weeks' gestation. Provided that tests for fetal lung

maturity are successful, the nurse will anticipate which of the following interventions? Select all

that apply.

1. Administration of tocolytic therapy

2. Beta-sympathomimetic administration

3. Allowance of labor to progress

4. Hourly blood glucose monitoring

5. Cesarean birth may be indicated if evidence of reassuring fetal status exists

A woman asks her nurse what she can do before she begins trying to get pregnant to help her

baby, as she is prone to anemia. What would the nurse correctly advise her to do?

1. Get pregnant, then start iron supplementation.

2. Add more carbohydrates to her diet.

3. Begin taking folic acid supplements daily.

4. Have a hemoglobin baseline done now so her progress can be followed.

The client with thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an

education session for the client. Which statement should the nurse include?

1. "You need to increase your intake of meat and other iron-rich foods."

2. "Your low hemoglobin could put you into preterm labor."

3. "Increasing your vitamin C intake will help your hemoglobin level."

4. "You should not take iron supplements."