HESI LPN
Maternity HESI Practice Questions
1. Monozygotic (MZ) twins are known as fraternal twins.
- A. TRUE
- B. FALSE
- C. Possibly
- D. Never
Correct answer: B
Rationale: The correct answer is B: 'FALSE.' Monozygotic (MZ) twins are identical twins, not fraternal. Fraternal twins are dizygotic (DZ). The statement in the question is incorrect as MZ twins are genetically identical, while fraternal twins actually refer to dizygotic twins who develop from two separate fertilized eggs. Therefore, monozygotic twins are not known as fraternal twins, making option B the correct choice. Options A, C, and D are incorrect as they do not accurately describe the relationship between monozygotic and fraternal twins.
2. The embryo and fetus develop within a protective _______ in the uterus.
- A. amniotic sac
- B. umbilical cord
- C. neural tube
- D. embryonic disk
Correct answer: A
Rationale: The correct answer is A, the amniotic sac. The amniotic sac is a fluid-filled structure that surrounds and protects the developing embryo and fetus in the uterus. It provides a cushion against external pressure, allows for movement and growth, and helps maintain a stable environment for the developing fetus. Choices B, C, and D are incorrect. The umbilical cord connects the fetus to the placenta and serves as a conduit for nutrients and waste; the neural tube is a structure that forms the central nervous system in early embryonic development; and the embryonic disk is a structure that forms during gastrulation, one of the early stages of embryonic development.
3. A nurse is planning to teach a group of clients who are breastfeeding after returning to work. Which of the following instructions should the nurse include in the teaching?
- A. “Thawed breast milk can be refrigerated for up to 24 hours.”
- B. “Breast milk can be stored in a deep freezer for 12 months.”
- C. “Breast milk can be stored at room temperature for up to 4 hours.”
- D. “Thawed breast milk that is unused cannot be refrozen.”
Correct answer: B
Rationale: The correct answer is B: “Breast milk can be stored in a deep freezer for 12 months.” This instruction is important for mothers returning to work to ensure a long-term storage option for breast milk. Choice A is incorrect because thawed breast milk should be used within 24 hours if stored in the refrigerator. Choice C is incorrect as breast milk can be kept at room temperature for only up to 4 hours. Choice D is incorrect as thawed breast milk that is unused should not be refrozen due to safety concerns.
4. Which of the following is most likely to develop sickle cell anemia?
- A. European American
- B. Native American
- C. African American
- D. Asian American
Correct answer: C
Rationale: Sickle cell anemia is most commonly found in individuals of African American descent. This is because sickle cell trait provides some protection against malaria, and historically, regions where malaria is or was prevalent have higher rates of sickle cell anemia. Therefore, individuals with African ancestry are at a higher risk of developing sickle cell anemia compared to other populations. Choices A, B, and D are less likely to develop sickle cell anemia due to lower genetic prevalence in their respective populations.
5. During which of the following periods does the development of arms and legs occur in a pregnancy?
- A. Development of the lungs
- B. Development of the heart
- C. Development of arms and legs
- D. Development of the stomach
Correct answer: C
Rationale: The correct answer is C. The development of arms and legs occurs during the critical period of the fourth to eighth weeks of pregnancy. This timeframe is crucial for the formation of limbs and other key body parts. Choices A, B, and D are incorrect because the development of the lungs, heart, and stomach respectively occurs at different stages of fetal development and is not primarily associated with the fourth to eighth weeks of pregnancy.
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