{"id":113320,"date":"2023-08-16T00:20:46","date_gmt":"2023-08-16T00:20:46","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113320"},"modified":"2023-08-16T00:20:47","modified_gmt":"2023-08-16T00:20:47","slug":"maternity-hesi-exit-2023-version-d-hesi-exit-maternity-hesi-exit-latest-exam-questions-and-detailed-answers-with-rationalesagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/maternity-hesi-exit-2023-version-d-hesi-exit-maternity-hesi-exit-latest-exam-questions-and-detailed-answers-with-rationalesagrade\/","title":{"rendered":"MATERNITY HESI EXIT 2023 VERSION D\/HESI EXIT MATERNITY HESI EXIT LATEST EXAM QUESTIONS AND DETAILED ANSWERS WITH RATIONALES|AGRADE"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>lOMoAR cPSD|19500986<br>MATERNITY HESI EXIT 2023 VERSION D\/HESI<br>EXIT MATERNITY HESI EXIT LATEST EXAM<br>QUESTIONS AND DETAILED ANSWERS WITH<br>RATIONALES|AGRADE<br>VERSION D<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 38-week primigravida who works as a secretary and sits at a computer for 8 hours<br>each day tells the nurse that her feet have begun to swell. Which instruction would be<br>most effective in preventing pooling of blood in the lower extremities?<br>Move about every hour<br>Pooling of blood in the lower extremities results from the enlarged uterus exerting<br>pressure on the pelvic veins. Moving about every hour willstraighten out the pelvic<br>veins and increase venous return.<\/li>\n\n\n\n<li>A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation<br>in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg<br>subcutaneously to stop her labor contractions. The nurse plans to monitor for which<br>primary side effect of terbutaline sulfate?<br>Tachycardia and a feeling of nervousness<br>Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,stimulates beta-adrenergic<br>receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist<br>properties of the drug may cause tachycardia, increased cardiac output, restlessness,<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>headache, and a feeling of &#8220;nervousness&#8221;.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>When do the anterior and posterior fontanels close?<br>anterior fontanel closes at 12 to 18 months and the posterior by the end of the second<br>month.<\/li>\n\n\n\n<li>When assessing a client who is at 12-weeks gestation, the nurse recommends that she<br>and her husband consider attending childbirth preparation classes. When is the best<br>time for the couple to attend these classes?<br>30 weeks gestation<br>at 30 weeks gestation is closest (of the options) to the time parents would be ready for<br>such classes. Learning is facilitated by an interested pupil! The couple is most<br>interested in childbirth toward the end of the pregnancy when they are psychologically<br>ready for the termination of the pregnancy, and the birth of their child is an immediate<br>concern.<\/li>\n\n\n\n<li>The nurse should encourage the laboring client to begin pushing when\u2026<br>the cervix is completely dilated.<br>Pushing begins with the second stage of labor, i.e., when the cervix is completely<br>dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix<br>can become edematous and may never completely dilate, necessitating an operative<br>delivery. Many primigravida\u2019s begin active labor 100% effaced and then proceed to<br>dilate.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>The nurse instructs a laboring client to use accelerated-blow breathing. The client<br>beginsto complain of tingling fingers and dizziness. What action should the nurse take?<br>Have the client breathe into her cupped hands<br>Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon<br>dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated<br>by breathing into a paper bag or cupped hands.<\/li>\n\n\n\n<li>Twenty-four hours after admission to the newborn nursery, a full-term male infant<br>develops localized edema on the right side of his head. The nurse knows that, in the<br>newborn, an accumulation of blood between the periosteum and skull which does not<br>cross the suture line is a newborn variation known as\u2026<br>a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.<br>Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the<br>first 24 hours after delivery. Trauma from delivery causes capillary bleeding between the<br>periosteum and the skull.<\/li>\n\n\n\n<li>When does the head return to its normal shape?<br>7-10 days<\/li>\n\n\n\n<li>What did Nurse theorist Reva Rubin describe?<br>The initial postpartum period as the &#8220;taking-in phase,&#8221; which is characterized by<br>maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>closeness to families and the newborn.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"10\">\n<li>A couple, concerned because the woman has not been able to conceive, is referred to a<br>healthcare provider for a fertility workup and a hysterosalpingography is scheduled.<br>Which post procedure complaint indicates that the fallopian tubes are patent?<br>Shoulder pain<br>If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic<br>collection of peritoneal dye\/gas.<\/li>\n\n\n\n<li>Which nursing intervention is most helpful in relieving postpartum uterine contractions or<br>&#8220;afterpains?&#8221;<br>Lying prone with a pillow on the abdomen<br>Lying prone keeps the fundus contracted and is especially useful with multiparas, who<br>commonly experience afterpains due to lack of uterine tone.<\/li>\n\n\n\n<li>Which maternal behavior is the nurse most likely to see when a new mother receives<br>her infant for the first time?<br>Her arms and handsreceive the infant and she then traces the infant&#8217;s profile with her<br>fingertips.<br>Attachment\/bonding theory indicatesthat most mothers will demonstrate behaviors<br>described in during the first visit with the newborn, which may be at delivery or later.<\/li>\n\n\n\n<li>A client at 32-weeks gestation is hospitalized with severe pregnancy-induced<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>lOMoAR cPSD|19500986lOMoAR cPSD|19500986MATERNITY HESI EXIT 2023 VERSION D\/HESIEXIT MATERNITY HESI EXIT LATEST EXAMQUESTIONS AND DETAILED ANSWERS WITHRATIONALES|AGRADEVERSION D lOMoAR cPSD|19500986headache, and a feeling of &#8220;nervousness&#8221;. lOMoAR cPSD|19500986 lOMoAR cPSD|19500986closeness to families and the newborn.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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