HESI MATERNITY EXAM TEST BANK WITH UPDATED ANSWERS | REAL EXAMS
1. A 38-week primigravida who works as a secretary and sits at a computer for
8 hours each day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus
exertingpressure on the pelvic veins. Moving about every hour will straighten
out the pelvicveins and increase venous return.
2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestationin preterm labor. She is given 3 doses of terbutaline sulfate (Brethine)
0.25 mg subcutaneously to stop her labor contractions. The nurse plans to
monitor for which primary side effect of terbutaline sulfate?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates betaadrenergicreceptors in the uterine muscle to stop contractions. The betaadrenergic agonist properties of the drug may cause tachycardia, increased
cardiac output, restlessness, headache, and a feeling of "nervousness".
3. When do the anterior and posterior fontanels close?
anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
month.
4. When assessing a client who is at 12-weeks gestation, the nurse recommends
that sheand her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
30 weeks gestation
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