HESI MATERNITY EXAM TEST BANK WITH UPDATED ANSWERS | REAL EXAMS

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
at 30 weeks gestation is closest (of the options) to the time parents would be
ready forsuch classes. Learning is facilitated by an interested pupil! The couple
is most interested in childbirth toward the end of the pregnancy when they are
psychologicallyready for the termination of the pregnancy, and the birth of their
child is an immediateconcern.
5. The nurse should encourage the laboring client to begin pushing when...
the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix
can become edematous and may never completely dilate, necessitating an
operativedelivery. Many primigravida’s begin active labor 100% effaced and
then proceed to dilate.
6. The nurse instructs a laboring client to use accelerated-blow breathing. The
client begins to complain of tingling fingers and dizziness. What action should
the nurse take?
Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much
carbondioxide). Hyperventilation is treated by retaining carbon dioxide. This can
be facilitated by breathing into a paper bag or cupped hands.
7. Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse
knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does notcross the suture line is a newborn
variation known as...
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.

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