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HESI OBSTETRICS MATERNITY PRACTICE EXAM QUESTIONS AND VERIFIED ANSWERS GUARANTEED SUCCESS..pdf
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HESI OBSTETRICS/MATERNITY 2023-2024 PRACTICE EXAM QUESTIONSAND VERIFIED ANSWERS /GUARANTEED SUCCESS.
1. Client teaching is an important part of the maternity nurse's role. Which factor
has the greatest influence on successful teaching of the gravid client? -
ANSWERSA. The client's readiness to learn
2. A 38-week primagravida who works as a secretary and sits at a computer 8
hours a 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?
- ANSWERS C. Move about every hour
3. During a prenatal visit, the nurse discusses with a client the effects of smoking
on the fetus. When compared with nonsmokers, mothers who smoke during
pregnancy tend to produce infants who have - ANSWERS B. lower birth
weights
4. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestation in 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? - ANSWERSC.
Tachycardia and a feeling of nervousness
5. A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness? - ANSWERSC.
correctly place the infant on the breast
6. A full term infant is transferred to the nursery from L & D. Which information is
most important for the nurse to receive when planning immediate care for the
newborn? - ANSWERSB. Infant's condition at birth and treatment received.
,7. In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close.
The nurse bases the explanation on knowledge that for the normal newborn,
the - ANSWERSD. anterior fontanel closes at 12-18 mos and the posterior
fontanel by the end of the second month.
8. When assessing a client who is 12-weeks gestation, the nurse recommends
the she and her husband consider attending childbirth preparation classes.
9. What is the best time for the couple to attend these classes? - ANSWERSD.
At 30 weeks gestation.
10. The nurse should encourage the laboring client to begin pushing when -
ANSWERSC.
the cervix is completely dilated
11. The nurse is counseling a couple who has sought information about conceiving.
For teaching purposes, the nurse should know that ovulation usually occurs -
ANSWERSA. two weeks before menstruation.
12. 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? - ANSWERSC. have the client breath into her cupped hands
13. When preparing a newborn care for expectant parents, what content should the
nurse teach concerning the newborn infant born at term gestation? -
ANSWERSC. Vernix is a white, cheesy substance, predominately located in
the skin folds.
14. 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 not cross the suture line is a newborn variation known as -
, ANSWERSA. a cephalhematoma, caused by forceps trauma and may last up
to 8 weeks.
15. An expectant father tells the nurse he fears that his wife "is losing her mind".
He states she is constantly rubbing her abdomen and talking to the baby and
that she actually reprimands the baby when it moves too much. What
recommendation should the nurse make to the expectant father? -
ANSWERSD. Let him know that these behaviors are part of normal
maternal/fetal bonding which occurs once the mother feels fetal movement.
16. A new mother asks the nurse, "How do I know my daughter is getting enough
breast milk? Which explanation will the nurse provide? - ANSWERSB. "your
milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day.
17. A new mother who has just had her first baby says to the nurse, "I saw the baby
in the recovery room. She has a funny looking head". Which response by the
nurse is the best? - ANSWERSC. That is normal, the head will return to a
round shape within 710 days.
18. A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to
the postpartum unit. Which nursing plan is best in assisting the mother to bond
with her newborn infant? - ANSWERSD. Meet the mother's physical needs
and demonstrate warmth toward the infant.
19. A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which complaint would indicate to the
nurse that the woman's fallopian tubes are patent? - ANSWERSC. shoulder
pain
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