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HESI RN: Maternity - Test Bank Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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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 th...

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  • August 27, 2024
  • 139
  • 2024/2025
  • Exam (elaborations)
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  • HESI
  • HESI
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Excellence is key | 2024/2025 ~Page |1



HESI RN: Maternity - Test Bank Questions
& 100% Correct Answers- Latest Test |
Graded A+ | Passed
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 exerting pressure

on the pelvic veins. Moving about every hour will straighten out the pelvic veins and

increase venous return.




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?


֎ -:- Tachycardia and a feeling of nervousness




26/08/2024 | © Copyright- This work may not be copied for profit.

, Excellence is key | 2024/2025 ~Page |2


Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic

receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist

properties of the drug may cause tachycardia, increased cardiac output, restlessness,

headache, and a feeling of "nervousness".




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.




When assessing a client who is at 12-weeks gestation, the nurse recommends that she and

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 for such

classes. Learning is facilitated by an interested pupil! The couple is most interested in

childbirth toward the end of the pregnancy when they are psychologically ready for the

termination of the pregnancy, and the birth of their child is an immediate concern.




The nurse should encourage the laboring client to begin pushing when...




26/08/2024 | © Copyright- This work may not be copied for profit.

, Excellence is key | 2024/2025 ~Page |3


֎ -:- 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 operative delivery. Many

primigravida's begin active labor 100% effaced and then proceed to dilate.




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 carbon

dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by

breathing into a paper bag or cupped hands.




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...




26/08/2024 | © Copyright- This work may not be copied for profit.

, Excellence is key | 2024/2025 ~Page |4


֎ -:- a cephalohematoma, caused by forceps trauma and may last up to 8

weeks.




Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the

first 24 hours after delivery. Trauma from delivery causes capillary bleeding between the

periosteum and the skull.




When does the head return to its normal shape?


֎ -:- 7-10 days




What did Nurse theorist Reva Rubin describe?


֎ -:- The initial postpartum period as the "taking-in phase," which is

characterized by maternal reliance on others to satisfy the needs for comfort,

rest, nourishment, and closeness to families and the newborn.




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

post procedure complaint indicates that the fallopian tubes are patent?


֎ -:- Shoulder pain




26/08/2024 | © Copyright- This work may not be copied for profit.

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