HESI RN HESI-STUDY-GUIDE-HESI-MATERNITY-HESI TESTBANK PEDS
EDITED (REVISED EXAM PRACTICE GUIDE) (CONTAINS COMPLETE
QUESTIONS WITH ANSWERS)
A 38-week primigravida who works as a secretary and sits at a computer
a a a a a a a a a a a a
for 8 hours each day tells the nurse that her feet have begun to swell.
a a a a a a a a a a a a a a a
Which instruction would be most effective in preventing pooling of blood
a a a a a a a a a a a
in the lower extremities?
a a a a
Move about every houra a a
Pooling of blood in the lower extremities results from the enlarged
a a a a a a a a a a
uterus exerting pressure on the pelvic veins. Moving about every
a a a a a a a a a a
a hour will straighten out thepelvic veins and increase venous return.
a a a a a a a a a a
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
a a a a a a a a a a a a a
weeks gestationin preterm labor. She is given 3 doses of terbutaline
a a a a a a a a a a a
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
a a a a a a a a a a
The nurse plans to monitor for which primary side effect of terbutaline
a a a a a a a a a a a a
sulfate?
a
, Tachycardia and a feeling of nervousness a a a a a
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
a a a a a a
beta-adrenergicreceptors in the uterine muscle to stop contractions. The
a a a a a a a a a a
beta-adrenergic agonist properties of the drug may cause tachycardia,
a a a a a a a a a
increased cardiac output, restlessness, headache, and a feeling of
a a a a a a a a a
"nervousness".
a
When do the anterior and posterior fontanels close?
a a a a a a a
anterior fontanel closes at 12 to 18 months and the posterior by
a a a a a a a a a a a
a the end of thesecond month.
a a a a a
When assessing a client who is at 12-weeks gestation, the nurse
a a a a a a a a a a
recommends that she and her husband consider attending childbirth
a a a a a a a a a
preparation classes. When is thebest time for the couple to attend these
a a a a a a a a a a a a a
classes?
a
30 weeks gestation
a a
at 30 weeks gestation is closest (of the options) to the time parents would
a a a a a a a a a a a a a
be ready for such classes. Learning is facilitated by an interested pupil!
a a a a a a a a a a a a
, The couple is most interested in childbirth toward the end of the
a a a a a a a a a a a a
pregnancy when they are psychologically ready for the termination of the
a a a a a a a a a a a
pregnancy, and the birth of their childis an immediate concern.
a a a a a a a a a a a
The nurse should encourage the laboring client to begin
a a a a a a a a
pushing when...the cervix is completely dilated.
a a a a a a a
Pushing begins with the second stage of labor, i.e., when the cervix is
a a a a a a a a a a a a
completely dilatedat 10 cm (C). If pushing begins before the cervix is
a a a a a a a a a a a a a
completely dilated the cervix
a a a a
1
, can become edematous and may never completely dilate, necessitating
a a a a a a a a
an operativedelivery. Many primigravida’s begin active labor 100%and
a a a a a a a a a
theneffacedproceed todilate.
a a a
The nurse instructs a laboring client to use accelerated-blow breathing. The
a a a a a a a a a a
client begins to complain of tingling fingers and dizziness. What action
a a a a a a a a a a a
should the nurse take?
a a a a
Have the client breathe into her cupped hands
a a a a a a a
Tingling fingers and dizziness are signs of hyperventilation (blowing off
a a a a a a a a a
too much carbon dioxide). Hyperventilation is treated by retaining carbon
a a a a a a a a a a
dioxide. This can befacilitated by breathing into a paper bag or cupped
a a a a a a a a a a a a a
hands.
a
Twenty-four hours after admission to the newborn nursery, a full-term
a a a a a a a a a
male infant develops localized edema on the right side of his head. The
a a a a a a a a a a a a a
nurse knows that, in thenewborn, an accumulation of blood between the
a a a a a a a a a a a a
periosteum and skull which does not cross the suture line is a newborn
a a a a a a a a a a a a a
variation known as...
a a a
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
a a a a a a a a a a a a
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