When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the...
OB HESI, Pediatrics HESI PN Review, Maternity
NCLEX PN 2024 Questions and Answers
When talking with a pregnant client who is experiencing aching swollen, leg veins, the
nurse would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus -Answer- ✔D - Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for venous
stasis in the lower extremities. Subsequently, edema and varicose vein formation may
occur. Thrombophlebitis is an inflammation of the veins due to thrombus formation.
Pregnancy-induced hypertension is not associated with these symptoms. Gravity plays
only a minor role with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending -Answer- ✔A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the tests too
early or too late in the pregnancy, storing the urine sample too long at room
OB HESI, Pediatrics HESI PN Review,
,OB HESI, Pediatrics HESI PN Review
temperature, or having a spontaneous or missed abortion impending can all produce
false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what determines
the sex of a fetus. Accurate information in response to this question would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." -Answer- ✔B.
Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to
form the zygote. Sex is ultimately determined by the chromosome contributed by the
sperm.
Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg
sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How
many mg of sulfisoxazole is this client receiving in a 24-hour period?
A. 160 mg
B. 320 mg
C. 480 mg
D. 960 mg -Answer- ✔D. Explanation
600 mg/ 5 mL = x mg/ 4 mL
2400 = 5x
x= 2400/5
OB HESI, Pediatrics HESI PN Review,
,OB HESI, Pediatrics HESI PN Review
x= 480 mg per dose x 2 = 960 mg in 24 hours.
A primigravida patient who is 12 weeks pregnant visits a helath promotion program in
the community pertaining to the pregnancy care. A group of nursing student is educating
the public about measures to prevent discomfort of pregnancy. The primigravida patient
asks one of the student about measures on how to prevent heartburn she is
experiencing throughout the day. Select all the necessary measures to prevent the
primigravia patient's complaint.
A. Eating small, frequent meals and avoiding fatty and spicy food
B. Eating high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Sitting upright for 30 minutes after a meal
F. Engaging in regular exercise -Answer- ✔A, C, E
The nurse identifies substance abuse behaviors exhibited by a pregnant client during an
initial prenatal screening. While promoting a therapeutic and accepting environment,
the care managment by the nurse would be MOST appropriate if focused on which of
the following?
A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use -Answer- ✔C.
OB HESI, Pediatrics HESI PN Review,
, OB HESI, Pediatrics HESI PN Review
Explanation
Use of substances during pregnancy can lead to severe fetal or neonatal abnormalities,
complications, and death. The primary goal of nursing care should be prevention or
elimination of substance use during pregnancy.
This is a dark streak down the midline of the abdomen that may appear as the uterus is
enlarging. The LPN correctly describes this to the pregnant woman as? -Answer- ✔LINEA
NIGRA
Cervical softening and uterine souffle are classified as which of the following?
A. diagnostic signs
B. presumptive signs
C. probable signs
D. positive signs -Answer- ✔C.
Explanation
Cervical softening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objective findings that strongly suggest pregnancy. Other
probable signs include Hegar sign, which is softening of the lower uterine segment;
Piskacek sign, which is enlargement and softening of the uterus; serum laboratory tests;
changes in skin pigmentation; and ultrasonic evidence of a gestational sac. Presumptive
signs are subjective signs and include amenorrhea; nausea and vomiting; urinary
frequency; breast tenderness and changes; excessive fatigue; uterine enlargement; and
quickening.
A client at 36 weeks' gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound, which of
the following client statements would indicate to the nurse in charge that the client
needs further instruction?
OB HESI, Pediatrics HESI PN Review,
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