HESI Maternity V1 Detailed Questions And
Expert Answers
A client at 37 weeks gestation presents to the labor and delivery with contractions
every two minutes the nurse observes several shallow small vesicles on her pubis
labia and perineum. The nurse should recognize the client is prohibiting symptoms
of which condition. - ANS A. German Measles
B. Herpes Simplex Virus
C. Syhpillus
D. Genital Warts
A client who had her first baby three months ago and is breastfeeding her infant
tell the nurse that is currently using the same diaphragm that she used before
becoming pregnant. Which information should the nurse provide to the client? -
ANS A.After ceasing breastfeeding the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diapghram has been
evaluated.
C. If no more than 20 pounds was gained during pregnancy it is safe to use.
D. Use alternative form of BC until new diaphragm can be obtained.
A 30 year old primigravida delivers a 9lb infant vaginally after a 30 hr labor. What
is the priority nursing action for this client? - ANS Massage the Fundus every 4
hours.
, At 0600 while admitting a woman for a scheduled repeat C-section the client tell
the nurse that she drank a cup of coffee at 0400 because she wanted to avoid
getting a headache. Which action should the nurse take first? - ANS Inform the
anesthesia provider.
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal
headache 24 hrs following delivery of a normal newborn. Prio to the
anestheiologist arrival on the unit, which action should the nurse provide? - ANS
Place procedure equipment at the bedside
The nurse is caring for a newborn who is 18in long, weighs 4lbs 14ounces and has
a head circumfrence of 13 inches. Based on these finding assessment for which
condition is highest priority? - ANS Hypoglycemia
The nurse is caring for 35 week gestation infant delivered by c section 2 hours ago.
The nurse observes the infants respiratory rate is 72bpm with nasal flaring,
grunting, and retractions. The nurse should recognize these findings indicate which
complication? - ANS Transient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. Withon 1 hr
after initiating oxytocin her cervix is 100% effaced and 6cm dialated, contractions
are occuring every 1 minute with a 75 second duration. When the nurse stops the
oxytocin and starts oxygen the contractions occur every 5 min with 20 second
duratioin after 30 min uterine rest. What should the nurse do next? - ANS Restart
the oxytocin drop per protocol
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