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Maternity HESI ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023TO 2024 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS$24.99
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Maternity HESI ACCURATE TESTED
VERSIONS OF THE EXAM FROM 2023TO
2024 | ACCURATE AND VERIFIED ANSWERS
| NEXT GEN FORMAT | GUARANTEED PASS
The nurse is assessing a breastfed newborn 1 hour after birth. The nurse identified that the
glucose levels are less than 25 mg/dL and immediately reported it to the primary health care
provider (PHP). What medication administration does the nurse expect the PHP to advise?
The nurse is assessing an infant with a body weight of 2500 g. Two days after delivery the blood
report of the infant's mother confirms the presence of hepatitis B. What medication does the
primary health care provider instruct the nurse to administer to the infant?
Intravenous (I.V.) hepatitis B vaccine
Intramuscular (IM) hepatitis B vaccine
,Intravenous (I.V.) hepatitis B immune globulin (HBIG)
Intramuscular (IM) hepatitis B immune globulin (HBIG)
- ANSWERS-Intramuscular (IM) hepatitis B immune globulin (HBIG)
A dose of IM HBIG should be given to the infant whose mother's hepatitis B surface antigen's
(HBsAg) status is determined to be positive. The vaccine is also given to infants who weigh 2000
g or more before 1 week of age. The hepatitis B vaccine and HBIG are not given through the IV
route in infants because of their adverse effects. The IM hepatitis B vaccine is given to infants
born to hepatitis B surface antigen (HBsAg)-negative mothers before being discharged from the
hospital.
p. 614
The nurse is caring for a postpartum patient who has expelled the placenta spontaneously. The
patient is bleeding excessively and has a boggy uterus. What are the most effective nursing
interventions in this situation?
Administer I.V. nitroglycerin (Nitro-Bid).
Administer oxygen inhalation anesthesia.
Remove the placental fragments manually.
Remove intrauterine contents using a vacuum suction.
Perform ultrasonography to detect placental fragments.
- ANSWERS-Remove the placental fragments manually.
Remove intrauterine contents using a vacuum suction.
,Perform ultrasonography to detect placental fragments.
After spontaneous expulsion of the placenta, fragments of placenta may still remain in the
uterus. These prevent the uterus from contracting and cause excessive bleeding.
Ultrasonography must be performed to detect placental fragments. Manual removal of the
placental fragments may be attempted. If the placental fragments cannot be removed by the
manual method, they can be removed using a vacuum suction or a curette, in which the
placental fragments are removed completely. I.V. nitroglycerin (Nitro-Bid) is administered to
the patient to promote uterine relaxation if the placenta is retained. Administration of oxygen
inhalation anesthesia is used to expel the placenta when it is retained. This helps in the
expulsion of intrauterine contents as well as placental separation.
p. 531
The nurse finds that despite gentle traction to the umbilical cord and uterine massage, a
patient's placenta has not expelled 30 minutes after childbirth. The primary health care
provider instructs the nurse to administer I.V. nitroglycerin (Nitrostat) to the patient. What
could be the reason for this instruction?
To prevent pelvic hematoma
To increase the effects of regional anesthesia
To promote uterine relaxation
To prevent postpartum hemorrhage
- ANSWERS-To promote uterine relaxation
The placenta is usually expelled within 30 minutes after birth. A retained placenta is a condition
in which the placenta is not expelled within 30 minutes after birth despite using manual
measures, such as gentle traction on the umbilical cord and uterine massage. In this condition
I.V. nitroglycerin (Nitrostat) is administered to the patient to promote uterine relaxation.
, Nitroglycerin does not affect blood coagulation; therefore it does not prevent pelvic
hematoma. Nitroglycerin is not an anesthetic agent; therefore it does not provide regional
anesthesia. Nitroglycerin does not cause uterine contractions (UCs), so it does not prevent
postpartum hemorrhage.
p. 531
Why is the blood volume of premature infants more when compared to term infants?
Term-born neonates have fewer platelets.
Premature neonates have greater plasma volume.
Term-born neonates have decreased clotting factors.
Premature neonates have more red blood cells (RBCs).
- ANSWERS-Premature neonates have greater plasma volume.
Premature infants have a greater amount of plasma volume. More plasma volume results in
higher blood volume compared with term infants. Healthy term-born neonates have an
adequate number of RBCs and platelets. Premature infants lack RBCs and therefore lack
immunity. Term infants have normal levels of clotting factors.
While assessing a newborn, the nurse finds that the infant has partial pressure of oxygen (Po 2)
of 50 mm Hg. What physiologic event does the nurse associate with this finding?
The ductus arteriosus is closed.
The levels of estrogen are increased.
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