Exam (elaborations)
HESI Obstetrics/Maternity Practice Exam
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HESI Obstetrics/Maternity Practice Exam
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HESI OBSTETRICS/MATERNITYPRACTICE EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
m Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
influence on successful teaching of the gravid client? - A. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a 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? - C. Move about every hour Client teaching is an important part of the
maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid
client? - A. The client's readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a 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? - C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When
compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have -
B. lower birth weights
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? - C.
Tachycardia and a feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most
effective to prevent nipple soreness? - C. correctly place the infant on the breast
A full term infant is transferred to the nursery from L & D. Which information is most important for the
nurse to receive when planning immediate care for the newborn? - B. Infant's condition at birth and
treatment received.
In developing a teaching plan for expectant parents, the nurse plans to include information about when
the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the - D. anterior fontanel closes at 12-18 mos and the posterior fontanel by
the end of the second month.
When assessing a client who is 12-weeks gestation, the nurse recommends the she and her husband
consider attending childbirth preparation classes.
What is the best time for the couple to attend these classes? - D. At 30 weeks gestation.
, The nurse should encourage the laboring client to begin pushing when - C. the cervix is completely
dilated
The nurse is counseling a couple who has sought information about conceiving. For teaching purposes,
the nurse should know that ovulation usually occurs - A. two weeks before menstruation.
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? - C. have the client breath into her
cupped hands
When preparing a newborn care for expectant parents, what content should the nurse teach concerning
the newborn infant born at term gestation? - C. Vernix is a white, cheesy substance, predominately
located in the skin folds.
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 -
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constantly
rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves
too much. What recommendation should the nurse make to the expectant father? - D. Let him know that
these behaviors are part of normal maternal/fetal bonding which occurs once the mother feels fetal
movement.
A new mother asks the nurse, "How do I know my daughter is getting enough breast milk? Which
explanation will the nurse provide? - B. "your milk is sufficient if the baby is voiding pale straw-colored
urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room.
She has a funny looking head". Which response by the nurse is the best? - C. That is normal, the head
will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit.
Which nursing plan is best in assisting the mother to bond with her newborn infant? - D. Meet the
mother's physical needs and demonstrate warmth toward the infant.
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 complaint would
indicate to the nurse that the woman's fallopian tubes are patent? - C. shoulder pain
Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" -
A. Lying prone with a pillow on the abdomen
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time? - B. Her arms and hands receive the infant and she ten traces the infant's profile with her
fingertips.
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