2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 1,2 & 3 ACTUAL
EXAM EACH VERSION CONTAINS 85 QUESTIONS AND CORRECT DE-
TAILED ANSWERS
Study online at https://quizlet.com/_flqcb8
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
b. the client's educational background
c. the order in which the information is
presented
d. the extent to which the pregnancy is
planned
A 38-week primigravida who works as
a secretary and sits at a computer 8
hours each day tells the nurse that her
feet have begun to swell. Which instruc-
tion would be most effective in preventing
C
pooling of blood in the lower extremities?
a. wearing support stockings
b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing
During a prenatal visit, the nurse dis-
cusses with a client the effects of smok-
ing on the fetus. When compared with
nonsmokers, mothers who smoke during
pregnancy tend to produce infants who
B
have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies
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
, 2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 1,2 & 3 ACTUAL
EXAM EACH VERSION CONTAINS 85 QUESTIONS AND CORRECT DE-
TAILED ANSWERS
Study online at https://quizlet.com/_flqcb8
monitor for which primary side effect of
terbutaline sulfate?
a. drowsiness and bradycardia
b. depressed reflexes and increased res-
pirations C
c. tachycardia and a feeling of nervous-
ness.
d. a flushed, warm feeling and a dry
mouth
A mother who is breastfeeding her baby
receives instructions from the nurse.
Which instructions is most effective to
prevent nipple soreness?
a. wear a cotton bra C
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of
milk before nursing
A full term infant is transferred to the
nursery from labor and delivery. Which
information is most important for the
nurse to receive when planning immedi-
ate care for the newborn?
a. length of labor and method of delivery
B
b. infant's condition at birth and treatment
received
c. feeding methods chosen by the par-
ents
d. history of drugs given to the mother
during labor
In developing a teaching plan for expec-
tant 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 knowl-
edge that for the normal new born, the
a. anterior fontanel closes at 2 to 4
, 2023 HESI MATERNITY & PEDIATRICS EXAM VERSION 1,2 & 3 ACTUAL
EXAM EACH VERSION CONTAINS 85 QUESTIONS AND CORRECT DE-
TAILED ANSWERS
Study online at https://quizlet.com/_flqcb8
months and the posterior by the end of
the first week
b. anterior fontanel closes at 5 to 7
months and the posterior by the end of
the second week
c. anterior fontanel closes at 8 to 11 D
months and the posterior by the end of
the first month
d. anterior fontanel closes at 12 to 18
months and the posterior by the end of
the second month.
When assessing a client who is at
12-weeks gestation, the nurse recom-
mends that she and her husband consid-
er attending childbirth preparation class-
es. When is the best time for the couple
D
to attend these classes?
a. at 16-week gestation
b. at 20-weeks gestation
c. at 24-weeks gestation
d. at 30-weeks gestation
The nurse should encourage the labor-
ing client to begin pushing when
a. there is only an anterior or posterior lip
of cervix left.
C
b. the client describes the need to have
a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced
The nurse is counseling a couple who
has sought information about conceiv-
ing. For teaching purposes, the nurse
should know that ovulation usually oc- A
curs
a. two weeks before menstruation
b. immediately after menstruation
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