HESI MATERNITY TEST BANK MATERNITY HESI 1&2
TESTBANK (2024/25) |QUESTIONS WITH
100%VERIFIED ANSWERS & RATIONALE, A+ GUIDE.
Maternity HESI 1 v v v
1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours
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each day tells the nurse that her feet have begun to swell. Which instruction would be
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most effective in preventing pooling of blood in the lower extremities?
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Move about every hour
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Pooling of blood in the lower extremities results from the enlarged uterus exerting
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pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
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veins and increase venous return.
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2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation
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in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
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vsubcutaneously to stop her labor contractions. The nurse plans to monitor for which
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vprimary side effect of terbutaline sulfate?
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Tachycardia and a feeling of nervousness v v v v v
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
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receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist
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vproperties of the drug may cause tachycardia, increased cardiac output, restlessness,
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vheadache, and a feeling of "nervousness". v v v v v
3. When do the anterior and posterior fontanels close?
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anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
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month.
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4. When assessing a client who is at 12-weeks gestation, the nurse recommends that she
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and her husband consider attending childbirth preparation classes. When is the best
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time for the couple to attend these classes?
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30 weeks gestation
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at 30 weeks gestation is closest (of the options) to the time parents would be ready for
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, such classes. Learning is facilitated by an interested pupil! The couple is most
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vinterested in childbirth toward the end of the pregnancy when they are psychologically
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ready for the termination of the pregnancy, and the birth of their child is an immediate
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vconcern.
5. The nurse should encourage the laboring client to begin pushing when...
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the cervix is completely dilated.
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Pushing begins with the second stage of labor, i.e., when the cervix is completely
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,dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix
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1
, can become edematous and may never completely dilate, necessitating an operative
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delivery. Many primigravida’s begin active labor 100% effaced and then proceed to
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dilate.
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6. The nurse instructs a laboring client to use accelerated-blow breathing. The client
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begins to complain of tingling fingers and dizziness. What action should the nurse take?
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Have the client breathe into her cupped hands
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Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon
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dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated
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by breathing into a paper bag or cupped hands.
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7. Twenty-four hours after admission to the newborn nursery, a full-term male infant
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develops localized edema on the right side of his head. The nurse knows that, in the
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newborn, an accumulation of blood between the periosteum and skull which does not
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cross the suture line is a newborn variation known as...
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a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
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Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the v v v v v v v v v v v
first 24 hours after delivery. Trauma from delivery causes capillary bleeding between the
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periosteum and the skull.
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8. When does the head return to its normal shape?
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7-10 days
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9. What did Nurse theorist Reva Rubin describe?
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The initial postpartum period as the "taking-in phase," which is characterized by
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maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and
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closeness to families and the newborn.
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10. A couple, concerned because the woman has not been able to conceive, is referred to a
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healthcare provider for a fertility workup and a hysterosalpingography is scheduled.
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Which post procedure complaint indicates that the fallopian tubes are patent?
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Shoulder pain v
If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
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collection of peritoneal dye/gas.
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11. Which nursing intervention is most helpful in relieving postpartum uterine contractions or
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"afterpains?"
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Lying prone with a pillow on the abdomen
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