Maternal/Pediatric HESI practice With
Solutions 100% Correct
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
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
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 instruction would be most effective in
preventing 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 C
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
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies B
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?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth C
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
b. increase nursing time gradually
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing C
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 immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
d. history of drugs given to the mother during labor B
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 new born, the
a. anterior fontanel closes at 2 to 4 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 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.
D
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple to
attend these classes?
a. at 16-week gestation
b. at 20-weeks gestation
c. at 24-weeks gestation
d. at 30-weeks gestation D
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left.
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced C
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
Solutions 100% Correct
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
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
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 instruction would be most effective in
preventing 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 C
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
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies B
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?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth C
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
b. increase nursing time gradually
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing C
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 immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
d. history of drugs given to the mother during labor B
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 new born, the
a. anterior fontanel closes at 2 to 4 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 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.
D
, Maternal/Pediatric HESI practice With
Solutions 100% Correct
When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her
husband consider attending childbirth preparation classes. When is the best time for the couple to
attend these classes?
a. at 16-week gestation
b. at 20-weeks gestation
c. at 24-weeks gestation
d. at 30-weeks gestation D
The nurse should encourage the laboring client to begin pushing when
a. there is only an anterior or posterior lip of cervix left.
b. the client describes the need to have a bowel movement
c. the cervix is completely dilated
d. the cervix is completely effaced C
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
