HESI Maternal/Pediatric V2 QUESTIONS AND ANSWERS (GRADED A)
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HESI Maternal/Pediatric V2
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HESI Maternal/Pediatric V2
HESI Maternal/Pediatric V2 QUESTIONS AND ANSWERS (GRADED A)
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...
hesi maternalpediatric v2 questions and answers graded a
hesi maternalpediatric v2
hesi maternalpediatric
client teaching is an important part of the maternity nurses role which factor has t
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HESI Maternal/Pediatric V2 QUESTIONS AND ANSWERS (GRADED A)
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 Correct Answer: 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 Correct Answer: 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
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies Correct Answer: 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 Correct Answer: 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
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing Correct Answer: 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 Correct Answer: 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.
Correct Answer: D
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 Correct Answer: 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 Correct Answer: 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
b. immediately after menstruation
c. immediately before mensturation
d. three weeks before menstruation Correct Answer: A
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?
a. administer oxygen by face mask.
b. notify the healthcare provider of the client's symptoms.
c. have the client breathe into her cupped hands
d. check the client's blood pressure and fetal heart rate Correct Answer: C
When preparing a class on newborn care for expectant parents, what content should the nurse teach
concerning the newborn infant born at term gestation?
a. milia are red marks made by forceps and will disappear within 7 to 10 days
b. meconium is the first stool and is usually yellow gold in color
c. vernix is a white, cheesy substance, predominantly located in the skin folds.
d. pseudostrabismus found in newborns is treated by minor surgery Correct Answer: C
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.
,b. a subarachnoid hematoma, which requires immediate drainage to prevent further complications
c. modeling, caused by pressure during labor and will disappear within 2 to 3 days
d. a subdural hematoma which can result in lifelong damage Correct Answer: A
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 this expectant father?
a. reassure him that these are normal reactions to pregnancy and suggest that she discuss his concerns
with the childbirth education nurse
b. help him to understand that his wife is experiencing normal symptoms of ambivalence about the
pregnancy and no action is needed.
c. ask him to observe his wife's behavior carefully for the next few weeks and report any similar
behavior to the nurse at the next prenatal visit.
d. let him know that these behaviors are part of normal maternal/fetal bonding which occur once the
mother feels fetal movement. Correct Answer: D
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room.
She sure has a funny looking head." Which response by the nurse is best?
a. "this is not an unusual shaped head, especially for a first baby."
b. "it may look funny to you, but newborn babies are often born with heads like your baby's"
c. "that is normal; the head will return to a round shape within 7 to 10 days."
d. "your pelvis was too small, so the baby's head had to adjust to the birth canal." Correct Answer: C
A new mother asks the nurse, "how do I know that my daughter is getting enough breast milk?" Which
explanation will the nurse provide?
a. "weight the baby daily, and if she is gaining weight, she is eating enough."
b. "your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."
c. "Offer the baby extra bottle milk after her feeding, and see if she is still hungry."
d. "If you're concerned, you might consider bottle feeding so that you can monitor her intake." Correct
Answer: B
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 this mother to bond with her newborn infant?
a. encourage the mother to provide total care for her infant
b. provide privacy so the mother can develop a relationship with the infant.
c. encourage the father to provide most of the infant's care during hospitalization.
d. meet the mother's physical needs and demonstrate warmth toward the infant. Correct Answer: D
A couple, concerned because the woman has not been able to conceive, is referred to a healthcare
provider for a fertility workup and a hysterosalpingogrphy is scheduled. Which complaint would indicate
to the nurse that the woman's fallopian tubes are patent?
a. back pain
b. abdominal pain
c. shoulder pain
d. leg cramps Correct Answer: C
Which nursing intervention would be most helpful in relieving postpartum uterine contractions or
"afterpains"?
, a. lying prone with a pillow on the abdomen
b. using a breast pump
c. massaging the abdomen
d. giving oxytocic medications Correct Answer: A
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the
first time?
a. she eagerly reaches for the infant, undresses the infant, and examines the infant completely
b. her arms and hands receive the infant and she then traces the infant's profile with her fingertips
c. her arms and hands receive the infant and she then cuddles the infant to her own body.
d. she eagerly reaches for the infant and then hold the infant close to her own body Correct Answer: B
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that her last menstrual period
began on February 15, and that previously her periods were regular. Her pregnancy test is positive. This
client's expected date of delivery would be
a. November 22
b. November 8
c. December 22
d. October 22 Correct Answer: A
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she
has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse
correctly calculates that the woman's next fertile period will be
a. January 14-15
b. January 22-23
c. January 30-31
d. February 6-7 Correct Answer: C
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and
magnesium sulfate is prescribed to control the symptoms. Which assessment findings would indicate
that therapeutic drug level has been achieved?
a. 4+ reflexes
b. urinary output of 50 mL per hour
c. a decrease in respiratory rate from 24 to 16
d. a decreased body temperature Correct Answer: C
Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood
pressure drops from 120/80 to 90/60. What action will the nurse take?
a. notify the healthcare provider or anesthesiologist immediately
b. continue to assess the blood pressure q 5 minutes
c. place the woman in a lateral position
d. turn off the continuous epidural Correct Answer: C
A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small
amount of vaginal bleeding which she describes as bright red. She further states that she is not
experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide?
a. come to the clinic today for an ultrasound
b. go immediately to the emergency room
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