Maternity Exam 2 hesi Questions With
Correct Answers.
The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What
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instruction should the nurse provide?
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A. Strict bed rest is required after the procedure.
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B. Hospitalization is necessary for 24 hours after the procedure.
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C. An informed consent needs to be signed before the procedure.
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D. A fever is expected after the procedure because of the trauma to the abdomen. - correct Answers ✔✔ -C
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The nurse has performed a nonstress test on pregnant client and is reviewing the fetal monitor strip. The nurse
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interprets the test as reactive. How should the nurse document this finding?
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A. Normal i;l i;l
B. Abnormal
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C. The need for further evaluation
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D. That findings were difficult to interpret - correct Answers ✔✔ -A
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The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on
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the external monitor tracing during a contraction?
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The nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to
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the client's abdomen. After attachment of the electronic fetal monitor, what is the next nursing action?
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A. Identify the types of accelerations.
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B. Assess the baseline fetal heart rate.
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C. Determine the intensity of the contractions.
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D .Determine the frequency of the contractions. - correct Answers ✔✔ -B
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, The nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour.
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What is the client's primary physiological need at this time?
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The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the
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nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be
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consistent with this syndrome?
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A.Length of 19 inches i;l i;l i;l i;l
B. Abnormal palmar creases
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C. Birth weight of 6 lb, 14 oz 4.
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D. Head circumference appropriate for gestational age - correct Answers ✔✔ -B
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The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn and the mother asks the nurse
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why this is performed. Which explanation is best for the nurse to provide about neonatal eye prophylaxis?
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A. Protects the newborn's eyes from possible infections acquired while hospitalized.
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B. Prevents cataracts in the newborn born to a woman who is susceptible to rubella.
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C. Minimizes the spread of microorganisms to the newborn from invasive procedures during labor.
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D. Prevents an infection called ophthalmia neonatorum from occurring after delivery in a newborn born to a
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The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should be included
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in the plan of care? Select all that apply
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A. Avoid stimulation.
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B. Decrease fluid intake.
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C. Expose all of the newborn's skin.
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D. Monitor skin temperature closely.
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E. Reposition the newborn every 2 hours.
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F. Cover the newborn's eyes with eye shields or patches. - correct Answers ✔✔ -D, E, F
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The nurse is planning care for a newborn of a mother with diabetes mellitus. What is the priority nursing
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consideration for this newborn?
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