OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN Questions And Answers
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OB HESI, Pediatrics HESI PN Maternity NCLE
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OB HESI, Pediatrics HESI PN Maternity NCLE
OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN Questions And Answers
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induce...
When talking with a pregnant client who is experiencing aching swollen, leg veins, the
nurse would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus - Answer-D - Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for venous
stasis in the lower extremities. Subsequently, edema and varicose vein formation may
occur. Thrombophlebitis is an inflammation of the veins due to thrombus formation.
Pregnancy-induced hypertension is not associated with these symptoms. Gravity plays
only a minor role with these symptoms.
/.Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending - Answer-A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the tests
too early or too late in the pregnancy, storing the urine sample too long at room
temperature, or having a spontaneous or missed abortion impending can all produce
false- negative results.
/.During a lecture on reproduction, a student nurse asks the instructor what determines
the sex of a fetus. Accurate information in response to this question would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." - Answer-B.
Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to form
the zygote. Sex is ultimately determined by the chromosome contributed by the sperm.
,/.Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg
sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How
many mg of sulfisoxazole is this client receiving in a 24-hour period?
A. 160 mg
B. 320 mg
C. 480 mg
D. 960 mg - Answer-D. Explanation
600 mg/ 5 mL = x mg/ 4 mL
2400 = 5x
x= 2400/5
x= 480 mg per dose x 2 = 960 mg in 24 hours.
/.A primigravida patient who is 12 weeks pregnant visits a helath promotion program in
the community pertaining to the pregnancy care. A group of nursing student is
educating the public about measures to prevent discomfort of pregnancy. The
primigravida patient asks one of the student about measures on how to prevent
heartburn she is experiencing throughout the day. Select all the necessary measures to
prevent the primigravia patient's complaint.
A. Eating small, frequent meals and avoiding fatty and spicy food
B. Eating high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Sitting upright for 30 minutes after a meal
F. Engaging in regular exercise - Answer-A, C, E
/.The nurse identifies substance abuse behaviors exhibited by a pregnant client during
an initial prenatal screening. While promoting a therapeutic and accepting environment,
the care managment by the nurse would be MOST appropriate if focused on which of
the following?
A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use - Answer-C.
Explanation
Use of substances during pregnancy can lead to severe fetal or neonatal abnormalities,
complications, and death. The primary goal of nursing care should be prevention or
elimination of substance use during pregnancy.
,/.This is a dark streak down the midline of the abdomen that may appear as the uterus
is enlarging. The LPN correctly describes this to the pregnant woman as? - Answer-
LINEA NIGRA
/.Cervical softening and uterine souffle are classified as which of the following?
A. diagnostic signs
B. presumptive signs
C. probable signs
D. positive signs - Answer-C.
Explanation
Cervical softening (Goodell sign) and uterine soufflé are two probable signs of
pregnancy.Probable signs are objective findings that strongly suggest pregnancy. Other
probable signs include Hegar sign, which is softening of the lower uterine segment;
Piskacek sign, which is enlargement and softening of the uterus; serum laboratory tests;
changes in skin pigmentation; and ultrasonic evidence of a gestational sac. Presumptive
signs are subjective signs and include amenorrhea; nausea and vomiting; urinary
frequency; breast tenderness and changes; excessive fatigue; uterine enlargement; and
quickening.
/.A client at 36 weeks' gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound, which of
the following client statements would indicate to the nurse in charge that the client
needs further instruction?
A. The ultrasound will help to locate the placenta
B. The ultrasound identifies blood flow through the umbilical cord
C. The test will determine where to insert the needle
D. The ultrasound locates a pool of amniotic fluid - Answer-B.
Explanation
Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating
a pool of amniotic fluid, and showing the physician where to insert the needle. Color
Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A
routine ultrasound does not accomplish this.
/.A nursing instructor asks a nursing student to list the functions of the amniotic fluid.
The student responds correctly by stating that which of the following are functions of
amniotic fluid? Select all that apply.
A. Allows for fetal movement
B. Is a measure of kidney function
C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
, F. Provides an exchange of nutrients and waste products between the mother and the
fetus - Answer-A, B, C, D
/.A 25-year-old client with diabetes type I visits the clinic to discuss her and her
husband's desire to start a family. This diabetic client
A. should be discouraged from becoming pregnant
B. has a greater risk of complications during pregnancy
C. should be informed about treatment for infertility
D. will be able to carry out a completely normal pregnancy - Answer-B.
Explanation
Clients with DM are at greater risk for developing maternal and fetal complications
during pregnancy.
/.Q.12) A nurse is collecting data during the admission asessment of a client who is
pregnant with twins. The client also has 5 year old child. The nurse would document
which gravida and para status on this client?
A. G1P1
B. G2P1
C. G2P2
D. G3P2 - Answer-B
/.During which of the following would the focus of classes be mainly on physiologic
changes, fetal development, sexuality, during pregnancy, and nutrition?
A. post partum phase
B. first trimester
C. second trimester
D. third trimester - Answer-B
Explanation
First-trimester classes commonly focus on such issues as early physiologic changes,
fetal development, sexuality during pregnancy, and nutrition. Some early classes may
include pregnant couples. Second and third trimester classes may focus on preparation
for birth, parenting, and newborn care.
/.Family centered nursing care for women and newborn focuses on which of the
following?
A. Assisting individuals and families achieve their optimal health
B. Diagnosing and treating problems promptly
C. Preventing further complications from developing
D. Conducting nursing research to evaluate clinical skills - Answer-A
/.The hormone responsible for the development of the ovum during the menstrual cycle
is?
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