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Maternal/Pediatric HESI practice Questions and Answers
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Maternal/Pediatric HESI practice Questionsand Answers
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
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
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
-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
b. immediately after menstruation
c. immediately before mensturation
d. three weeks before menstruation - -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 - -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 - -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 - -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. - -D
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