PEDS/MATERNITY HESI EXIT QUESTIONS
BANK NEWEST 2024-2025 ACTUAL
EXAM QUESTIONS COMPLETE 300
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||
A 38-week primigravida who works as a secretary and sits at a computer for 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? -
---ASNWERS---Move about every hour
,Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the
pelvic veins and increase venous return.
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? - ---ASNWERS---
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions. The beta-
adrenergic agonist properties of the drug may cause tachycardia, increased
cardiac output, restlessness, headache, and a feeling of "nervousness".
When do the anterior and posterior fontanels close? - ---ASNWERS---anterior
fontanel closes at 12 to 18 months and the posterior by the end of the second
month.
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? - ---ASNWERS---30 weeks
gestation
at 30 weeks gestation is closest (of the options) to the time parents would be
ready for such classes. Learning is facilitated by an interested pupil! The couple is
most interested in childbirth toward the end of the pregnancy when they are
,psychologically ready for the termination of the pregnancy, and the birth of their
child is an immediate concern.
The nurse should encourage the laboring client to begin pushing when... - ---
ASNWERS---the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is completely
dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the
cervix can become edematous and may never completely dilate, necessitating an
operative delivery. Many primigravida's begin active labor 100% effaced and then
proceed to dilate.
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? - ---ASNWERS---Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much
carbon dioxide). Hyperventilation is treated by retaining carbon dioxide. This can
be facilitated by breathing into a paper bag or cupped hands.
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... - ---ASNWERS---a
cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
, Cephalohematoma, a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull.
When does the head return to its normal shape? - ---ASNWERS---7-10 days
What did Nurse theorist Reva Rubin describe? - ---ASNWERS---The initial
postpartum period as the "taking-in phase," which is characterized by maternal
reliance on others to satisfy the needs for comfort, rest, nourishment, and
closeness to families and the newborn.
A couple, concerned because the woman has not been able to conceive, is
referred to a healthcare provider for a fertility workup and a
hysterosalpingography is scheduled. Which post procedure complaint indicates
that the fallopian tubes are patent? - ---ASNWERS---Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub
diaphragmatic collection of peritoneal dye/gas.
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?" - ---ASNWERS---Lying prone with a pillow on the
abdomen
Lying prone keeps the fundus contracted and is especially useful with multiparas,
who commonly experience afterpains due to lack of uterine tone.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nurseking. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
