HESI-MATERNITY & PEDIATRICS
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1. A breastfeeding postpartum client is diagnosed with Breastfeed the infant, en-
mastitis, and antibiotic therapy is prescribed. Which suring that both breasts
instruction should the nurse provide to this client? are completely emptied.
2. An insulin-dependent client with gestational diabetes Erythromycin ointment
mellitus is in the second stage of labor. What supplies Scale
will the delivery nurse gather for care of the newborn? Measuring tape
(Select all that apply.) Blood glucose testing kit
3. A client is admitted to the hospital at 28 weeks of ges- Feeling of nervousness
tation in preterm labor. The nurse administers three Tachycardia
doses of terbutaline sulfate, 0.25 mg subcutaneously. Restlessness
Which side effects will the nurse anticipate for this
client? (Select all that apply.)
4. The nurse is interviewing a newly pregnancy client "I hate milk."
who is 16-years old. Which client statement indicates "I only want to gain 10
teaching is necessary for a safe pregnancy? (Select all pounds."
that apply.) "I refuse to wear maternity
clothes."
5. The nurse is preparing to administer an IV pain med- Administer the medication
ication to a client in labor. What will the nurse include only when the client is
in this client's plan of care related to the administra- having a contraction.
tion of the medication? (Select all that apply.) Assess the fetal heart rate
(FHR) for 10 minutes prior
to administering the pain
medication.
6. The nurse is providing care to a laboring client with a Amnihook
GTPAL of 75015. The client reports contractions every 1000 mL of D5LR
2 to 8 minutes, of moderate intensity, for the past 6 Oxytocin
hours. Her cervical exam upon admission is 4/0/75%,
, HESI-MATERNITY & PEDIATRICS
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and membranes are intact. In the next 20 minutes,
what supplies will the nurse gather for this client?
(Select all that apply.)
7. The nurse is providing care to a postpartum client Ask the mother if she de-
with O negative blood who is antibody positive. The sires any more children.
newborn is O negative. What is the best nursing action
for this client?
8. The nurse is preparing a newborn for discharge. There Site of the vitamin K injec-
is an order for a hepatitis B vaccination prior to dis- tion
charge. When planning to administer the vaccination,
what information must the nurse obtain from the in-
fants chart?
9. The nurse instructs a laboring client to use accelerat- Have the client breathe
ed blow breathing. The client begins to complain of into her cupped hands.
tingling fingers and dizziness. Which action should the
nurse take next?
10. The nurse is counseling a couple who has sought Two weeks before men-
information about conceiving. The couple asks the struation
nurse to explain when ovulation usually occurs. Which
statement by the nurse is correct?
11. A mother expresses fear about changing the infant's Place petroleum ointment
diaper after circumcision. What information should around the glans with
the nurse include in the teaching plan? each diaper change and
cleansing.
12. The clinic nurse takes a phone call from a client who "I am having severe ab-
reports she is at 12 weeks gestation. Which state- dominal cramping."
, HESI-MATERNITY & PEDIATRICS
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ments indicate to the nurse the client may be having "I am passing blood clots
a spontaneous abortion? (Select all that apply.) from my vagina."
13. A 25-year-old client has a positive pregnancy test. One 20010
year ago she had a spontaneous abortion at 3 months
of gestation. What will the nurse document in the
client's chart regarding her GTPAL?
14. A client in active labor is becoming increasingly fearful Asking the client and her
because her contractions are occurring more often partner if they would like
than she had expected. Her partner is also becoming the nurse to stay in the
anxious. What is the nurse's best action? room
15. What specific instructions will the nurse include in the Use condoms when hav-
pregnancy client's teaching plan who is also human ing sex.
immunodeficiency virus (HIV) positive? (Select all that Zidovudine prescription
apply.) helps decrease risk of fetal
exposure
Breastfeeding is not rec-
ommended.
16. A 41-week multigravida is receiving oxytocin to aug- Increase the rate of the
ment labor. Contractions are firm and occurring every oxytocin infusion.
5 minutes, with a 30- to 40-second duration. The fetal
heart rate increases with each contraction and returns
to baseline after the contraction. What is the next
nursing action?
17. On admission to the prenatal clinic, a client tells the November 22
nurse that her last menstrual period began on Febru-
ary 15 and that previously her periods were regular
(28-day cycle). Her pregnancy test is positive. What is
this client's expected date of birth?
, HESI-MATERNITY & PEDIATRICS
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18. A client at 39 weeks gestation overhears her health "Your cervix is ready for la-
care provider say to the nurse, "Her Bishop score is bor."
10." The client asks the nurse, "What does that mean?"
What is the nurse's best response?
19. The clinic nurse is reviewing signs of pre-term labor "I expect the discharge
with a client at 28 weeks gestation. Which client state- from my vagina will
ments indicate to the nurse further teaching is neces- change from thick to
sary? (Select all that apply.) brown over the next two
weeks."
"The baby's movements
will decrease and be al-
most still from here on
out."
"I should expect low back
pain and diarrhea as the
baby grows."
20. When a new mother receives her infant for the first Her arms and hands re-
time, which behavior is most reassuring to the nurse? ceive the infant and she
then traces the infant's
profile with her fingertips.
21. A client presents to the emergency department with Check the results of the
complaints of severe lower left abdominal pain and HCG test.
vaginal spotting. Her last menstrual period was 5 Ask the client to describe
weeks ago. What are the nurse's next actions? (Select the color of the vaginal
all that apply.) bleeding.
Ask the client if she has
ever been diagnosed with
pelvic inflammatory dis-
ease.
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1. A breastfeeding postpartum client is diagnosed with Breastfeed the infant, en-
mastitis, and antibiotic therapy is prescribed. Which suring that both breasts
instruction should the nurse provide to this client? are completely emptied.
2. An insulin-dependent client with gestational diabetes Erythromycin ointment
mellitus is in the second stage of labor. What supplies Scale
will the delivery nurse gather for care of the newborn? Measuring tape
(Select all that apply.) Blood glucose testing kit
3. A client is admitted to the hospital at 28 weeks of ges- Feeling of nervousness
tation in preterm labor. The nurse administers three Tachycardia
doses of terbutaline sulfate, 0.25 mg subcutaneously. Restlessness
Which side effects will the nurse anticipate for this
client? (Select all that apply.)
4. The nurse is interviewing a newly pregnancy client "I hate milk."
who is 16-years old. Which client statement indicates "I only want to gain 10
teaching is necessary for a safe pregnancy? (Select all pounds."
that apply.) "I refuse to wear maternity
clothes."
5. The nurse is preparing to administer an IV pain med- Administer the medication
ication to a client in labor. What will the nurse include only when the client is
in this client's plan of care related to the administra- having a contraction.
tion of the medication? (Select all that apply.) Assess the fetal heart rate
(FHR) for 10 minutes prior
to administering the pain
medication.
6. The nurse is providing care to a laboring client with a Amnihook
GTPAL of 75015. The client reports contractions every 1000 mL of D5LR
2 to 8 minutes, of moderate intensity, for the past 6 Oxytocin
hours. Her cervical exam upon admission is 4/0/75%,
, HESI-MATERNITY & PEDIATRICS
Study online at https://quizlet.com/_ai46iw
and membranes are intact. In the next 20 minutes,
what supplies will the nurse gather for this client?
(Select all that apply.)
7. The nurse is providing care to a postpartum client Ask the mother if she de-
with O negative blood who is antibody positive. The sires any more children.
newborn is O negative. What is the best nursing action
for this client?
8. The nurse is preparing a newborn for discharge. There Site of the vitamin K injec-
is an order for a hepatitis B vaccination prior to dis- tion
charge. When planning to administer the vaccination,
what information must the nurse obtain from the in-
fants chart?
9. The nurse instructs a laboring client to use accelerat- Have the client breathe
ed blow breathing. The client begins to complain of into her cupped hands.
tingling fingers and dizziness. Which action should the
nurse take next?
10. The nurse is counseling a couple who has sought Two weeks before men-
information about conceiving. The couple asks the struation
nurse to explain when ovulation usually occurs. Which
statement by the nurse is correct?
11. A mother expresses fear about changing the infant's Place petroleum ointment
diaper after circumcision. What information should around the glans with
the nurse include in the teaching plan? each diaper change and
cleansing.
12. The clinic nurse takes a phone call from a client who "I am having severe ab-
reports she is at 12 weeks gestation. Which state- dominal cramping."
, HESI-MATERNITY & PEDIATRICS
Study online at https://quizlet.com/_ai46iw
ments indicate to the nurse the client may be having "I am passing blood clots
a spontaneous abortion? (Select all that apply.) from my vagina."
13. A 25-year-old client has a positive pregnancy test. One 20010
year ago she had a spontaneous abortion at 3 months
of gestation. What will the nurse document in the
client's chart regarding her GTPAL?
14. A client in active labor is becoming increasingly fearful Asking the client and her
because her contractions are occurring more often partner if they would like
than she had expected. Her partner is also becoming the nurse to stay in the
anxious. What is the nurse's best action? room
15. What specific instructions will the nurse include in the Use condoms when hav-
pregnancy client's teaching plan who is also human ing sex.
immunodeficiency virus (HIV) positive? (Select all that Zidovudine prescription
apply.) helps decrease risk of fetal
exposure
Breastfeeding is not rec-
ommended.
16. A 41-week multigravida is receiving oxytocin to aug- Increase the rate of the
ment labor. Contractions are firm and occurring every oxytocin infusion.
5 minutes, with a 30- to 40-second duration. The fetal
heart rate increases with each contraction and returns
to baseline after the contraction. What is the next
nursing action?
17. On admission to the prenatal clinic, a client tells the November 22
nurse that her last menstrual period began on Febru-
ary 15 and that previously her periods were regular
(28-day cycle). Her pregnancy test is positive. What is
this client's expected date of birth?
, HESI-MATERNITY & PEDIATRICS
Study online at https://quizlet.com/_ai46iw
18. A client at 39 weeks gestation overhears her health "Your cervix is ready for la-
care provider say to the nurse, "Her Bishop score is bor."
10." The client asks the nurse, "What does that mean?"
What is the nurse's best response?
19. The clinic nurse is reviewing signs of pre-term labor "I expect the discharge
with a client at 28 weeks gestation. Which client state- from my vagina will
ments indicate to the nurse further teaching is neces- change from thick to
sary? (Select all that apply.) brown over the next two
weeks."
"The baby's movements
will decrease and be al-
most still from here on
out."
"I should expect low back
pain and diarrhea as the
baby grows."
20. When a new mother receives her infant for the first Her arms and hands re-
time, which behavior is most reassuring to the nurse? ceive the infant and she
then traces the infant's
profile with her fingertips.
21. A client presents to the emergency department with Check the results of the
complaints of severe lower left abdominal pain and HCG test.
vaginal spotting. Her last menstrual period was 5 Ask the client to describe
weeks ago. What are the nurse's next actions? (Select the color of the vaginal
all that apply.) bleeding.
Ask the client if she has
ever been diagnosed with
pelvic inflammatory dis-
ease.
