HESI DE MATERNITY LAS PREGUNTAS A

HESI DE MATERNITY LAS PREGUNTAS A HESI DE MATERNITY LAS PREGUNTAS A 1-A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the muse perform first? A- Massage the fundus and give an oxytocic agent B-Collect specimen for hemoglobin and hematocrit C-Place the infant to breast for bonding D- Inspect the perineum for lacerations 2-A primigravida client asks the nurse about exercising during pregnancy to help her prepare for labor Which recommendation should the nurse provide? A-Limit exercise to brisk walking during pregnancy B-Stretching exercises are good preparation for labor C- Leg lifts will help to strengthen abdominal muscles D-Avoid weight-bearing exercises until the postpartum period 3- the father of a 3-day old infant who is breast feeding calls the postpartum help to report that his wife is acting strangely She is irritable , can the baby and frequently cries for no apparent reason What information is most important for the nurse to provide this father? A- A fluctuation in hormones in the early postpartum period can cause mood changes B-Contact the clinic if the behaviors continue for more than two weeks or become worse C-Tell the father to count the newborn's number of soiled diapers over the next few days D- Recommend giving supplemental bottle Seedings to the baby between breast feeding 4- a client at 32 weeks gestation presents with extreme abdominal tenderness and a small amount of bright red vaginal bleeding Her blood pressure is respiratory rate is 24 breath / minute and her heart rate is 116 breast/ minutes he is dizzy with cold clammy skin priority? A-Type and cross match for 4 units of whole blood B-Lactated Ringer's at 200 mi/hr. using an 18-gauge needle C-Monitor oxygen saturation rate per pulse oximeter D-insert a Foley catheter HESI DE MATERNITY LAS PREGUNTAS A 5- A primipara presents to the perinatal unit describing rupture of the membranes (ROM) occurring 12 hours prior to coming to the hospital is begun and 8 hours later the client's contractions are irregular and mild Based on these data, the nurse plans to monitor which sign for the average laboring client A-Maternal blood pressure B-Color of amniotic fluid C-Deep tendon reflexes D- Maternal temperature 6- Vaginal prostaglandin gel is used to induce labor for a woman who is at 42-weeks’ gestation Thirty minutes after insertion of the gel, the client complain vaginal warmth, and is experiencing 90 second contractions with fetal heart rate decelerations What action should the nurse implement first? A- Assess the maternal vital signs B- A Increase the IV infusion rate. C- Notify the healthcare provider D-Tum to a side-lying position 7-Cient at 35 weeks’ gestation complains of a "pan whenever the baby moves on assessment, the nurse notes the client's temperature to 101.2 F(38.4) with severe abdominal or uterine tenderness on palpation the nurse knows that these findings are indicative of which condition? A- Abruptio placenta B- Chorioamniondis C-Round ligament strain D-Viral infection 8- A woman who is 38 weeks’ gestation is receiving magnesium sulfate for severe preeclampsia Which assessment finding warrants immediate intervention by the nurse A- dizziness when standing B-Absent patellar reflexes C-Sinus tachycardia D- Lower back pain HESI DE MATERNITY LAS PREGUNTAS A 9- The current vital signs for a primipara who delivered vaginally during the previous shift are temperature 100 4 F (38 C) heart rate 58 beats minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg What action should the nurse implement? A- Report heart rate to healthcare provider B- Document the vital signs in the record C- Assess perineum for excessive lochia D- Administer a PRN dine of acetaminophen 10- a laboring client with gestational diabetes is receiving an IV infusion with regular insulin at 5 units/hour The IV solution contains 100 units of regular insulin in 250ml of 0.9 % normal saline the nurse should program the infusion pump to deliver how many ml/hours (enter numeric only if rounding is required round to the nearest tenth) R/12.5 11- Twelve hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure the nurse determine the fundus is firm and at midline, with moderate, rubra lochia Which action should the nurse take? A- Inspect client's perineal and rectal areas B- Apply a fresh pad and check in an hour C- Check the suprapubic area for distention D- Instruct the client to take a warm sitz bath 12-A 30-year old primigravida delivers a 9-pound infant vaginally after a 30-hour labor What is the priority nursing action for third A-Gently massage fundus every 4 hours B-Encourage direct contact with the infant C-Assess the blood pressure for hypertension D-Observe for signs of uterine hemorrhage 13- Twelve hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure the nurse determines the fundus is farm and at midline with moderate rubra lochia Which action should the nurse take? A- Inspect clients perineal and rectal area B-Apply a fresh pat and check in one hour C-Check the suprapubic area for distention D- instruct the client to take a warm sitz bath 14-The nurse is teaching a client who has gestational diabetes how to self-inject the prescribed daily insulin doses Based on her religious belief the client explains that she HESI DE MATERNITY LAS PREGUNTAS A must abstain from all food and drink during the daylight hours for the next several weeks because it is a holy month What intervention should the nurse implement for this client? A-Collaborate with the healthcare provider to design an alternative insulin schedule- B-Teach the client to monitor blood glucose and to report any results that are too high C-Obtain a medical dispensation from the client’s spatula leader D-Explain the complications of gestational diabetes and necessity of taking insulin 15 A woman who is 38- weeks’ gestation is receiving magnesium sulfate preeclampsia Which assessment finding warrants immediate intervention by the nurse? A- Sinus tachycardia B-Dizziness when standing C-Lower back pain D=Absent patellar reflexes 16- A mother spontaneously delivers har newborn infant in the taxi cab wile on the way to the hospital the emergency room reports that the mother has active herpes (HSV ) lesions on the vulva Which intervention should the nurse implement first when admitting the neonate to the nursery? A- Document the temperature and the flow sheet B-Obtain blood specimen for serum glucose level C-Place the newborn in the isolation area of the nursery D-Administer the Vitamin K injection. 17- The nurse is teaching a client who has gestational diabetes how to sell inject the prescribed Daly issuing doses Based on her religious beliefs the client explains that she must abstain from all food and drink during the daylight hours for the next several weeks because it is a holy month What intervention should the nurse implement for this client? A-Obtain a medical depensation from the client’s spatula leader B-Explain the complications of gestational diabetes and necessity of taking insulin C-Teach the client to monitor blood glucose and to report any results that are too high D-Collaborate with the healthcare provider to design an alternative insulin schedule A PARTIR DE AQUI SON LAS OTRAS QUE SALIERON PERO NO SE CIUAL BATERIA SON 1-. When performing the daily head to toe assessment of a 1-day old newborn, the nurse observes a yellow tint to the skin on the forehead, sternum, and abdomen, what action should the nurse take? A=Measure bilirubin levels using transcutaneous bilirubinometers. ( salio) HESI DE MATERNITY LAS PREGUNTAS A b. Review maternal medical records for blood type and Rh factor. c. Evaluate cord blood Comb’s test results d. Prepare the newborn for phototherapy 2- During a routine health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage? a. Scan the bladder for urinary retention b. Test the fluid with a nitrazine strip (salio) c. Palpate suprapubic area for fetal head position d. Insert straight urinary catheter for drain bladder 3- The father of a 3-day-old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. What information is most important for the nurse to provide this father? a. Tell the father to count the newborn’s number of soiled diapers over the next few days. b. Recommend giving supplemental bottle feeding to the baby between breast feeding. c. A fluctuation in hormones in the early postpartum period can cause mood changes d. Contact the clinic if the behavior continues for more than two weeks or becomes worst (salio) 4- Using the Ballard Gestational Age Assessment Tool, the nurse determines that a 15-minute old infant has gestational age of 42-weeks. Based on this finding, which intervention is most important for the nurse to implement? a. Draw arterial blood gases b. Obtain a capillary blood glucose(salio) c. Apply a pulse oximeter to the foot d. Provide blow by oxygen HESI DE MATERNITY LAS PREGUNTAS A 5- A diabetic client delivers a full-term large-for-gestational-age (LGA) infant who is jittery. What action should the nurse take first? a. Decrease environmental stimuli b. Obtain a blood glucose level(salio) c. Administer oxygen d. Feed the infant glucose water (10%) 6-10. An obviously pregnant woman walks into the hospital’s emergency department entrance, shouting, “Help me! Help me! My baby is coming! I’m so afraid!” The nurse determines that delivery is indeed imminent. What action is most important for the nurse to take? a. Determine the gestational age of the fetus(salio) b. Assess the amount of color of the amniotic fluid c. Obtain peripheral IV access 7- 16. A 39-week gestational multigravida is admitted to labor and delivery with spontaneous rupture of membranes (SCROM) and contractions occurring every 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6 cm, 90% effaced, and the fetus is at a +2 station. During the last 45 minutes the fetal hearth rate “FHR” has range between 170 and 180 beats/minute. What action should the nurse implement? a. Obtain a blood specimen for hemoglobin b. Take an oral maternal temperature(salio) c. Straight catharize the client d. Sent amniotic fluid for analysis 8- 20. A 3-hour old male infant’s hands are feet are cyanotic, and he has an axillary temperature of 96.5 F, a respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing intervention is best for the nurse to implement? a. Perform a heel- stick to monitor blood glucose level HESI DE MATERNITY LAS PREGUNTAS A b. Gradually warm the infant under a radiant heat source(salio) c. Administer oxygen by mask at 2L/minute d. Notify the pediatrician of the infant’s unstable vital signs 9-Following the vaginal delivery of a large for gestation age (LGA) infant, a woman is admitted to the ICU due to post-partum hemorrhaging. The client’s medical record describes Jehovah’s Witness notes as her religion. What action should the nurse take next? a. Inform the client of the critical need for a blood transfusion(SALIO) b. Obtain consent from the family to infuse packed red blood cells c. Clarify the clients wishes about receiving blood products d. Prepare to infuse multiple units of fresh frozen plasma 10- A client who is an ovulatory and has hyperprolactinemia is being treated for infertility with metformin (Glucophage), menotropins (Repronex, Menopur), and human chronic gonadotropin (hCG). Which side effect should the nurse tell the client to report immediately? a. Persistent daytime fatigue b. Episodes of headache and irritability c. Rapid increase in abdominal girth =========salio d. Nauseas and vomiting 11- One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next? a. Document number of pad changes in the last hour b. Increase the rate of the oxytocin infusion c. Palpate the suprapubic area for bladder distention=======salio d. Provide bedpan to void if unable to ambulate HESI DE MATERNITY LAS PREGUNTAS A 12- . Which action should the nurse take if an infant, who was born yesterday weighing 7.5 lbs. and weight 7 lbs. today. a. Monitor the stool and urine output of the last 24 hours b. After verifying the accuracy of the weight, notify the health care provider c. Encourage the mother to increase frequency of breastfeeding d. Informed and assure the mother that this is a normal weight loss==========salio 13- At 6-weeks’ gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client? a. Early postpartum, within 72 hours of delivery============salio b. After the client reach 20 weeks’ gestation c. After the client stops breastfeeding d. Before the client stool and urine 14-. A woman who delivered a normal newborn 24 hours ago complains, “I seem to be urinating every hour or so. Is that ok?”. Which action should the nurse implement? a. Catheterize the client for residual urine volume b. Measure the next voiding, then palpate the clients’ bladder =========salio c. Evaluate for normal involution, then massage the fundus d. Obtain a specimen for urine culture and sensitivity 15-A newborn infant is receiving immunization prior to discharge. Which action should the nurse implement? a. Give the first dose of the vaccine for Rotavirus if any siblings have diarrhea now b. Ask the mother if she wants the infant immunized for Hemophilus influenza c. Prepare the first dose for Diphtheria, tetanus toxoid and acellular pertussis (DTap) d. Obtain signed consent from the mother for administration of hepatitis B vaccine HESI DE MATERNITY LAS PREGUNTAS A 16- The parents of a male newborn have signed an informed consent for circumcision. What priority intervention should the nurse implement upon completion of the circumcision? a. Wrap the infant in warm receiving blankets b. Place petrolatum gauze dressing on the side=====salio c. Gave a PRN dose of liquid acetaminophen d. Offer a pacifier dipped in glucose water 17- A client at 20 weeks’ gestation comes to the antepartum clinic complaining of vaginal warts (human papillomavirus). What information should the nurse provide this client? a. Treatment options, while limited due to the pregnancy, are available=======salio b. The client should be treated with Penicillin G c. This client should be treat with acyclovir (Zovirax) d. Termination of the pregnancy should be considered 18-. A client at 38 weeks’ gestation complains of severe abdominal pain. Upon palpation, the nurse notes that the abdomen is rigid. How should the nurse document the findings? a. Placenta previa b. Chorioamnionitis c. Oligohidramnios d. Abrupción placenta =======salio 19-nota: salio otra pregunta tambien parecida donde la respuesta era chorioamnionitis porque te daban temperature 101 20- . The nurse’s assessment of a preterm infant reveals decreased muscle tone, sign of respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the nurse implement first? HESI DE MATERNITY LAS PREGUNTAS A a. Position a radiant warmer over the crib =====salio b. Place the infant in a side-lying position c. Assess the infant’s blood glucose test d. Nipple feed 1 ounce 5% glucose water 21- The nurse is caring for a postpartum client who is complaining of severe pain and feeling of pressure in her perineum. Her fundus is firm and she has a moderate lochial flow. On inspection, the nurse finds that the perineal hematoma is beginning. Which assessment finding should the nurse obtain first? a. Hemoglobin and hematocrit b. Abdominal contour and bowel sound c. Heart rate and blood pressure==========salio d. Urinary output and IV fluid intake 22- The nurse is caring for a new born who is 18” long weight 4 lbs., 14 ounces, has a head circumference 13 inches, and a chest circumference of 10 inches. Base on the physical findings, assessment for which condition has the highest priority? a. Hyperbilirubinemia b. Polycythemia c. Hyperthermia d. Hypoglycemia salio 23- When planning care for a laboring client, the nurse identifies the needs to withhold solid foods while the client is in labor. What is the most important reason for this nursing intervention? a. An increased risk of aspiration can occur if general anesthesia is needed b. Nausea occurs analgesics used during labor c. Autonomic nervous system stimulation during labor decrease peristalsis HESI DE MATERNITY LAS PREGUNTAS A d. Gastric emptying time decrease during labor 24- At 0600 while admitting a woman for a scheduled repeat c section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action should the nurse take first? a. Ensure preoperative lab results are available b. Start prescribed IV with Lactated Ringers c. Inform the anesthesia care provider=======salio d. Contact the client’s obstetrician 25- The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? a. terbutaline (Brethine) 0.25 mg SubQ Q15 mins x 3 b. Betamethasone (Celestone) 12 mg deep IM=======salio c. Butorphanol 1 mg IV push q2h PRN pain d. Ampicillin 1-gram IV push q8h 26- A one-day-old neonate develops a cephalohematoma. The nurse should closely assess this neonate for which common complication? a. jaundice============salio b brain damage c. poor appetite d. hypoglycemia 27- A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this client? a. postpartum psychosis b. hard, painful uterine afterpains c. placenta accreta HESI DE MATERNITY LAS PREGUNTAS A d. disseminated intravascular coagulation=========salio 28-. A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damage.” The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client’s history, which nursing diagnosis has the highest priority? a. sleep deprivation b. risk for infection c. fluid volume excess salio d. nausea and vomiting collard greens 29- A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that began one hour ago. The nurse’s assessment reveals approximately 30 ml of bright red vaginal bleeding, FHR of 130 to 140 beats/min, no contraction, and no complaints of pain. What is the most likely case of this client’s bleeding? a. placenta previa ============ salio b. a ruptured blood vessel in the vaginal vault c. normal bloody show indicating initiation of labor d. abruptio placenta 30- When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP? a. +1 pedal edema b. 130/70 blood pressure c. 101.2 F oral temp============salio d. +1 proteinuria 31-When performing the daily head to toe assessment of a one-day old newborn, the nurse observes a yellow tint to the skin on the forehead, sternum, and abdomen. What action should the nurse take? a. review maternal medical records for blood type and Rh factor b. prepare the newborn for phototherapy c. evaluate cord blood coombs test result d. measure bilirubin levels using transcutaneous bilirubinometer ======Salio HESI DE MATERNITY LAS PREGUNTAS A 32- . A pregnant client mentions in her history that she changes a cat’s litter box daily. Which test should the nurse anticipate the HCP to prescribe? a. Biophysical profile b. TORCH screening==========salio c. Fern Test d. amniocentesis 33- Assessment findings of a 3-hour old newborn include: axillary temperature of 97.7 F, heart rate of 140 beats/min with a soft murmur, and irregular respiratory rate at 42 breaths/min. Based on these findings, what action should the nurse implement? a. record findings in electronic medical record b. obtain venous blood sample for glucose level c. attach a pulse oximeter on the heel d. place the infant under the radiant warmer 34- Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum? a. pudendal block===========salio b. epidural block c. saddle block d. paracervical block 35- A pregnant woman who is at 10-weeks’ gestation and is 35 years of age tells the nurse that she is concerned about the possibility of having a baby with Down Syndrome. Which information should the nurse provide this client? a. an amniocentesis conducted at 24 weeks’ gestation confirms or denies Down Syndrome in the fetus b. maternal serum Human Chorionic Gonadotropic (HCG) can identify Down Syndrome at 6 weeks of gestation c. Weekly fundal height measurements are a noninvasive method used to check for Down Syndrome d. Chorionic villus sampling at 12 weeks gestation is the earliest screening test used to identify Down Syndrome-----------------------salio HESI DE MATERNITY LAS PREGUNTAS A 36- A client who is anovulatory and has hyperprolactinemia is being treated for infertility with metformin (Glucophage), menotropins (Repronex, Manipur) and HCG. Which side effect should the nurse tell the client to report immediately? a. persistent daytime fatigue b- rapid increase in abdominal girth----------------salio c- nausea and vomiting d. episodes of headache and irritability 37- One day after vaginal delivery of a full-term baby, a postpartum client’s white blood cell count is 15,000/mm3. What action should the nurse take first? a. check the differential, since the WBC is normal for this client============salio b. notify the HCP, since this finding is indicative of infection c. assess the client’s temperature, pulse and respirations q4h d. assess the client’s perineal area for signs of perineal hematoma 38-. The nurse is caring for a client following an emergency cesarean delivery under a general anesthesia. Which assessment finding, occurring in the first 8 hours after delivery, is more critical and requires immediate intervention? a. mild nausea and anorexia b. uterine atony================es esta y salio en el hesi c. a positive Homan’s sign d. Respiratory rate 12 39-The parents of a male newborn have signed an informed consent for circumcision. What priority intervention should the nurse implement upon completion of the circumcision? a. give a PRN dose of liquid acetaminophen b. wrap the infant in warm receiving blankets c. place petrolatum gauze dressings on the site-----------------si salio d. offer a pacifier dipped in glucose water HESI DE MATERNITY LAS PREGUNTAS A 40-. In determining the one-minute Apgar score of a male infant, the nurse assesses a heart rate of 120 beats per minute and 44 respirations per minute. He has a loud cry with stimulation, good muscle tone and his color is acrocyanotic. What Apgar score should the nurse assign? a. 7 b. 9==================salio c. 10 d. 8 41- Four clients at full term present to the labor and delivery unit at the same time. which client should the nurse assess first? a. primipara with vaginal show and leaking membranes b. primipara with burning on urination and urinary frequency c. multipara scheduled for a non-stress test and biophysical profile d. multipara with contractions occurring every 3 minutes=====================salio 42- Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum? a. pudendal block=======salio b. epidural block c. saddle block d. paracervical block 43-. A client at 38 weeks gestation presents to the labor and delivery unit in active labor. Based on which assessment finding should the nurse notify the surgery team to prepare for a primary cesarean section a. treated ten days ago for Chlamydia b. Group Beta Strep positive c. Positive western blot for HIV d. active herpes lesions on the perineum========================================== HESI DE MATERNITY LAS PREGUNTAS A SECCION B 1. The nurse is scheduling a client with gestational diabetes for an amniocentesis because the fetus has an estimated weight of 8 pounds at 36- weeks’ gestation. This amniocentesis is being performed to obtain which information? A. Presence of a neural tube defect B. Gender of the fetus C. Fetal lung maturity D. Chromosomal abnormalities 2-The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement? Monitoring bleeding from IV sites 3-Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mothers vaginal bleeding and finds that she has saturated two pads in 30minutes and has a boggy uterus. What action should the nurse implement first? A) Have the client empty her bladder B) Inspect the perineum for lacerations C) Increase oxytocin IV infusion D) Perform fundal massage until firm 4-When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP? a. +1 pedal edema b. 130/70 blood pressure c. 101.2 F oral temp * d. +1 proteinuria 5-A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and cervix dialed 3cm. The nurse’s assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor? a. Clients hourly blood pressure b. Preparation for emergency cesarean birth c. Intensity, interval, and length of contractions d. Checking the perineum for bulging HESI DE MATERNITY LAS PREGUNTAS A 6-The father of a 3- day- old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cried for no apparent reason. What information is most important for the nurse to provide to this father? A. A fluctuation in hormones in the early postpartum period can cause mood changes B. Recommend giving supplemental bottle feedings to the baby between breast feeding C. Contact the clinic if the behaviors continue for more than two weeks or become worse D. Tell the father to count the newborns number of soiled diapers over the next few days 7- A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should the nurse provide this client? a. RhoGAM is not necessary unless all her pregnancies are Rh-positive b. RhoGAM prevents maternal antibody formation for future Rh-positive babies c. the mother should receive RhoGAM when the baby is Rh-negative the R-positive factor from the fetus threatens her blood cells 8- Assessment findings of a 3-hour old newborn include: axillary temperature of 97.7 F, heart rate of 140 beats/min with a soft murmur, and irregular respiratory rate at 42 breaths/min. Based on these findings, what action should the nurse implement? a. record findings in electronic medical record b. obtain venous blood sample for glucose level c. attach a pulse oximeter on the heel d. place the infant under the radiant warmer 9-A pregnant woman who is at 10-weeks’ gestation and is 35 years of age tells the nurse that she is concerned about the possibility of having a baby with Down Syndrome. Which information should the nurse provide this client? a. an amniocentesis conducted at 24 weeks’ gestation confirms or denies Down Syndrome in the fetus b. maternal serum Human Chorionic Gonadotropic (HCG) can identify Down Syndrome at 6 weeks of gestation c. Weekly fundal height measurements are a noninvasive method used to check for Down Syndrome d. Chorionic villus sampling at 12 weeks gestation is the earliest screening test used to identify Down Syndrome * 10- A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet? a. Carrots HESI DE MATERNITY LAS PREGUNTAS A b. Chicken C. Yogurt d. Cheese 11- What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula? A Body temperature. B Level of pain. C Time of first void. Rectificar esta respuesta D Number of vessels in the cord. 12-A woman who is trying to get pregnant tells the nurse that she was very disappointed several months ago when she was informed that her positive pregnancy test was a false positive. Which method of determining pregnancy provides the greatest degree of accuracy? a. complaints of feeling tired all the time b. presence of amenorrhea for 2 months c. visualization of implantation by vaginal ultrasound d. maternal blood serum tests positive for alpha-fetoprotein 13-The parents of a newborn tell the nurse that their baby is already trying to walk. How should the nurse respond? A. Encourage the parents to report this to the healthcare provider B. Explain the newborns normal stepping reflex C. Acknowledge the parent’s observation D. Schedule the newborn for further neurological testing 14-The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Which assessment finding warrants immediate intervention by the nurse? A. Sweating during feedings B. Weak peripheral pulse C. Bluish tinge to the tongue D. Increased respiratory rate 15-A client at 20 weeks gestation comes to the antepartum clinic complaining of vaginal warts (human papillomavirus). What information should the nurse provide this client? A. Treatment options, while limited due to the pregnancy, are available B. The client should be treated with Penicillin G C. This client should be treat with acyclovir (Zovirax) D. Termination of the pregnancy should be considered HESI DE MATERNITY LAS PREGUNTAS A 16-A 3-hour old male infant’s hands are feet are cyanotic, and he has an axillary temperature of 96.5 F, a respiratory rate of 40 breaths/min, and a heart rate of 165 beats/min. Which nursing intervention is best for the nurse to implement? A. Perform a heel- stick to monitor blood glucose level B. Gradually warm the infant under a radiant heat source C. Administer oxygen by mask at 2L/minute D. Notify the pediatrician of the infant’s unstable vital signs 17-The nurse is assessing a 35-week primigravida with a breech presentation who is experiencing moderate uterine contraction every 3-5 minutes. During the examination the client tells the nurse, “I think my water just broke”. Inspection of the perineal area reveals the umbilical cord protruding from the vagina. After activating the call bell system for assistance, what intervention should the nurse implement? A. Administer oxygen at 10 liters via face mask B. Don gloves and push the cord back into the vagina C. Wrap the umbilical cord with sterile gauze D. Position the client into a knee-chest position 18-At 34- weeks’ gestation, a primigravida is assessed at her bimonthly clinic visits, which assessment finding is important for the nurse to report to the hcp? A. Increased appetite B. Fetal heart rate of 110 beats/minute C. Fundus below the xiphoid D. Weight gain of 7 pou 19- A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate FHR) is 90 beats/minute, and the maternal heart rate is 120 beats minute. What action should the nurse implement first? A- Alert the neonatal team and prepare for neonatal resuscitation B- Notify the healthcare provider from the client’s bedside C-Obtain written consent for an emergency cesarean section D-Draw a blood sample for stat hemoglobin and hematocrit