Peds_Maternity HESI & Obstetrics Q & A
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 A. The client's
learn.B. The client's educational
background.C. The order in which the readiness to learn
information is presented.D. The extent to
which the pregnancy was planned
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 haveA. lower Apgar B. lower birth weights
scores.B. lower birth weights.C. respiratory
distress.D. a higher rate of congenital
anomalies
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 C. Tachycardia and a feeling of
doses of terbutaline sulfate (Brethine) 0.25 nervousness.Terbutaline sulfate (Brethine),
mg subcutaneously to stop her labor a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors in the uterine
contractions. The nurse plans to monitor for muscle to stop contractions. The beta-
which primary side effect of terbutaline adrenergic agonist properties of the drug
sulfate?A. Drowsiness and bradycardia. B.
Depressed reflexes and increased may cause tachycardia, increased cardiac
respirations.C. Tachycardia and a feeling of output, restlessness, headache, and a
nervousness.D. A flushed, warm feeling and feeling of "nervousness"
a dry mouth
A mother who is breastfeeding her baby
receives instructions from the nurse. Which
instruction is most effective to prevent nipple C.Correctly place the infant
soreness? A. Wear a cotton bra. B. Increase
nursing time gradually. C.Correctly place the on the breast.
infant on the breast. D.Manually express a
small amount of milk before nursing.
A full term infant is transferred to the nursery
from labor and delivery. Which information is
MOST important for the nurse to receive b. Infant's condition at birth and treatment
when planning immediate care for the received. Immediate care is most dependent
newborn? a. Length of labor and method of on the infant's current status (i.e., Apgar
deliveryb. Infant's condition at birth and scores at 1 and 5 minutes) and any
treatment received. C. Feeding method treatment or resuscitation that was indicated
chosen by the parents.D. History of drugs
given to the mother during labor.
, Peds_Maternity HESI & Obstetrics Q & A
In developing a teaching plan for expectant
parents the nurse plans to include formation
about when the parents can expect the
infants fontanels to close. The nurse bases
the explanation on knowledge that for the
normal newborn, the A. anterior fontanel D. anterior fontanel closes
closes at 2 to 4 months and the posterior by at 12 to 18 months and the
the end of the first week. B. anterior fontanel
closes at 5 to 7 months and the posterior by posterior by the end of the
the end of the second week. C. anterior second month
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
When assessing a client who is at 12 week D. at 30 weeks gestationclosest (of the
gestation, the nurse recommends that she options) to the time parents would be ready
and her husband consider attending for such classes. Learning is facilitated by an
childbirth preparation classes. When is the interested pupil! The couple is most
best time for the couple to attend these interested in childbirth toward the end of the
classes?A. at 16 weeks gestationB.at 20 pregnancy when they are psychologically
weeks gestation C. at 24 weeks gestation D. ready for the termination of the pregnancy,
at 30 weeks gestation and the birth of their child is an immediate
concern.
C.the cervix is completely dilated.Pushing
begins with the second stage of labor, i.e.,
The nurse should encourage the laboring
when the cervix is completely dilated at 10
client to begin pushing when A.there is only cm (C). If pushing begins before the cervix is
an anterior or posterior lip of cervix left. B.the completely dilated the cervix can become
client describes the need to have a bowel edematous and may never completely dilate,
movement. C.the cervix is completely necessitating an operative delivery. Many
dilated.D.the cervix is completely effaced primigravidas begin active labor 100%
effaced and then proceed to dilate
The nurse is counseling a couple who has A.two weeks before
sought information about conceiving. For menstruationOvulation occurs 14 days
teaching purposes, the nurse should know before the first day of the menstrual period.
that ovulation usually occurs A.two weeks While ovulation can occur in the middle of
before menstruation.B.immediately after the cycle, or 2 weeks after menstruation, this
menstruation. immediately before
menstruation.C. immediately before is only true for a woman who has a perfect
28-day cycle. For many women, the length of
menstruation.D. three weeks before their menstrual cycle varies.
menstruation.
, Peds_Maternity HESI & Obstetrics Q & A
The nurse instructs a laboring client to use c. have the client breathe into her cupped
accelerated blow breathing. The client hands Tingling fingers and dizziness are
begins to complain of tingling finger and signs of hyperventilation (blowing off too
dizziness. What action should the nurse much carbon dioxide). Hyperventilation is
take?a. administer o2 by face maskb. notify treated by retaining carbon dioxide. This can
the HCP for the client's syndrome c. have the be facilitated by breathing into a paper bag
client breathe into her cupped hands d. or cupped hands.
check the client's BP and fetal HR/
, Peds_Maternity HESI & Obstetrics Q & A
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 A. The client's
learn.B. The client's educational
background.C. The order in which the readiness to learn
information is presented.D. The extent to
which the pregnancy was planned
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 haveA. lower Apgar B. lower birth weights
scores.B. lower birth weights.C. respiratory
distress.D. a higher rate of congenital
anomalies
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 C. Tachycardia and a feeling of
doses of terbutaline sulfate (Brethine) 0.25 nervousness.Terbutaline sulfate (Brethine),
mg subcutaneously to stop her labor a beta-sympathomimetic drug, stimulates
beta-adrenergic receptors in the uterine
contractions. The nurse plans to monitor for muscle to stop contractions. The beta-
which primary side effect of terbutaline adrenergic agonist properties of the drug
sulfate?A. Drowsiness and bradycardia. B.
Depressed reflexes and increased may cause tachycardia, increased cardiac
respirations.C. Tachycardia and a feeling of output, restlessness, headache, and a
nervousness.D. A flushed, warm feeling and feeling of "nervousness"
a dry mouth
A mother who is breastfeeding her baby
receives instructions from the nurse. Which
instruction is most effective to prevent nipple C.Correctly place the infant
soreness? A. Wear a cotton bra. B. Increase
nursing time gradually. C.Correctly place the on the breast.
infant on the breast. D.Manually express a
small amount of milk before nursing.
A full term infant is transferred to the nursery
from labor and delivery. Which information is
MOST important for the nurse to receive b. Infant's condition at birth and treatment
when planning immediate care for the received. Immediate care is most dependent
newborn? a. Length of labor and method of on the infant's current status (i.e., Apgar
deliveryb. Infant's condition at birth and scores at 1 and 5 minutes) and any
treatment received. C. Feeding method treatment or resuscitation that was indicated
chosen by the parents.D. History of drugs
given to the mother during labor.
, Peds_Maternity HESI & Obstetrics Q & A
In developing a teaching plan for expectant
parents the nurse plans to include formation
about when the parents can expect the
infants fontanels to close. The nurse bases
the explanation on knowledge that for the
normal newborn, the A. anterior fontanel D. anterior fontanel closes
closes at 2 to 4 months and the posterior by at 12 to 18 months and the
the end of the first week. B. anterior fontanel
closes at 5 to 7 months and the posterior by posterior by the end of the
the end of the second week. C. anterior second month
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
When assessing a client who is at 12 week D. at 30 weeks gestationclosest (of the
gestation, the nurse recommends that she options) to the time parents would be ready
and her husband consider attending for such classes. Learning is facilitated by an
childbirth preparation classes. When is the interested pupil! The couple is most
best time for the couple to attend these interested in childbirth toward the end of the
classes?A. at 16 weeks gestationB.at 20 pregnancy when they are psychologically
weeks gestation C. at 24 weeks gestation D. ready for the termination of the pregnancy,
at 30 weeks gestation and the birth of their child is an immediate
concern.
C.the cervix is completely dilated.Pushing
begins with the second stage of labor, i.e.,
The nurse should encourage the laboring
when the cervix is completely dilated at 10
client to begin pushing when A.there is only cm (C). If pushing begins before the cervix is
an anterior or posterior lip of cervix left. B.the completely dilated the cervix can become
client describes the need to have a bowel edematous and may never completely dilate,
movement. C.the cervix is completely necessitating an operative delivery. Many
dilated.D.the cervix is completely effaced primigravidas begin active labor 100%
effaced and then proceed to dilate
The nurse is counseling a couple who has A.two weeks before
sought information about conceiving. For menstruationOvulation occurs 14 days
teaching purposes, the nurse should know before the first day of the menstrual period.
that ovulation usually occurs A.two weeks While ovulation can occur in the middle of
before menstruation.B.immediately after the cycle, or 2 weeks after menstruation, this
menstruation. immediately before
menstruation.C. immediately before is only true for a woman who has a perfect
28-day cycle. For many women, the length of
menstruation.D. three weeks before their menstrual cycle varies.
menstruation.
, Peds_Maternity HESI & Obstetrics Q & A
The nurse instructs a laboring client to use c. have the client breathe into her cupped
accelerated blow breathing. The client hands Tingling fingers and dizziness are
begins to complain of tingling finger and signs of hyperventilation (blowing off too
dizziness. What action should the nurse much carbon dioxide). Hyperventilation is
take?a. administer o2 by face maskb. notify treated by retaining carbon dioxide. This can
the HCP for the client's syndrome c. have the be facilitated by breathing into a paper bag
client breathe into her cupped hands d. or cupped hands.
check the client's BP and fetal HR/
, Peds_Maternity HESI & Obstetrics Q & A
