OBsHESI/
FINAL,sHESIswithsRationales12,sHESIsOB
/MATERNITYsPracticesQuiz,sHESI
Asclientswhosdeliveredsansinfantsanshoursagostellssthesnursesthesshesfeelsswe
tsunderneathshersbuttock.sThesnursesnotessthatsthesperinealspadsisssaturateds
andsthesclientsisslyingsinsas6-
inchsdiameterspoolsofsblood.sWhichsactionsshouldsthesnursesimplementsfirs
t?`s-sCORRECTsANSWER✔C.sPalpatesthesfirmnesssofsthesfundus
Aswomanswhosthinkssshescouldsbespregnantscallsshersneighbor,swhosissasnu
rse,stosaskswhensshesshouldsusesashomespregnancystest.sWhichsresponsesissa
ppropriate?`s-
sCORRECTsANSWER✔A.s"Ashomespregnancystestscansbesusedsrightsaft
ersyoursfirstsmissedsperiod."
Whensexplainings"postpartumsblues"stosasclientswhosiss1sdayspostpartum,s
whichssymptomssshouldsthesnursesincludesinsthesteachingsplan?
s(Selectsallsthatsapply)`s-sCORRECTsANSWER✔A.sMoodsswings
C.sTearfulness
Oneshoursaftersgivingsbirthstosans8-
poundsinfant,sasclient'sslochiasrubrashassincreasedsfromssmallstoslargesandsh
ersfundussissboggysdespitesmassage.sHRsiss84sbpm,sBPs156/96.sThesM.D.sp
rescribesMethergines0.2smgsIMsxs1.sWhichsactionsshouldsthesnursestakesim
mediately?`s-
sCORRECTsANSWER✔D.sCallsthesHPstosquestionsthesprescription
,Thesnursesshouldsencouragestheslaboringspatientstosbeginspushingswhen`s-
sCORRECTsANSWER✔C.sthescervixsisscompletelysdilated
Asclientsats32-weekssgestationsisshospitalizedswithsseverespregnancy-
inducedshypertensions(PIH),sandsmagnesiumssulfatesissprescribedstoscontr
olsthessymptoms.sWhichsassessmentsfindingsindicatessthestherapeuticsdrugs
levelshassbeensachieved?`s-
sCORRECTsANSWER✔C.sAsdecreasesinsRRsfroms24stos16
Twenty-fourshourssaftersadmissionstosthesnewbornsnursery,sasfull-
termsmalesinfantsdevelopsslocalizedsedemasonsthesrightssidesofshisshead.sTh
esnursesknowssthat,sinsthesnewborn,sansaccumulationsofsbloodsbetweensthes
periosteumsandsskullswhichsdoessnotscrosssthessutureslinesissasnewbornsvari
ationsknownsas`s-
sCORRECTsANSWER✔A.sascephalhematoma,scausedsbysforcepsstraum
asandsmayslastsupstos8sweeks
Ascoupleshassbeenstryingstosconceivesforsninesmonthsswithoutssuccess.sWhi
chsinformationsobtainedsfromsthesclientssissmostslikelystoshavesansimpactso
nsthescouple'ssabilitystosconceivesaschild?`s-
sCORRECTsANSWER✔D.sTheysuseslubricantsswithseachssexualsencoun
terstosdecreasesfriction
Whichsactionsshouldsthesnursesimplementswhenspreparingstosmeasuresthesf
undalsheightsofsaspregnantsclient?`s-
sCORRECTsANSWER✔A.sHavesthesclientsemptysthesbladder
,Ansoff-
dutysnursesfindssaswomansinsassupermarketsparkingslotsdeliveringsansinfants
whileshershusbandsissscreamingsforssomeonestoshelpshisswife.sWhichsinterv
entionshasstheshighestspriority?`s-
sCORRECTsANSWER✔D.sPutsthesnewbornstosbreast
Asclientsats28-
weekssgestationscallssthesantepartalsclinicsandsstatessthatsshesissexperiencin
gsassmallsamountsofsvaginalsbleedingswhichsshesdescribessassbrightsred.sSh
esfurthersstatessthatsshesissnotsexperiencingsanysuterinescontractionssorsabd
ominalspain.sWhichsinstructionsshouldsthesnursesprovide?`s-
sCORRECTsANSWER✔A.sComestosthesclinicstodaysforsansultrasound
Ansexpectantsfatherstellssthesnurseshesfearssthatshisswifes"isslosingshersmind
."sHesstatessshesissconstantlysrubbingshersabdomensandstalkingstosthesbaby,s
andsthatsshesactuallysreprimandssthesbabyswhensitsmovesstoosmuch.sWhatsr
ecommendationsshouldsthesnursesmakestosthissexpectantsfather?`s-
sCORRECTsANSWER✔D.sLetshimsknowsthatsthesesaresnormalsmaternal
/
fetalsbondingsbehaviorsswhichsoccursoncesthesmothersfeelssfetalsmovement
Thesnursesassessessasclientsadmittedstostheslaborsandsdeliverysunitsandsobtai
nssthesfollowingsdata:sdarksredsvaginalsbleeding,suterussslightlystensesbetw
eenscontractions,sBPs110/68,sFHRs110sbeats/
minute,scervixs1scmsdilatedsandsuneffaced.sBasedsonsthesesassessmentsfind
ings,swhatsinterventionsshouldsthesnursesimplement?`s-
sCORRECTsANSWER✔D.sPerformsLeopold'ssmaneuvers
, Asclientsinsactiveslaborsissadmittedswithspreeclampsia.sWhichsassessmentsfi
ndingsissmostssignificantsinsplanningsthissclient'sscare?`s-
sCORRECTsANSWER✔B.sExtendstheslegsandsdorsiflexsthesfoot
Whichsmaternalsbehaviorsissthesnursesmostslikelystosseeswhensasnewsmothe
rsreceivesshersinfantsforsthesfirststime?`s-
sCORRECTsANSWER✔B.sHersarmssandshandssreceivesthesinfantsandssh
esthenstracessthesinfant'ssprofileswithshersfingertips
Thesnursesshouldsexplainstosas30-year-
oldsgravidsclientsthatsalphasfetoproteinstestingsissrecommendedsforswhichsp
urpose?`s-sCORRECTsANSWER✔B.sScreensforsneuralstubesdefects
Asnewsmothersissafraidstostouchshersbaby'ssheadsforsfearsofshurtingsthes"larg
essoftsspot."sWhichsexplanationsshouldsthesnursesgivestosthissanxioussclient
?`s-
sCORRECTsANSWER✔D.s"There'ssasstrong,stoughsmembranestherestosp
rotectsthesbabyssosyousneedsnotsbesafraidstoswashsorscombstheirshair"
Thesnursesisscounselingsaswomanswhoswantsstosbecomespregnant.sTheswo
manstellssthesnursesthatssheshassas36-
daysmenstrualscyclesandsthesfirstsdaysofsherslastsmenstrualsperiodswassJanu
arys8.sThesnursescorrectlyscalculatessthatstheswoman'ssnextsfertilesperiodsis`
s-sCORRECTsANSWER✔C.sJanuarys30-31
Thesnursescaringsforsaslaboringsclientsencouragessherstosvoidsatsleastsq2h,sa
ndsrecordsseachstimesthesclientsemptiesshersbladder.sWhatsissthesprimarysre
asonsforsimplementingsthissnursingsintervention?`s-
FINAL,sHESIswithsRationales12,sHESIsOB
/MATERNITYsPracticesQuiz,sHESI
Asclientswhosdeliveredsansinfantsanshoursagostellssthesnursesthesshesfeelsswe
tsunderneathshersbuttock.sThesnursesnotessthatsthesperinealspadsisssaturateds
andsthesclientsisslyingsinsas6-
inchsdiameterspoolsofsblood.sWhichsactionsshouldsthesnursesimplementsfirs
t?`s-sCORRECTsANSWER✔C.sPalpatesthesfirmnesssofsthesfundus
Aswomanswhosthinkssshescouldsbespregnantscallsshersneighbor,swhosissasnu
rse,stosaskswhensshesshouldsusesashomespregnancystest.sWhichsresponsesissa
ppropriate?`s-
sCORRECTsANSWER✔A.s"Ashomespregnancystestscansbesusedsrightsaft
ersyoursfirstsmissedsperiod."
Whensexplainings"postpartumsblues"stosasclientswhosiss1sdayspostpartum,s
whichssymptomssshouldsthesnursesincludesinsthesteachingsplan?
s(Selectsallsthatsapply)`s-sCORRECTsANSWER✔A.sMoodsswings
C.sTearfulness
Oneshoursaftersgivingsbirthstosans8-
poundsinfant,sasclient'sslochiasrubrashassincreasedsfromssmallstoslargesandsh
ersfundussissboggysdespitesmassage.sHRsiss84sbpm,sBPs156/96.sThesM.D.sp
rescribesMethergines0.2smgsIMsxs1.sWhichsactionsshouldsthesnursestakesim
mediately?`s-
sCORRECTsANSWER✔D.sCallsthesHPstosquestionsthesprescription
,Thesnursesshouldsencouragestheslaboringspatientstosbeginspushingswhen`s-
sCORRECTsANSWER✔C.sthescervixsisscompletelysdilated
Asclientsats32-weekssgestationsisshospitalizedswithsseverespregnancy-
inducedshypertensions(PIH),sandsmagnesiumssulfatesissprescribedstoscontr
olsthessymptoms.sWhichsassessmentsfindingsindicatessthestherapeuticsdrugs
levelshassbeensachieved?`s-
sCORRECTsANSWER✔C.sAsdecreasesinsRRsfroms24stos16
Twenty-fourshourssaftersadmissionstosthesnewbornsnursery,sasfull-
termsmalesinfantsdevelopsslocalizedsedemasonsthesrightssidesofshisshead.sTh
esnursesknowssthat,sinsthesnewborn,sansaccumulationsofsbloodsbetweensthes
periosteumsandsskullswhichsdoessnotscrosssthessutureslinesissasnewbornsvari
ationsknownsas`s-
sCORRECTsANSWER✔A.sascephalhematoma,scausedsbysforcepsstraum
asandsmayslastsupstos8sweeks
Ascoupleshassbeenstryingstosconceivesforsninesmonthsswithoutssuccess.sWhi
chsinformationsobtainedsfromsthesclientssissmostslikelystoshavesansimpactso
nsthescouple'ssabilitystosconceivesaschild?`s-
sCORRECTsANSWER✔D.sTheysuseslubricantsswithseachssexualsencoun
terstosdecreasesfriction
Whichsactionsshouldsthesnursesimplementswhenspreparingstosmeasuresthesf
undalsheightsofsaspregnantsclient?`s-
sCORRECTsANSWER✔A.sHavesthesclientsemptysthesbladder
,Ansoff-
dutysnursesfindssaswomansinsassupermarketsparkingslotsdeliveringsansinfants
whileshershusbandsissscreamingsforssomeonestoshelpshisswife.sWhichsinterv
entionshasstheshighestspriority?`s-
sCORRECTsANSWER✔D.sPutsthesnewbornstosbreast
Asclientsats28-
weekssgestationscallssthesantepartalsclinicsandsstatessthatsshesissexperiencin
gsassmallsamountsofsvaginalsbleedingswhichsshesdescribessassbrightsred.sSh
esfurthersstatessthatsshesissnotsexperiencingsanysuterinescontractionssorsabd
ominalspain.sWhichsinstructionsshouldsthesnursesprovide?`s-
sCORRECTsANSWER✔A.sComestosthesclinicstodaysforsansultrasound
Ansexpectantsfatherstellssthesnurseshesfearssthatshisswifes"isslosingshersmind
."sHesstatessshesissconstantlysrubbingshersabdomensandstalkingstosthesbaby,s
andsthatsshesactuallysreprimandssthesbabyswhensitsmovesstoosmuch.sWhatsr
ecommendationsshouldsthesnursesmakestosthissexpectantsfather?`s-
sCORRECTsANSWER✔D.sLetshimsknowsthatsthesesaresnormalsmaternal
/
fetalsbondingsbehaviorsswhichsoccursoncesthesmothersfeelssfetalsmovement
Thesnursesassessessasclientsadmittedstostheslaborsandsdeliverysunitsandsobtai
nssthesfollowingsdata:sdarksredsvaginalsbleeding,suterussslightlystensesbetw
eenscontractions,sBPs110/68,sFHRs110sbeats/
minute,scervixs1scmsdilatedsandsuneffaced.sBasedsonsthesesassessmentsfind
ings,swhatsinterventionsshouldsthesnursesimplement?`s-
sCORRECTsANSWER✔D.sPerformsLeopold'ssmaneuvers
, Asclientsinsactiveslaborsissadmittedswithspreeclampsia.sWhichsassessmentsfi
ndingsissmostssignificantsinsplanningsthissclient'sscare?`s-
sCORRECTsANSWER✔B.sExtendstheslegsandsdorsiflexsthesfoot
Whichsmaternalsbehaviorsissthesnursesmostslikelystosseeswhensasnewsmothe
rsreceivesshersinfantsforsthesfirststime?`s-
sCORRECTsANSWER✔B.sHersarmssandshandssreceivesthesinfantsandssh
esthenstracessthesinfant'ssprofileswithshersfingertips
Thesnursesshouldsexplainstosas30-year-
oldsgravidsclientsthatsalphasfetoproteinstestingsissrecommendedsforswhichsp
urpose?`s-sCORRECTsANSWER✔B.sScreensforsneuralstubesdefects
Asnewsmothersissafraidstostouchshersbaby'ssheadsforsfearsofshurtingsthes"larg
essoftsspot."sWhichsexplanationsshouldsthesnursesgivestosthissanxioussclient
?`s-
sCORRECTsANSWER✔D.s"There'ssasstrong,stoughsmembranestherestosp
rotectsthesbabyssosyousneedsnotsbesafraidstoswashsorscombstheirshair"
Thesnursesisscounselingsaswomanswhoswantsstosbecomespregnant.sTheswo
manstellssthesnursesthatssheshassas36-
daysmenstrualscyclesandsthesfirstsdaysofsherslastsmenstrualsperiodswassJanu
arys8.sThesnursescorrectlyscalculatessthatstheswoman'ssnextsfertilesperiodsis`
s-sCORRECTsANSWER✔C.sJanuarys30-31
Thesnursescaringsforsaslaboringsclientsencouragessherstosvoidsatsleastsq2h,sa
ndsrecordsseachstimesthesclientsemptiesshersbladder.sWhatsissthesprimarysre
asonsforsimplementingsthissnursingsintervention?`s-
