Mother Baby Hesi - #1
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? - Answer Tachycardia and a feeling of
nervousness.
side effects of magnesium sulfate - Answer Depressed reflexes and increased
respirations. A flushed, warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - Answer stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions
primary side effect. Terbutaline sulfate (Brethine), a - Answer Tachycardia and a feeling
of nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - Answer Drowsiness and
bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which action
should the nurse take? - Answer Observe the mother for other attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's
interactions with her infant - Answer Observe the mother for other attachment
behaviors. helps the nurse determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress, or
impact the mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug is effective?
- Answer Changes in apical heart rate from the 180s to the 140s.
Epogen - Answer given to prevent or treat anemia, stimulates erythropoietin production,
resulting in an increase in RBCs. Since the body has not had to compensate for anemia
with an increased heart rate, changes in heart rate from high to normal
Epogen and RR - Answer Respiratory rate should decrease rather than increase
Epogen and urinary output - Answer is not related to Epogen
Epogen and bilirubin - Answer is usually related to resolution of hyperbilirubinemia,
treated with phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!"
The nurse performs a vaginal examination that reveals the cervix is 3 centimeters
dilated and 75% effaced. What additional information is most important for the nurse to
obtain? - Answer Date of last normal menstrual period.
, Mother Baby Hesi - #1
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and
the fetal heart pattern is reassuring, the healthcare provider may attempt to prolong the
pregnancy and administer corticosteroids to mature the lungs of the fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the
nurse respond? - Answer Regression in behaviors in the older child is a typical reaction
so he needs attention at this time.
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 - Answer a cephalhematoma,
caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), 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
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness? - Answer Correctly place the
infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn during
the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment,
the nurse determines that the neonate has a maturity rating of 40-weeks. What findings
should the nurse identify to determine if the neonate is small for gestational age (SGA)?
(Select all that apply.) - Answer A. Admission weight of 4 pounds, 15 ounces (2244
grams). B. Head to heel length of 17 inches (42.5 cm). C. Frontal occipital
circumference of 12.5 inches (31.25 cm).
appropriate for gestational age (AGA) newborn - Answer should fall between the
measurement ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-
35 cm).
SGA neonate's parameters - Answer Skin smooth with visible veins and abundant
vernix.
E. Anterior plantar crease and smooth heel surfaces.
riteria for physical maturity score Ballard (Dubowitz) scale. - Answer Full flexion of all
extremities in resting supine position.
A pregnant client tells the nurse that the first day of her last menstrual period
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣ delivery? - Answer May 29, 2007.
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? - Answer Tachycardia and a feeling of
nervousness.
side effects of magnesium sulfate - Answer Depressed reflexes and increased
respirations. A flushed, warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - Answer stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions
primary side effect. Terbutaline sulfate (Brethine), a - Answer Tachycardia and a feeling
of nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - Answer Drowsiness and
bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which action
should the nurse take? - Answer Observe the mother for other attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's
interactions with her infant - Answer Observe the mother for other attachment
behaviors. helps the nurse determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress, or
impact the mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug is effective?
- Answer Changes in apical heart rate from the 180s to the 140s.
Epogen - Answer given to prevent or treat anemia, stimulates erythropoietin production,
resulting in an increase in RBCs. Since the body has not had to compensate for anemia
with an increased heart rate, changes in heart rate from high to normal
Epogen and RR - Answer Respiratory rate should decrease rather than increase
Epogen and urinary output - Answer is not related to Epogen
Epogen and bilirubin - Answer is usually related to resolution of hyperbilirubinemia,
treated with phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!"
The nurse performs a vaginal examination that reveals the cervix is 3 centimeters
dilated and 75% effaced. What additional information is most important for the nurse to
obtain? - Answer Date of last normal menstrual period.
, Mother Baby Hesi - #1
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and
the fetal heart pattern is reassuring, the healthcare provider may attempt to prolong the
pregnancy and administer corticosteroids to mature the lungs of the fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the
nurse respond? - Answer Regression in behaviors in the older child is a typical reaction
so he needs attention at this time.
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 - Answer a cephalhematoma,
caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), 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
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness? - Answer Correctly place the
infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn during
the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment,
the nurse determines that the neonate has a maturity rating of 40-weeks. What findings
should the nurse identify to determine if the neonate is small for gestational age (SGA)?
(Select all that apply.) - Answer A. Admission weight of 4 pounds, 15 ounces (2244
grams). B. Head to heel length of 17 inches (42.5 cm). C. Frontal occipital
circumference of 12.5 inches (31.25 cm).
appropriate for gestational age (AGA) newborn - Answer should fall between the
measurement ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-
35 cm).
SGA neonate's parameters - Answer Skin smooth with visible veins and abundant
vernix.
E. Anterior plantar crease and smooth heel surfaces.
riteria for physical maturity score Ballard (Dubowitz) scale. - Answer Full flexion of all
extremities in resting supine position.
A pregnant client tells the nurse that the first day of her last menstrual period
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣ delivery? - Answer May 29, 2007.
