Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
Maternity HESI Test Bank
A 38-week primigravida who works as a secretary and
sits at a computer for 8 hours each day tells the nurse
that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood
in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the
enlarged uterus exerting pressure on the pelvic veins. Moving
about every hour will straighten out the pelvic veins and
increase venous return.
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?
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 1
,Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergic receptors in the uterine muscle to stop
contractions. The beta-adrenergic agonist properties of the drug may
cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of "nervousness".
A pregnant client with mitral stenosis Class III is
prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is
best for the nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the
heart muscle tissue.
To help preserve cardiac reserves, the woman may need to
restrict her activities and complete bedrest is often prescribed.
The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for
administering antibiotic ointment into the eyes of the
newborn. Which infectious organism will this treatment
prevent from harming the infant?
Gonorrhea
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 2
,Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
Erythromycin ointment is instilled into the lower conjunctiva of each
eye within 2 hours after birth to prevent ophthalmic neonatorum, an
infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by chlamydia. The infant may be exposed to these
bacteria when passing through the birth canal.
The nurse is teaching a woman how to use her basal
body temperature (BBT) pattern as a tool to assist her
in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore,
the best time for intercourse to ensure conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before
ovulation and rises 24 to 72 hours after ovulation, when the corpus
luteum of the ruptured ovary produces progesterone. Therefore,
intercourse between the time of the temperature fall and rise is the
best time for conception. The human ovum can be fertilized 16 to
24 hours after ovulation.
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 3
, Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
The nurse is caring for a woman with a previously
diagnosed heart disease who is in the second stage of
labor. Which assessment findings are of greatest concern?
Edema, basilar rales, and an irregular pulse
This indicates cardiac decompensation and requires immediate intervention.
A woman with Type 2 diabetes mellitus becomes
pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for
the nurse to implement?
Describe diet changes that can improve the management of her
diabetes
Diet modifications are effective in managing Type 2 diabetes
during pregnancy and describing the necessary diet changes is the
most important intervention for the nurse to implement with this
client.
A client receiving epidural anesthesia begins to
experience nausea and becomes pale and clammy. What
intervention should the nurse implement first?
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 5
Maternity HESI Test B
Maternity HESI Test Bank
A 38-week primigravida who works as a secretary and
sits at a computer for 8 hours each day tells the nurse
that her feet have begun to swell. Which instruction
would be most effective in preventing pooling of blood
in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the
enlarged uterus exerting pressure on the pelvic veins. Moving
about every hour will straighten out the pelvic veins and
increase venous return.
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?
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 1
,Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergic receptors in the uterine muscle to stop
contractions. The beta-adrenergic agonist properties of the drug may
cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of "nervousness".
A pregnant client with mitral stenosis Class III is
prescribed complete bedrest. The client asks the nurse,
"Why must I stay in bed all the time?" Which response is
best for the nurse to provide this client?
Complete bedrest decreases oxygen needs and demands on the
heart muscle tissue.
To help preserve cardiac reserves, the woman may need to
restrict her activities and complete bedrest is often prescribed.
The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for
administering antibiotic ointment into the eyes of the
newborn. Which infectious organism will this treatment
prevent from harming the infant?
Gonorrhea
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 2
,Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
Erythromycin ointment is instilled into the lower conjunctiva of each
eye within 2 hours after birth to prevent ophthalmic neonatorum, an
infection caused by gonorrhea, and inclusion conjunctivitis, an
infection caused by chlamydia. The infant may be exposed to these
bacteria when passing through the birth canal.
The nurse is teaching a woman how to use her basal
body temperature (BBT) pattern as a tool to assist her
in conceiving a child. Which temperature pattern
indicates the occurrence of ovulation, and therefore,
the best time for intercourse to ensure conception?
Between the time the temperature falls and rises.
In most women, the BBT drops slightly 24 to 36 hours before
ovulation and rises 24 to 72 hours after ovulation, when the corpus
luteum of the ruptured ovary produces progesterone. Therefore,
intercourse between the time of the temperature fall and rise is the
best time for conception. The human ovum can be fertilized 16 to
24 hours after ovulation.
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 3
, Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B
The nurse is caring for a woman with a previously
diagnosed heart disease who is in the second stage of
labor. Which assessment findings are of greatest concern?
Edema, basilar rales, and an irregular pulse
This indicates cardiac decompensation and requires immediate intervention.
A woman with Type 2 diabetes mellitus becomes
pregnant, and her oral hypoglycemic agents are
discontinued. Which intervention is most important for
the nurse to implement?
Describe diet changes that can improve the management of her
diabetes
Diet modifications are effective in managing Type 2 diabetes
during pregnancy and describing the necessary diet changes is the
most important intervention for the nurse to implement with this
client.
A client receiving epidural anesthesia begins to
experience nausea and becomes pale and clammy. What
intervention should the nurse implement first?
Maternity HESI RN hesi- study-guide-hesi-maternity- peds edited Lates
Maternity HESI Test B 5
