Maternity HESI
TestBank
lOMoARcPSD|
8944820
,Maternity HESI Test Bank
1. 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.
2. 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?
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".
3. When do the anterior and posterior fontanels close?
anterior fontanel closes at 12 to 18 months and the
posterior by the end of the
second month.
4. When assessing a client who is at 12-weeks gestation,
the nurse recommends that
she and her husband consider attending childbirth
preparation classes. When is the
best time for the couple to attend these classes?
30 weeks gestation
at 30 weeks gestation is closest (of the options) to the
time parents would be ready
for such classes. Learning is facilitated by an interested
pupil! The couple is most
interested in childbirth toward the end of the pregnancy
when they are
psychologically ready for the termination of the
pregnancy, and the birth of their child
is an immediate concern.
5. The nurse should encourage the laboring client to begin
pushing when...
the cervix is completely dilated.
, Pushing begins with the second stage of labor, i.e., when
the cervix is completely dilated
at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix
1
can become edematous and may never completely dilate,
necessitating an operative
delivery. Many primigravida’s begin active labor 100%and
theneffacedproceed to
dilate.
6. The nurse instructs a laboring client to use accelerated-
blow breathing. The client
begins to complain of tingling fingers and dizziness. What
action should the nurse take?
Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of
hyperventilation (blowing off too much
carbon dioxide). Hyperventilation is treated by retaining
carbon dioxide. This can be
facilitated by breathing into a paper bag or cupped hands.
7. 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
TestBank
lOMoARcPSD|
8944820
,Maternity HESI Test Bank
1. 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.
2. 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?
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".
3. When do the anterior and posterior fontanels close?
anterior fontanel closes at 12 to 18 months and the
posterior by the end of the
second month.
4. When assessing a client who is at 12-weeks gestation,
the nurse recommends that
she and her husband consider attending childbirth
preparation classes. When is the
best time for the couple to attend these classes?
30 weeks gestation
at 30 weeks gestation is closest (of the options) to the
time parents would be ready
for such classes. Learning is facilitated by an interested
pupil! The couple is most
interested in childbirth toward the end of the pregnancy
when they are
psychologically ready for the termination of the
pregnancy, and the birth of their child
is an immediate concern.
5. The nurse should encourage the laboring client to begin
pushing when...
the cervix is completely dilated.
, Pushing begins with the second stage of labor, i.e., when
the cervix is completely dilated
at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix
1
can become edematous and may never completely dilate,
necessitating an operative
delivery. Many primigravida’s begin active labor 100%and
theneffacedproceed to
dilate.
6. The nurse instructs a laboring client to use accelerated-
blow breathing. The client
begins to complain of tingling fingers and dizziness. What
action should the nurse take?
Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of
hyperventilation (blowing off too much
carbon dioxide). Hyperventilation is treated by retaining
carbon dioxide. This can be
facilitated by breathing into a paper bag or cupped hands.
7. 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
