MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
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?
1
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
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
2
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
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 not cross the suture
line is a newborn variation known as...
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalohematoma, 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.
8. When does the head return to its normal
shape? 7-10 days
9. What did Nurse theorist Reva Rubin describe?
3
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
The initial postpartum period as the "taking-in phase," which is characterized by maternal
reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families
and the newborn.
10. A couple, concerned because the woman has not been able to conceive, is referred to a
healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which
post procedure complaint indicates that the fallopian tubes are patent?
Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
collection of peritoneal dye/gas.
11. Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
Lying prone with a pillow on the abdomen
4
GRADED A
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?
1
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
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
2
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
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 not cross the suture
line is a newborn variation known as...
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalohematoma, 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.
8. When does the head return to its normal
shape? 7-10 days
9. What did Nurse theorist Reva Rubin describe?
3
, MATERNITY HESI TEST BANK CORRECT STUDY GUIDE 2022,
GRADED A
The initial postpartum period as the "taking-in phase," which is characterized by maternal
reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families
and the newborn.
10. A couple, concerned because the woman has not been able to conceive, is referred to a
healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which
post procedure complaint indicates that the fallopian tubes are patent?
Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
collection of peritoneal dye/gas.
11. Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
Lying prone with a pillow on the abdomen
4
