Maternity Hesi questions All Answers Correct 2023

Maternity Hesi questions All Answers Correct 2023 The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs? A. 2 weeks before B. right after C. Right before D. 3 weeks after Ans- two weeks before menstruation A client who has autosomal dominant inherited disorder is exploring family planning options and the risk for transmission of the disorder to an infant. The nurse's response should be based on what information? Ans- Each pregnancy carries a 50% chance of inheriting the disorder A pregnant client tells the nurse that the first day of her last menstrual period was August 2, 2013. Based on Nagele's rule, what is the estimated date of delivery? Ans- May 9, 2014. Subtract 3 months and add 7 days A pregnant woman comes to the prenatal clinic for an initial visit. Her childbearing history, the client indicates she has delivered premature twins, one full-term baby, and has had no abortions. Which GTPAL should the nurse document in this client record? Ans- 3-1-2-0-3 An expected father tells the nurse that he fears his wife is losing her mind. He states that she is constantly rubbing her abdomen and talking to the baby, and that she is actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father? AnsLet him know that these behaviors are part of normal maternal/Fetal bonding which occurs once the mother feels fetal movement Which action should the nurse implement when preparing to measure the fundal height of a pregnant client? Ans- Have the client empty her bladder The nurse attempts to help an unmarried teen deal with her feeling following a spontaneous abortion at 8-weeks gestation. What type of emotional response should the nurse anticipate? Ans- Grief related to her perceptions about the loss of this child. A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge? Ans- It is difficult to consume 18 mg of additional iron by diet alone. The nurse is teaching breast feeding to prospective parents in a childbirth education class. Which instruction should the nurse include as content in the class? Ans- Feed your baby every 2-3 hours or on demand, whichever comes first When preparing a class on newborn care for expected parents, what content should the nurse teach concerning the newborn infant born at term gestation? Ans- Vernix is a white, cheesy substance, predominantly located in the skin folds The nurse should explain to a 30 year old gravid client that alpha fetoprotein testing is recommended for which purpose? Ans- Screen for neural tube defects A woman who had a miscarriage 6 months ago becomes pregnant, which instruction is the most important for the nurse to provide this client? Ans- Take prescribed multivitamin and mineral supplements. A woman with type 2 diabetes becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? Ans- Describe diet changes that can improve the management of her diabetes. HPL- human placenta lactin deceases the affects of insuline a 26 year old gravid 2 para 1 client is admitted to the hospital 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneous to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? Ans- Tachy and a feeling of nervousness. A client at 30-weeks gestation complaining of pressure over the pubic area, she is admitted for observation. She is contracting irregularly and demonstrated underlying uterine irritability. Vaginal exam reveals that her cervix is closed thick an high. Based on these data, which intervention should the nurse implement first? Ans- Obtain a specimen for urine analysis A client at 32-weeks gestation is hospitalized with severe pregnancy induced Hypertension, and magnesium sulfate is prescribed to control the symptom. Which assessment finding indicates the therapeutic drug level has been achieved? Ans- A decrease in respiratory rate from 24 to 16. We give mag to depress the CNS but it suppresses other bodily systems. A client at 32-weeks gestation comes to the prenatal clinic which complaints of pedal edema, dyspepsia, fatigue, and moist cough. What question is the most important question for the nurse to ask the client? Ans- Do you have a history of rheumatic fever Petal edema is normal, new onset resp/cardio symptoms. A 38-week primigrivada who works as a secretary and sits 8 hours a day tells the nurse that her feet have begun to swell. Which instructions would be the most effective in preventing pooling of blood in the lower extreme ties? Ans- Move about every hour A client in active labor is admitted with preeclampsia. Which finding is most significant in planning this clients care? Ans- Patellar reflex 4+ Can indicate a seizure is about to happen, needs mag sulfate The nurse caring for a laboring client encourages her to void at least Q2, and records each time the client empties her bladder. What is the primary reason for implementing this nursing intervention? AnsAn over-distended bladder could be traumatized during labor as well as prolong the process of labor. 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? Ans- Have the client breathe into her cupped hands. To avoid resp alkalosis have the client breathe into her hands for co2 levels to rise. The nurse assesses a client admitted into the l and D unit and obtains the fallowing: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced, what intervention should the nurse implement? Ans- Monitor bleeding from IV sites Early signs of placental abruption, no vaginal exams, DIC happens, bleed from any open place in the skin A 35- year old pt with severe preeclampsia is receiving mad sulfate via continuous infusion. Which assessment data indicates to the nurse that the client is experiencing mag sulfate toxicity? Ans- Urine output 90 ml per 4 hours The nurse is preparing a client with a term pregnancy who is in active labor for an amniotic. What equipment should the nurse have available at the client's bedside? Ans- A sterile glove, an amniotic hook, a Doppler. used to monitor baby and make sure baby is okay Nurse is caring for a woman with previously diagnosed heart diseases who is in the second stage of labor. Which assessment finding are of greatest concern? Ans- Edema, basilar rales, and an irregular pulse. Being prego with Heart condition causes CHF Immediately after birth a newborn infant is suction dried and place under the infant warmer. The infant has spontaneously respiration and the nurse assess an apical heart rate of 80 bpm and respiration of 20 bpm. What action should the nurse preform next? Ans- Initiate positive pressure ventilation Chest compression start at 60 bpm (heart) A vaginally deliver infant of an HIV positive mother is admitted to the newborn nursery, what intervention should the nurse preform first? Ans- Bathe the infant with an antimicrobial soap