MATERNITY HESI 1 TEST BANK Exam | Questions with Answers Explained Latest update 2023 | Graded 100%

MATERNITY HESI 1 TEST BANK Exam | Questions with Answers Explained Latest update 2023 | Graded 100%. 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? Ans: 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 3 Question 5. The nurse should encourage the laboring client to begin pushing when... Ans: 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 can become edematous and may never completely dilate, necessitating an operative delivery. Many primigravida’s begin active labor 100% effaced and then proceed to dilate. Question 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? Ans: 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. Question 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 4 variation known as... Ans: 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. Question 8. When does the head return to its normal shape? Ans: 7-10 days Question 9. What did Nurse theorist Reva Rubin describe? Ans: 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. Question 10. 5 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? Ans: Shoulder pain If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic collection of peritoneal dye/gas. Question 11. Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" Ans: Lying prone with a pillow on the abdomen Lying prone keeps the fundus contracted and is especially useful with multiparas, who commonly experience afterpains due to lack of uterine tone. Question 12. Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time? Ans: Her arms and hands receive the infant and she then traces the infant's profile with her fingertips. Attachment/bonding theory indicates that most mothers will demonstrate behaviors described in during the first visit with the newborn, which may 6 be at delivery or later. Question 13. A client at 32-weeks gestation is hospitalized with severe pregnancyinduced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the therapeutic drug level has been achieved? Ans; A decreased in respiratory rate from 24 to 16 Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased respiratory rate indicates that the drug is effective. (Respiratory rate below 12 indicates toxic effects.) Question 14. Urinary output must be monitored when administering magnesium sulfate and should be at least 30 ml per hour. (The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl.) What is the therapeutic level of magnesium sulfate? Ans: The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl. What does it help prevent? helps prevent seizures What indicates toxic levels? 3 Respiratory rate below 12 indicates toxic effects. 7 MATERNITY HESI 1 TEST BANK Exam Questions with Answers Explained Latest update 2022 MATERNITY HESI 1 TEST BANK Exam Questions with Answers Explained Latest update 2022 Urine output of less than 100 ml/4 hours Absent DTRs Question 15. 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? Ans: 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 Question 16. A client at 28-weeks gestation calls the antepartum clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide? Ans: Come to the clinic today for an ultrasound Third trimester painless bleeding is characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for hypovolemic 8 MATERNITY HESI 1 TEST BANK Exam Questions with Answers Explained Latest update 2022 MATERNITY HESI 1 TEST BANK Exam Questions with Answers Explained Latest update 2022 shock. Diagnosis is confirmed by transabdominal ultrasound. Question 17. An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority? Ans: Put the newborn to breast Putting the newborn to breast will help contract the uterus and prevent a postpartum hemorrhage--this intervention has the highest priority