MATERNITY HESY TEST BANK
REAL 2022 MID-
EXAMINATIONS WITH
QUESTIONS & ANSWERS
SMARTPREP EXAMINATIONS
SINCE 2010
,1. A 38-week prim gravida who works as a secretary andsits 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 the
p o o l i n g of blood in thelower extremities?
Move about every hour pooling of blood in the lower extremities results
from theenlarged uterus exerting Pressure on the pelvic veins. Moving
about every hour willstraighten out the
Pelvic veins and increase venous return.
2. A 26-year-old, gravida 2, para 1 client is admitted to thehospital at
28 weeks gestation
In preterm labor. She is given 3 doses of terbutaline
sulfate (Berthing) 0.25 mg subcutaneously to stop her labor
contractions. The nurseplans to monitor for which
A primary side effect of terbutaline sulfate.Tachycardia and
a feeling of nervousness Terbutaline sulfate (Berthing),
a beta-sympathomimeticdrug, stimulates beta-adrenergic
Receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist
,Properties of the drug may cause tachycardia, increasedcardiac
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’ Station,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 t h e
closest (of the options) to thetime parents would be ready for such
classes. Learning is facilitated by an interestedpupil! The couple is
most interested in childbirth toward the end of the pregnancywhen
they are psychologically ready for the
termination of thepregnancy, and the birth of their
child is an immediate concern.
5. The nurse should encourage the laboring client to beginpushing
when...
the cervix is completely dilated.
, Pushing begins with the second stage of labor, i.e., whenthe cervix is
completely dilated at 10 cm (C). If pushing begins
before the cervix iscompletely dilated the cervix
1 can become edematous and may never completely dilate,
necessitating an operative delivery. Many prim gravida’s begin active
labor 100% andthe effaced proceed to dilate.
6. The nurse instructs a laboring client to use accelerated-blow
breathing. The client
begins to complain of tingling fingers and dizziness. Whataction 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 retainingcarbon 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
bloodbetween theperiosteum and skull which does
REAL 2022 MID-
EXAMINATIONS WITH
QUESTIONS & ANSWERS
SMARTPREP EXAMINATIONS
SINCE 2010
,1. A 38-week prim gravida who works as a secretary andsits 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 the
p o o l i n g of blood in thelower extremities?
Move about every hour pooling of blood in the lower extremities results
from theenlarged uterus exerting Pressure on the pelvic veins. Moving
about every hour willstraighten out the
Pelvic veins and increase venous return.
2. A 26-year-old, gravida 2, para 1 client is admitted to thehospital at
28 weeks gestation
In preterm labor. She is given 3 doses of terbutaline
sulfate (Berthing) 0.25 mg subcutaneously to stop her labor
contractions. The nurseplans to monitor for which
A primary side effect of terbutaline sulfate.Tachycardia and
a feeling of nervousness Terbutaline sulfate (Berthing),
a beta-sympathomimeticdrug, stimulates beta-adrenergic
Receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist
,Properties of the drug may cause tachycardia, increasedcardiac
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’ Station,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 t h e
closest (of the options) to thetime parents would be ready for such
classes. Learning is facilitated by an interestedpupil! The couple is
most interested in childbirth toward the end of the pregnancywhen
they are psychologically ready for the
termination of thepregnancy, and the birth of their
child is an immediate concern.
5. The nurse should encourage the laboring client to beginpushing
when...
the cervix is completely dilated.
, Pushing begins with the second stage of labor, i.e., whenthe cervix is
completely dilated at 10 cm (C). If pushing begins
before the cervix iscompletely dilated the cervix
1 can become edematous and may never completely dilate,
necessitating an operative delivery. Many prim gravida’s begin active
labor 100% andthe effaced proceed to dilate.
6. The nurse instructs a laboring client to use accelerated-blow
breathing. The client
begins to complain of tingling fingers and dizziness. Whataction 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 retainingcarbon 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
bloodbetween theperiosteum and skull which does
