HESI Obstetrics/Maternity Practice Quiz 100% Solved

HESI Obstetrics/Maternity Practice Quiz 100% Solved The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose? - Correct Answer ️️ -Screen for neural tube defects A 26 year old, gravid 2, para 1 client is admitted to the hospital at 28 weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethren) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? - Correct Answer ️️ -Tachycardia and a feeling of nervousness During labor, the nurse determines that a full term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Place in the first action on top and last action on the bottom) - Correct Answer ️️ -1. Reposition the client 2. Increase IV fluid 3. Provide oxygen via face mask 4. Call the health care provider A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" - Correct Answer ️️ -"Your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day" A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn? - Correct Answer ️️ -Infant's condition at birth and treatment received The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? - Correct Answer ️️ -Three vessels: two arteries and one vein When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (select all that apply) - Correct Answer ️️ --Mood swings -Tearfulness A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the nurse is best? - Correct Answer ️️ -"That is normal; the head will return to a round shape within 7 to 10 days." The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the nurse report to the healthcare provider? - Correct Answer ️️ -Yellowish tinge to the skin A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion? - Correct Answer ️️ --3+ deep tendon reflexes and hyperclonus -epigastric pain Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention is best for the nurse to implement first? - Correct Answer ️️ -Provide assistance to the mother to begin breastfeeding as soon as possible after delivery A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response is appropriate? - Correct Answer ️️ -"A home pregnancy test can be used right after your first missed period." Which assessment finding should the nursery nurse report to the pediatric healthcare provider? - Correct Answer ️️ -Central cyanosis when crying 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? - Correct Answer ️️ -It is difficult to consume 18 mg of additional iron by diet alone. The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs - Correct Answer ️️ -Two weeks before menstruation A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which explanation should the nurse give to this anxious client? - Correct Answer ️️ - "There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb his/her hair." The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client's bedside? (Select all that apply) - Correct Answer ️️ -- Sterile glove - An amniotic hook - A doppler - Lubricant? 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? - Correct Answer ️️ -Put the newborn to breast A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first? - Correct Answer ️️ -Obtain a specimen for urine analysis An expectant father tells the nurse he fears that his wife "is losing her mind." He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father? - Correct Answer ️️ -Let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother f