Maternity HESI Test bank (combined red hesi and other sources) With Complete Solutions 2024

A 23 year old client who is receiving Medicaid is pregnant with her first child. Based on knowledge of the statistics related to infant mortality, which plan should the nurse implement with this client? A. refer the client to a social worker to arrange for home care B. recommend prenatal care from an obstetrician, not a nurse midwife C. teach the client why keeping prenatal care appointments is important D. Advise the client that neonatal intensive care may be needed - correct answer--C. teach the client why keeping prenatal care appointments is important A 24-hour old newborn has a pink papular rash with vesicles superimposed on the thorax, back and abdomen. What action should the nurse implement? A. notify the healthcare provider B. move the newborn to an isolation nursery C. document the finding in the infant's record D. obtain a culture of the vesicles - correct answer--C. document the finding in the infant's record. Erythema Toxicum (or erythema neonatorium) is a newborn rash that is commonly referred to as "flea bites." but is a normal finding that is documented in the infant's record and requires no further action. A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3 months of gestation. Which is the correct description of this client that should be documented in the medical record? A.Gravida 1, para 0 B.Gravida 1, para 1 C.Gravida 2, para 0 D.Gravida 2, para 1 - correct answer--C.Gravida 2, para 0 Rationale: This is the client's second pregnancy or second gravid event, so option C is correct. The spontaneous abortion (miscarriage) occurred at 3 months of gestation (12 weeks), so she is a para 0. Parity cannot be increased unless delivery occurs at 20 weeks of gestation or beyond. Option A does not take into account the current pregnancy, nor does option B, which also counts the miscarriage as a "para," an incorrect recording. Although option D is correct concerning gravidity, para 1 is incorrect.