Mother Baby Hesi - #1 Exam Questions With
Correct Answers (Verified And Updated)
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate? - Answer✔Tachycardia and a feeling of nervousness.
side effects of magnesium sulfate - Answer✔Depressed reflexes and increased respirations. A
flushed, warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - Answer✔stimulates beta-
adrenergic receptors in the uterine muscle to stop contractions
primary side effect. Terbutaline sulfate (Brethine), a - Answer✔Tachycardia and a feeling of
nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - Answer✔Drowsiness and bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should
the nurse take? - Answer✔Observe the mother for other attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's interactions
with her infant - Answer✔Observe the mother for other attachment behaviors. helps the nurse
determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress, or impact
the mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective? - Answer✔Changes in
apical heart rate from the 180s to the 140s.
Epogen - Answer✔given to prevent or treat anemia, stimulates erythropoietin production,
resulting in an increase in RBCs. Since the body has not had to compensate for anemia with an
increased heart rate, changes in heart rate from high to normal
Epogen and RR - Answer✔Respiratory rate should decrease rather than increase
Epogen and urinary output - Answer✔is not related to Epogen
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Epogen and bilirubin - Answer✔is usually related to resolution of hyperbilirubinemia, treated
with phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The
nurse performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75%
effaced. What additional information is most important for the nurse to obtain? - Answer✔Date
of last normal menstrual period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal
heart pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and
administer corticosteroids to mature the lungs of the fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when
I get home." How should the nurse respond? - Answer✔Regression in behaviors in the older
child is a typical reaction so he needs attention at this time.
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 variation known as - Answer✔a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks.
Cephalhematoma (A), 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
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction
is most effective to prevent nipple soreness? - Answer✔Correctly place the infant on the breast.
The nurse is performing a gestational age assessment on a full-term newborn during the first
hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse
determines that the neonate has a maturity rating of 40-weeks. What findings should the nurse
identify to determine if the neonate is small for gestational age (SGA)? (Select all that apply.) -
Answer✔A. Admission weight of 4 pounds, 15 ounces (2244 grams). B. Head to heel length of
17 inches (42.5 cm). C. Frontal occipital circumference of 12.5 inches (31.25 cm).
appropriate for gestational age (AGA) newborn - Answer✔should fall between the measurement
ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-35 cm).
SGA neonate's parameters - Answer✔Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces.
riteria for physical maturity score Ballard (Dubowitz) scale. - Answer✔Full flexion of all
extremities in resting supine position.
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