RN HESI Maternity
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Practice questions ATI Book Questions (ALE’s 7,8,9) Fortis-PN-Maternity
134 terms 41 terms 30 terms
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A primigravida arrives at the Contractions decrease with walking.
observation unit of the maternity
unit because thinks is in labor.
The
nurse applies the external fetal
heart monitor and determines
that the fetal heart rate is 140
beats/minute and the
contractions are occurring
irregularly every 10 to 15
minutes. What
assessment finding confirms to
the nurse that the client is not
labor at this time?
A primipara has delivered a B. provide a time for the parents to hold their infant in privacy
stillborn fetus at 30 weeks
gestation. To asses the parents in
the grieving process which
intervention is most for the nurse
to implement ?
A. explain the possible cause of
the fetal demise
B. Provide a time for the parents
to hold their infant in privacy
C. Encourage the parents to
seek counseling within the next
few weeks
D. Assist the couple to request
autopsy
,What is the priority nursing A. body temperature
assessment immediately
following the birth of an infant
with esophageal atresia and a
tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
What is the most important D. Maternal blood pressure
assessment for the nurse to
conduct following the
administration of epidural
anesthesia to a client who is at
40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
A 34-week primigravida with D. 75
pregnancy induced
hypertension (PIH) is receiving
Ringer's Lactate 500 ml with
magnesium sulfate 20 grams at
the rate of 3 grams/hour. How
many ml/hour should the nurse
program the infusion pump?
(Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
A mother of a 3-year-old boy A. Explain that newborns get milk from their mothers in this way
has just given birth to a new B. Reassure the older brother that it does not hurt his mother
baby girl. The little boy asks the C. Remind him that his mother breastfed him too
nurse, "Why is my baby sister
eating my mommy's breast?"
How should the nurse respond?
(Select all that apply)
A. Explain that newborns get
milk from their mothers in this
way
B. Reassure the older brother
that it does not hurt his mother
C. Remind him that his mother
breastfed him too
D. Suggest that the baby can
also drink from a bottle
E. Clarify that breastfeeding is
his mother's choice
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,The nurse is examining an infant D. Place the infant in warm room and use a calm approach
for possible cryptorchidism.
Which exam technique should
be used?
A. Place the infant in side-lying
to facilitate the exam
B. Hold the penis and retract the
foreskin gently
C. Cleanse the penis with an
antiseptic-soaked pad
D. Place the infant in warm room
and use a calm approach
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The nurse is planning care for a A. Betamethasone (Celestone) 12 mg deep IM
client at 30-weeks gestation
who is experiencing preterm
labor. What maternal
prescription is most important in
preventing this fetus from
developing respiratory distress
syndrome?
A. Betamethasone (Celestone)
12 mg deep IM
B. Butorphanol 1 mg IV push q2h
PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg
subcutaneously q15 minutes x3
A 3-month-old with C. Change to latex-free gloves when handling infant
myelomeningocele and atonic
bladder is catheterized every 4
hours to prevent urinary
retention. The home health
nurse notes that the child has
developed episodes of
sneezing, urticaria, watery eyes,
and a rash in the diaper area.
What action is most important
for the nurse to take?
A. Auscultate the lungs for
respiratory pneumonia.
B. Draw blood to analyze for
streptococcal infection
C. Change to latex-free gloves
when handling infant
D. Apply zinc oxide to perineum
with each diaper change
, The nurse is caring for a female D. Magnesium sulfate
client, a primigravida, with
preeclampsia. Findings include
+2 proteinuria, BP 172/112 mmHg,
facial and hand swelling,
complaints of blurry vision and a
severe frontal headache. Which
medication should the nurse
anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
A client at 35-weeks gestation B. Chorioamnionitis
complains of a "pain whenever
the baby moves." On
assessment, the nurse notes the
client's temperature to be 101.2F,
with severe abdominal or
uterine tenderness on palpation.
The nurse knows that these
findings are indicative of what
condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection.
A male infant with a 2-day B. Infuse normal saline intravenously
history of fever and diarrhea is
brought to a clinic by his mother
who tells the nurse that the child
refuses to drink anything. The
nurse determines that the child
has a weak cry with no tears.
Which prescription is most
important to implement?
A. Provide a bottle of
electrolyte solution
B. Infuse normal saline
intravenously
C. Administer an antipyretic
rectally
D. Apply external cooling
blanket