@PROFDOCDIGITALLIBRARIES
HESI RN:
Maternity - Test
Bank for LPN to
PR
RN Transitions
Achieving Success
O
FD
in your New Role
O
5th Edition with
C
Rationales
,@PROFDOCDIGITALLIBRARIES
A 38-week primigravida who works as a secretary and sits 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 pooling of blood in the lower extremities? -
CORRECT ANSWER-Move about every hour
Pooling of blood in the lower extremities results from the
PR
enlarged uterus exerting pressure on the pelvic veins. Moving
about every hour will straighten out the pelvic veins and
increase venous return.
O
FD
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
O
which primary side effect of terbutaline sulfate? - CORRECT
C
ANSWER-Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergic receptors in the uterine muscle to
stop contractions. The beta-adrenergic agonist properties of
,@PROFDOCDIGITALLIBRARIES
the drug may cause tachycardia, increased cardiac output,
restlessness, headache, and a feeling of "nervousness".
When do the anterior and posterior fontanels close? - CORRECT
ANSWER-anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month.
When assessing a client who is at 12-weeks gestation, the nurse
PR
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes? - CORRECT ANSWER-30 weeks
O
gestation
FD
at 30 weeks gestation is closest (of the options) to the time
O
parents would be ready for such classes. Learning is facilitated
by an interested pupil! The couple is most interested in
C
childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and
the birth of their child is an immediate concern.
The nurse should encourage the laboring client to begin
pushing when... - CORRECT ANSWER-the cervix is completely
dilated.
, @PROFDOCDIGITALLIBRARIES
Pushing begins with the second stage of labor, i.e., when the
cervix is completely dilated at 10 cm (C). If pushing begins
before the cervix is completely dilated the cervix can become
edematous and may never completely dilate, necessitating an
operative delivery. Many primigravida's begin active labor
100% effaced and then proceed to dilate.
PR
The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
O
dizziness. What action should the nurse take? - CORRECT
ANSWER-Have the client breathe into her cupped hands
FD
O
Tingling fingers and dizziness are signs of hyperventilation
(blowing off too much carbon dioxide). Hyperventilation is
C
treated by retaining carbon dioxide. This can be facilitated by
breathing into a paper bag or cupped hands.
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
HESI RN:
Maternity - Test
Bank for LPN to
PR
RN Transitions
Achieving Success
O
FD
in your New Role
O
5th Edition with
C
Rationales
,@PROFDOCDIGITALLIBRARIES
A 38-week primigravida who works as a secretary and sits 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 pooling of blood in the lower extremities? -
CORRECT ANSWER-Move about every hour
Pooling of blood in the lower extremities results from the
PR
enlarged uterus exerting pressure on the pelvic veins. Moving
about every hour will straighten out the pelvic veins and
increase venous return.
O
FD
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
O
which primary side effect of terbutaline sulfate? - CORRECT
C
ANSWER-Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergic receptors in the uterine muscle to
stop contractions. The beta-adrenergic agonist properties of
,@PROFDOCDIGITALLIBRARIES
the drug may cause tachycardia, increased cardiac output,
restlessness, headache, and a feeling of "nervousness".
When do the anterior and posterior fontanels close? - CORRECT
ANSWER-anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month.
When assessing a client who is at 12-weeks gestation, the nurse
PR
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes? - CORRECT ANSWER-30 weeks
O
gestation
FD
at 30 weeks gestation is closest (of the options) to the time
O
parents would be ready for such classes. Learning is facilitated
by an interested pupil! The couple is most interested in
C
childbirth toward the end of the pregnancy when they are
psychologically ready for the termination of the pregnancy, and
the birth of their child is an immediate concern.
The nurse should encourage the laboring client to begin
pushing when... - CORRECT ANSWER-the cervix is completely
dilated.
, @PROFDOCDIGITALLIBRARIES
Pushing begins with the second stage of labor, i.e., when the
cervix is completely dilated at 10 cm (C). If pushing begins
before the cervix is completely dilated the cervix can become
edematous and may never completely dilate, necessitating an
operative delivery. Many primigravida's begin active labor
100% effaced and then proceed to dilate.
PR
The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
O
dizziness. What action should the nurse take? - CORRECT
ANSWER-Have the client breathe into her cupped hands
FD
O
Tingling fingers and dizziness are signs of hyperventilation
(blowing off too much carbon dioxide). Hyperventilation is
C
treated by retaining carbon dioxide. This can be facilitated by
breathing into a paper bag or cupped hands.
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
