HESI MATERNITY PEDS/100+QUESTIONS AND ANSWERS/EXAM PRACTICE GUIDE/A+GRADED/LATEST UPDATE 2025

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MaternityHESI1 i i i




1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each
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day tells the nurse that her feet have begun to swell.Which instruction would be most
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effective in preventing pooling of blood in the lower extremities?
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Moveabouteveryhour i i i




Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure
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on the pelvic veins. Moving about every hourwill straightenout the pelvic veins and increase
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venous return.
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2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
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preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
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subcutaneously to stop her labor contractions. The nurse plans to monitor for which
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primary side effect of terbutaline sulfate?
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Tachycardia and afeeling of nervousness i i i i i




Terbutaline sulfate(Brethine),abeta-sympathomimetic drug,stimulates beta-adrenergic i i i i i i i



receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties
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of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and
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a feeling of "nervousness".
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3. When do the anterior and posterior fontanels close?
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anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.
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4. Whenassessing a client who is at 12-weeks gestation, the nurse recommends that she and
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her husband consider attending childbirth preparation classes. When is the best time for
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the couple to attend these classes?
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30 weeks gestation
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at 30 weeks gestation is closest (of the options) to the time parents would be ready for such
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classes. Learning is facilitated by an interested pupil! The couple is most interested in
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childbirth toward the end of the pregnancy when they are psychologically ready for the
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termination of the pregnancy, and the birth of their child is an immediate concern.
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5. The nurse should encourage the laboring client to begin pushing when... the
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i cervix is completely dilated. i i i




Pushing begins with the second stage of labor, i.e., when the cervix is completely
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dilatedat 10 cm (C). If pushing begins beforethe cervix is completely dilated the cervix
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canbecome edematous andmaynevercompletely dilate, necessitating an operative
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delivery. Many primigravida’s begin active labor 100% effaced and then proceed to dilate.
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6. The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
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complain of tingling fingers and dizziness. What action should the nurse take?
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Have theclientbreathe intohercuppedhands
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Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon
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dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by
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breathing into a paper bag or cupped hands.
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7. Twenty-four hours after admission to the newborn nursery, a full-term male infant i i i i i i i i i i i



develops localized edema on the right side of his head. The nurse knows that, in the
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newborn, anaccumulation of blood between the periosteum and skullwhich does not
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cross the suture line is a newborn variation known as...
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a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
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Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the first i i i i i i i i i i i i



24 hours after delivery. Trauma from delivery causes capillary bleeding between the
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periosteum and the skull.
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8. Whendoesthe head return to itsnormal shape? 7- i i i i i i i i i




10 days i




9. Whatdid Nurse theorist Reva Rubin describe?
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The initial postpartum period as the "taking-in phase," which is characterized by maternal
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reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to
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families and the newborn.
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10. A couple, concerned because the woman hasnot been able to conceive, is referred to a
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healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which
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post procedure complaint indicates that the fallopian tubes are patent?
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Shoulder pain i




If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
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collection of peritoneal dye/gas.
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11. Whichnursing intervention is most helpfulin relieving postpartum uterine contractions or
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"afterpains?"
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Lying prone with a pillow on the abdomeni i i i i i i

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