MaternitysHESIsTestsbanks(combinedsredshesisand
sotherssources)
Ansexpectantsfatherstellssthesnurseshesfearssthatshisswifesiss"losingshersmind
."sHesstatessthatsshesissconstantlysrubbingshersabdomensandstalkingstosthesb
abysandsthatsshesactuallysreprimandssthesbabyswhensitsmovesstoosmuch.sW
hichsrecommendationsshouldsthesnursesmakestosthissexpectantsfather?s
A.Suggeststhatshisswifesseeksprofessionalscounselingstosdealswithsherssymp
toms.s
B.Explainsthatshisswifesissexhibitingsambivalencesaboutsthespregnancy.s
C.sAskshimstosreportssimilarsabnormalsbehaviorssatsthesnextsprenatalsvisit.s
D.Reassureshimsthatsnormalsmaternal-fetalsbondingsissoccurring.s-
sCORRECTsANSWER✔D)sReassureshimsthatsnormalsmaternal-
fetalsbondingsissoccurring.s
Rationale:s
Thesesbehaviorssarespositivessignssofsmaternal-
fetalsbondingsandsdosnotsreflectsambivalence.sNosinterventionsissneeded.sQ
uickening,sthesfirstsperceptionsofsfetalsmovement,soccurssats17stos20sweekss
ofsgestationsandsbeginssasnewsphasesofsprenatalsbondingsduringsthesseconds
,trimester.sOptionssAsandsCsaresnotsnecessarysbecausesthesbehaviorssdisplay
edsaresnormal.
Thesnursesisspreparingsaslaboringsclientsforsansamniotomy.sImmediatelysaft
ersthesproceduresisscompleted,sitsissmostsimportantsforsthesnursestosobtainsw
hichsinformation?
s
s A.Maternalsbloodspressure
s B.Maternalstemperature
s C.Fetalsheartsrates(FHR)
s
sD.Whitesbloodscellscounts(WBC)s-
sCORRECTsANSWER✔C.sFetalsheartsrates(FHR)
Rationale:
ThesFHRsshouldsbesassessedsbeforesandsaftersthesprocedurestosdetectschang
essthatsmaysindicatesthespresencesofscordscompressionsorsprolapse.sAnsamn
iotomys(artificialsrupturesofsmembraness[AROM])sissusedstosstimulateslab
orswhensthesconditionsofsthescervixsissfavorable.sThesfluidsshouldsbesassess
edsforscolor,sodor,sandsconsistency.sOptionsAsshouldsbesassessedseverys15st
os20sminutessduringslaborsbutsissnotsspecificsforsAROM.sOptionsBsissmonit
oredshourlysaftersthesmembranessaresrupturedstosdetectsthesdevelopmentsofs
amnionitis.sOptionsDsshouldsbesdeterminedsforsallsclientssinslabor.
,Asnursesreceivessasshiftschangesreportsforsasnewbornswhosiss12shoursspost-
vaginalsdelivery.sInsdevelopingsasplansofscare,sthesnursesshouldsgivestheshig
hestsprioritystoswhichsfinding?
s A.Cyanosissofstheshandssandsfeet
s B.Skinscolorsthatsissslightlysjaundiced
s C.Tinyswhitespapulessonsthesnosesorschin
sD.Redspatchessonsthescheekssandstrunks-
sCORRECTsANSWER✔B.sSkinscolorsthatsissslightlysjaundiced
Rationale:sJaundice,sasyellowsskinscoloration,sisscausedsbyselevatedslevelss
ofsbilirubin,swhichsshouldsbesfurthersevaluatedsinsasnewborns<24shourssold.
sAcrocyanosis s(bluescolorsofstheshandssandsfeet)sissascommonsfindingsinsne
wborns;sitsoccurssbecausesthescapillaryssystemsissimmature.sMiliasaressmall
swhitespapulesspresentsonsthesnosesandschinsthatsarescausedsbyssebaceoussgl
andsblockagesandsdisappearsinsasfewsweeks.sSmallsredspatchessonsthescheek
ssandstrunksarescalledserythemastoxicumsneonatorum,sascommonsfindingsins
newborns.
Asbreastfeedingspostpartumsclientsissdiagnosedswithsmastitis,sandsantibioti
cstherapysissprescribed.sWhichsinstructionsshouldsthesnursesprovidestosthiss
client?
A.Breastfeedsthesinfant,sensuringsthatsbothsbreastssarescompletelysemptied.
, B.Feedsexpressedsbreastsmilkstosavoidsthespainsofsthesinfantslatchingsontost
s
hesinfectedsbreast.
s C.Breastfeedsonsthesunaffectedsbreastsonlysuntilsthesmastitisssubsides.
sD.Dilutesexpressedsbreastsmilkswithssterileswaterstosreducesthesantibioticse
ffectsonsthesinfant.s-
sCORRECTsANSWER✔A.Breastfeedsthesinfant,sensuringsthatsbothsbrea
stssarescompletelysemptied.
Rationale:Mastitis,scausedsbyspluggedsmilksducts,sissrelatedstosbreastsengo
rgement,sandsbreastfeedingsduringsmastitissfacilitatessthescompletesemptyi
ngsofsengorgedsbreasts,seliminatingsthespressuresonsthesinflamedsbreaststiss
ue.sOptionsBsisslessspainfulsbutsdoessnotsfacilitatescompletesemptyingsofsth
esbreaststissue.sOptionsCswillsnotsrelievesthesengorgementsonsthesaffectedssi
de.sOptionsDswillsnotsdecreasesantibioticseffectssonsthesinfant.
As38-
weeksprimigravidaswhosworkssassassecretarysandssitssatsascomputers8shourss
eachsdaystellssthesnursesthatshersfeetshavesbegunstosswell.sWhichsinstruction
swillsaidsinsthespreventionsofspoolingsofsbloodsinstheslowersextremities?
s A.Wearssupportsstockings.
s B.Reducessaltsinsthesdiet.
sotherssources)
Ansexpectantsfatherstellssthesnurseshesfearssthatshisswifesiss"losingshersmind
."sHesstatessthatsshesissconstantlysrubbingshersabdomensandstalkingstosthesb
abysandsthatsshesactuallysreprimandssthesbabyswhensitsmovesstoosmuch.sW
hichsrecommendationsshouldsthesnursesmakestosthissexpectantsfather?s
A.Suggeststhatshisswifesseeksprofessionalscounselingstosdealswithsherssymp
toms.s
B.Explainsthatshisswifesissexhibitingsambivalencesaboutsthespregnancy.s
C.sAskshimstosreportssimilarsabnormalsbehaviorssatsthesnextsprenatalsvisit.s
D.Reassureshimsthatsnormalsmaternal-fetalsbondingsissoccurring.s-
sCORRECTsANSWER✔D)sReassureshimsthatsnormalsmaternal-
fetalsbondingsissoccurring.s
Rationale:s
Thesesbehaviorssarespositivessignssofsmaternal-
fetalsbondingsandsdosnotsreflectsambivalence.sNosinterventionsissneeded.sQ
uickening,sthesfirstsperceptionsofsfetalsmovement,soccurssats17stos20sweekss
ofsgestationsandsbeginssasnewsphasesofsprenatalsbondingsduringsthesseconds
,trimester.sOptionssAsandsCsaresnotsnecessarysbecausesthesbehaviorssdisplay
edsaresnormal.
Thesnursesisspreparingsaslaboringsclientsforsansamniotomy.sImmediatelysaft
ersthesproceduresisscompleted,sitsissmostsimportantsforsthesnursestosobtainsw
hichsinformation?
s
s A.Maternalsbloodspressure
s B.Maternalstemperature
s C.Fetalsheartsrates(FHR)
s
sD.Whitesbloodscellscounts(WBC)s-
sCORRECTsANSWER✔C.sFetalsheartsrates(FHR)
Rationale:
ThesFHRsshouldsbesassessedsbeforesandsaftersthesprocedurestosdetectschang
essthatsmaysindicatesthespresencesofscordscompressionsorsprolapse.sAnsamn
iotomys(artificialsrupturesofsmembraness[AROM])sissusedstosstimulateslab
orswhensthesconditionsofsthescervixsissfavorable.sThesfluidsshouldsbesassess
edsforscolor,sodor,sandsconsistency.sOptionsAsshouldsbesassessedseverys15st
os20sminutessduringslaborsbutsissnotsspecificsforsAROM.sOptionsBsissmonit
oredshourlysaftersthesmembranessaresrupturedstosdetectsthesdevelopmentsofs
amnionitis.sOptionsDsshouldsbesdeterminedsforsallsclientssinslabor.
,Asnursesreceivessasshiftschangesreportsforsasnewbornswhosiss12shoursspost-
vaginalsdelivery.sInsdevelopingsasplansofscare,sthesnursesshouldsgivestheshig
hestsprioritystoswhichsfinding?
s A.Cyanosissofstheshandssandsfeet
s B.Skinscolorsthatsissslightlysjaundiced
s C.Tinyswhitespapulessonsthesnosesorschin
sD.Redspatchessonsthescheekssandstrunks-
sCORRECTsANSWER✔B.sSkinscolorsthatsissslightlysjaundiced
Rationale:sJaundice,sasyellowsskinscoloration,sisscausedsbyselevatedslevelss
ofsbilirubin,swhichsshouldsbesfurthersevaluatedsinsasnewborns<24shourssold.
sAcrocyanosis s(bluescolorsofstheshandssandsfeet)sissascommonsfindingsinsne
wborns;sitsoccurssbecausesthescapillaryssystemsissimmature.sMiliasaressmall
swhitespapulesspresentsonsthesnosesandschinsthatsarescausedsbyssebaceoussgl
andsblockagesandsdisappearsinsasfewsweeks.sSmallsredspatchessonsthescheek
ssandstrunksarescalledserythemastoxicumsneonatorum,sascommonsfindingsins
newborns.
Asbreastfeedingspostpartumsclientsissdiagnosedswithsmastitis,sandsantibioti
cstherapysissprescribed.sWhichsinstructionsshouldsthesnursesprovidestosthiss
client?
A.Breastfeedsthesinfant,sensuringsthatsbothsbreastssarescompletelysemptied.
, B.Feedsexpressedsbreastsmilkstosavoidsthespainsofsthesinfantslatchingsontost
s
hesinfectedsbreast.
s C.Breastfeedsonsthesunaffectedsbreastsonlysuntilsthesmastitisssubsides.
sD.Dilutesexpressedsbreastsmilkswithssterileswaterstosreducesthesantibioticse
ffectsonsthesinfant.s-
sCORRECTsANSWER✔A.Breastfeedsthesinfant,sensuringsthatsbothsbrea
stssarescompletelysemptied.
Rationale:Mastitis,scausedsbyspluggedsmilksducts,sissrelatedstosbreastsengo
rgement,sandsbreastfeedingsduringsmastitissfacilitatessthescompletesemptyi
ngsofsengorgedsbreasts,seliminatingsthespressuresonsthesinflamedsbreaststiss
ue.sOptionsBsisslessspainfulsbutsdoessnotsfacilitatescompletesemptyingsofsth
esbreaststissue.sOptionsCswillsnotsrelievesthesengorgementsonsthesaffectedssi
de.sOptionsDswillsnotsdecreasesantibioticseffectssonsthesinfant.
As38-
weeksprimigravidaswhosworkssassassecretarysandssitssatsascomputers8shourss
eachsdaystellssthesnursesthatshersfeetshavesbegunstosswell.sWhichsinstruction
swillsaidsinsthespreventionsofspoolingsofsbloodsinstheslowersextremities?
s A.Wearssupportsstockings.
s B.Reducessaltsinsthesdiet.
