HESI MATERNITY VERSION 1-3 EXAM RATED A+

HESI MATERNITY VERSION 1-3 EXAM RATED A+
Whenis anamniotomyindicated? - ANSWER>>(artificial ruptureof membranes [AROM]) is
used to stimulate labor when the condition of the cervix is favorable
How often should maternal blood pressure be done during an amniotomy? -
ANSWER>>Maternal BP should beassessed every 15 to20 minutes duringlabor
Why is maternal temperature important to monitor after an amniotomy? -
ANSWER>>Maternal temperatureis monitoredhourlyafter the membranes are
ruptured to detect development of amnionitis.
Is itok for abreastfeeding mother todrink alcohol? - ANSWER>>No, alcohol is
excreted through breast milk.
Laboring client is doingaccelerated blow breathing andstates that sheis feeling tingling in
her fingers and dizziness. What should the nurse do? - ANSWER>>Have the pt breathe into her
cupped hands. She is hyperventilating and excreting too much carbon dioxide.
Whendoes ovulation occur? - ANSWER>>14days before firstdayof menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -
ANSWER>>produce firm contractions that occur every2to 3 minutes, with aduration of 60 to
70 seconds, and without evidence of fetal stress.
An infant born breech is at risk for what complication? - ANSWER>>Brachial palsy-- which
results from thestretching ofnervefibers in theneck, shoulder, and arm where the
shoulder is being pulled away from the neck during a breech delivery.
What aresomeobservations that thenewbornis nursing well tobreastfeeding? -
ANSWER>>-Swallowing is audible
-Mother reportsapullingsensationonhernipple
-Thetipof theinfant's noseand chintouch thebreast
What position does the Pavlik harness put infants with developmental dysplasia of the hip
stay in? - ANSWER>>The Pavlik harness keeps the infant in an abducted position allowing
the hips and knees flexed
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright red
blood with no uterine contractions, but is not bleeding anymore. What may this possibly be?
- ANSWER>>Placenta previa
Is bleeding asmall amountofbright red bloodlife-threatening to thefetus? - ANSWER>>It is
not at risk for hypovolemia or life-threatening.
What may suddenonsetbleeding withpresentuterinecontractionsindicate? -
ANSWER>>Abruptio placenta
Whenischild-birthclass recommended? - ANSWER>>30 weeks
What should aprimigravida whohas present legswelling d/t sitting 8 hrs aday doto
minimize the swelling? - ANSWER>>Move around every hour
What is important to do for an amniotomy? - ANSWER>>Monitor FHR before, during, and
after procedure. Thefluid should also beassessed for color,odor, andconsistency.
When should jaundiceinanewbornbeconcerning? - ANSWER>>If jaundiceis present less
than 24 hours of delivery, it may indicate excess bilirubin
What is theactionof terbutalinesulfate(Brethine)? - ANSWER>>Stop labor
contractions
Primary sideeffects of terbutalinesulfate(Brethine)? - ANSWER>>Tachycardiaand
nervousness along with increased CO, restlessness, and headache
Whendoes theanterior fontanel close? - ANSWER>>12-18 months
Whendoes theposterior fontanel close? - ANSWER>>Endof second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSWER>>Prevent
opthalmianeonatorum whichis aneyeinfectioncausedby gonorrhea and conjunctivitis
which is an infection caused by chlamydia
Antepartum pt is chewing iceinstead of thefoodonher breakfast tray. What should the
nurse do? - ANSWER>>Call HCP immediately. Practice of pica will displace nutrients. Evaluate
the pt for anemia
Is it normal for FHR to increase during contractions and return to baseline? - ANSWER>>Yes
it isnormal for FHR to increase,but this is indicative toincreasethe pitocin infusion to
stimulate the intensity and frequency of the contractions
What should bedoneif fetal stress is presentduring labor? - ANSWER>>-Place a wedge on
the pts left side
-Administer 10Loxygennasal cannula
What is important to tell the HCP during the third trimester of pregnancy? - ANSWER>>Signs
ofpreeclampsia--heartburn not relievedbyantacids andchronic headaches behind the eye
Normal signsof thelast trimester ofpregnancy? - ANSWER>>-Increase infetal heart rate
-Shoesandringareright
-Inability tosleep for more than2hours
Milia- ANSWER>>Whitepinpointspots foundonthenoseand chinthat represent blockage of
sebaceous glands
Meconium - ANSWER>>First stool that is tarryblack