HESI MATERNITY PEDS TEST BANK (5 VERSIONS) WITH VERIFIED QUESTIONS AND ANSWERS

HESI MATERNITY PEDS TEST BANK (5 VERSIONS) WITH
VERIFIED QUESTIONS AND ANSWERS
HESI
• A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
irritability.Vaginalexaminationreveals thathercervix isclosed, thick,andhigh.Based on
these data, which intervention should the nurse implement first?
a. Provide oral hydration
b. Have acomplete blood count (CBC) drawn
c. Obtain aspecimen for urine analysis
d. Place theclient on strict bedrest
Obtaining a urine analysis (C) should be done first because preterm clients with
uterine irritability and contractions are often suffering from a urinary tract infection,
and this should be ruled out first.
• A client in active labor complains of cramps in her leg. What intervention should the
nurse implement?
a. Ask theclient ifshe takes adaily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower theleg off theside of the bed
d. Elevate the leg above the heart
b. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the clientis
capable) (B) and putting the heel of the foot on the floor is the best means of relieving leg
cramps.
• Thenurseis caring for a woman with apreviously diagnosed heart disease whois inthe
second stageof labor. Which assessment findings are ofgreatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness ofbreath, bradycardia, and hypertension
d. Regular heart rate, and hypertension
Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensationand
require immediate intervention.
• The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of
ovulation, and there for, the best time for intercourse to ensure conception?
a. Between the time the temperature falls and rises
b. Between 36 and 48 hours after the temperature rises
c. When the temperature falls and remains low for 36 hours
d. Within 72hours before the temperature falls
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72
hours after ovulation, when the corpus luteum of the ruptured ovary produces
progesterone. Therefore, intercoursebetween thetimeof thetemperature fall andrise
(A) is the best timefor conception.
• Which nursing intervention is most helpful in relieving postpartum uterine
contractionsor"afterpains?"
a. Lying prone with apillow on theabdomen
b. Using abreast pump
c. Massaging the abdomen
d. Giving oxytocic medications
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas,
whocommonly experience afterpains due to lackof uterine tone.
• A multigravida client arrives at the labor and delivery unit and tells the nurse that her
bag of water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between 140 to 150 beats/minute.What
action should the nurse implement next?
a. Complete a sterile vaginal exam
b. Take maternal temperatureevery2hours
c. Prepare for an immediate cesarean birth
d. Obtainsterilesuction equipment
A vaginal exam (A) should be performed after the rupture of membranes to
determine the presence of a prolapsed cord.
• When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurseinclude in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant
"Postpartum blues" is a common emotional response related to the rapid decreasein
placental hormones after delivery and include mood swings (A), tearfulness (C), feeling
low, emotional, and fatigued.
• A client who is in the second trimester ofpregnancy tells the nurse that she wants touse
herbal therapy. Which response is best for the nurse toprovide?
a. Herbs are acorner stoneof good health to include in your treatment
b. Touchisalsotherapeutic inrelieving discomfortand anxiety
c. Yourhealthcare provider should direct treatment options forherbal therapy
d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as herbal therapy, is
that the client is viewed as a whole being, capable of decision-making and an integral part
of the health care team, so (D) recognizes the client's request.
• A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective to prevent nipple soreness?
a. Wear a cotton bra
b. Increasenursing time gradually
c. Correctly place the infant on thebreast
d. Manually express a small amount of milk before nursing
The most common cause of nipple soreness is incorrect positioning (C) of the infant onthe
breast, e.g., grasping too little of the areola or grasping on the nipple.
• The nurse is counseling a woman who wants to become pregnant. The woman tells the
nurse that she has a 36-day menstrual cycle and the first day of her menstrual period was
January *. The nurse correctly calculates that the woman's next fertile periodis
a. January 14-15
b. January22-23
c. January 30-31
d. February 6-7