HESI MATERNITY TEST BANK ACTUAL EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS [ACTUAL EXAM 100%]

HESI MATERNITY TEST BANK ACTUAL
EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ACTUAL EXAM 100%]
The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which
information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - ANS✔✔--C. Fetal heart rate (FHR)
Rationale:
The FHR should be assessed before and after the procedure to detect
changes that may indicate the presence of cord compression or prolapse.
An amniotomy (artificial rupture of membranes [AROM]) is used to
stimulate labor when the condition of the cervix is favorable. The fluid
should be assessed for color, odor, and consistency. Option A should be
assessed every 15 to 20 minutes during labor but is not specific for AROM.
Option B is monitored hourly after the membranes are ruptured to detect
the development of amnionitis. Option D should be determined for all
clients in labor
An expectant father tells the nurse he fears that his wife is "losing her mind." He
states that she is constantly rubbing her abdomen and talking to the baby and
that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - ANS✔✔--
D) Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not
reflect ambivalence. No intervention is needed. Quickening, the first
perception of fetal movement, occurs at 17 to 20 weeks of gestation and
begins a new phase of prenatal bonding during the second trimester.
Options A and C are not necessary because the behaviors displayed are
normal.
.
Rationale: Jaundice, a yellow skin coloration, is caused by elevated levels of
bilirubin, which should be further evaluated in a newborn <24 hours old.
Acrocyanosis (blue color of the hands and feet) is a common finding in
newborns; it occurs because the capillary system is immature. Milia are small
white papules present on the nose and chin that are caused by sebaceous gland
blockage and disappear in a few weeks. Small red patches on the cheeks and
trunk are called erythema toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic
therapy is prescribed. Which instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are completely emptied.
B.Feed expressed breast milk to avoid the pain of the infant latching onto the
infected breast.
C.Breastfeed on the unaffected breast only until the mastitis subsides.
D.Dilute expressed breast milk with sterile water to reduce the antibiotic effect
on the infant. - ANS✔✔--A.Breastfeed the in