Maternity HESI Test Bank with complete
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tions
1. A 38-week primigravida who works as a secretary and sits at a computer
for 8
... [Show More] hours each day tells the nurse that her feet have begun to swell.
Which instruction would be most effective in preventing pooling of blood
in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged
uterus exerting pressure on the pelvic veins. Moving about every
hour will straighten out the pelvic veins and increase venous
return.
2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestationin preterm labor. She is given 3 doses of terbutaline sulfate
(Brethine) 0.25 mg subcutaneously to stop her labor contractions. The
nurse plans to monitor for which primary side effect of terbutaline sulfate?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug,
stimulates beta-adrenergicreceptors in the uterine muscle to stop
contractions. The beta-adrenergic agonist properties of the drug may
cause tachycardia, increased cardiac output, restlessness, headache,
and a feeling of "nervousness".
3. When do the anterior and posterior fontanels close?
anterior fontanel closes at 12 to 18 months and the posterior by the
end of thesecond month.
4. When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend these
classes?
30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents
would be ready for such classes. Learning is facilitated by an
interested pupil! The couple is most interested in childbirth toward
the end of the pregnancy when they are psychologically ready for
the termination of the pregnancy, and the birth of their childis an
immediate concern.
5. The nurse should encourage the laboring client to begin
pushing when...the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilatedat 10 cm (C). If pushing begins before the cervix is
completely dilated the cervi [Show Less]