HESI Maternity Exam V1| Questions and Verified Answers | 2023/ 2024| 100% Correct
QUESTION
Cytotec (Misoprostol) for peptic ulcer (Synthetic
... [Show More] Prostaglandin E Drug). Nurse response?
Answer:
Increased risk for spontaneous miscarriage.
Rationale: Cytotec (Misoprostol) can induce uterine contractions resulting in miscarriage.
QUESTION
Multigravida at term with back labor, cervix is 3 cm dilated, 50% effaced, -1 station.
Answer:
Apply counter pressure to sacral area.
Rationale: Caused by malposition of the fetus.
QUESTION
Not Rubella immune (negative titer) and 6 weeks pregnant. When should the vaccine be given?
Answer:
Give early postpartum within 72 hours.
HESI HINT: "Rubella is teratogenic to the fetus during the first trimester, causing congenital heart disease, congenital cataracts, or both. All women should have their titers checked during pregnancy. If a woman's titers are low, she should receive the vaccine after delivery and be instructed not to get pregnant within 3 months. Breast-feeding mothers may take the vaccine" (p. 288).
QUESTION
Gravida 1, para 0, cervix dilated 8 cm, contractions Q2 min, bloody show, and nausea. Nurse Dx?
Answer:
Pain r/t transitional phase of labor.
QUESTION
Baby weighs 7.5 lbs today, tomorrow 7 lbs (5 lb weight loss). What does the nurse do?
Answer:
Tell mother it is normal.
Rationale: Newborns can lose 10% of their wt and regain it later.
QUESTION
Receiving report on laboring pt from ER. Water broke and didn't know it. First thing the nurse does?
Answer:
Take temperature.
Rationale: Length of time membranes ruptured is important to monitor for infection.
QUESTION
Postpartum temporary bed-rest should be placed if?
Answer:
Positive Homan's sign.
QUESTION
. Fundus hand placement: 1 massages the fundus the other is for...
Answer:
The other hand anchors the lower uterine section.
QUESTION
DM I, hbga1c level 7.8 at 10 weeks pregnant. What should the nurse do?
Answer:
Contact MD for BPP (biophysical Profile).
QUESTION
Symptoms of hemorrhage/bleeding out:
Answer:
LR 200 ml/hr using 18 gauge needle.
QUESTION
Most accurate way to determine fetal position at 29 weeks gestation.
Answer:
Ultrasound.
Rationale: Provides direct view of the fetus.
QUESTION
To measure contractions...
Answer:
From beginning of a contraction, to the beginning of the next contractions.
QUESTION
. Newborn assessment for respiratory distress.
Answer:
Flaring of the nares.
Rationale: Forced inspiration, grunting, tachy (respirations >60), cyanosis, and retractions over chest wall). [Show Less]