HESI MATERNITY TEST BANK EXAM STUDY GUIDE QUESTIONS AND ANSWERS 2023/2024 GRADED A+.
Question 1.
.
Twenty minutes after a continuous epidural
... [Show More] anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
Ans: Place woman in a lateral position
The nurse should immediately turn the woman to a lateral position, place a
pillow or wedge under the right hip to deflect the uterus, increase the rate of
the main line IV infusion, and administer oxygen by face mask at 10-12
L/min. If the blood pressure remains low, especially if it further decreases,
the anesthesiologist/healthcare provider should be notified immediately.
Question 2.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in 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?
Ans: Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
2
beta-adrenergic receptors 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".
Question 3.
When do the anterior and posterior fontanels close?
Ans: anterior fontanel closes at 12 to 18 months and the posterior by the
end of the second month.
Question 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?
Ans: 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 child is an immediate concern
3
Question 5.
The nurse should encourage the laboring client to begin pushing
when... Ans: the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never
completely dilate, necessitating an operative delivery. Many primigravida’s
begin active labor 100% effaced and then proceed to dilate.
Question 6.
The nurse instructs a laboring client to use accelerated-blow breathing.
The client begins to complain of tingling fingers and dizziness. What action
should the nurse take?
Ans: Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining carbon
dioxide. This can be facilitated by breathing into a paper bag or cupped
hands.
Question 7.
Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse
knows that, in the newborn, an accumulation of blood between the
periosteum and skull which does not cross the suture line is a newborn
4
variation known as...
Ans: a cephalohematoma, caused by forceps trauma and may last up to 8
weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually
arises within the first 24 hours after delivery. Trauma from delivery causes
capillary bleeding between the periosteum and the skull.
Question 8.
When does the head return to its normal
shape? Ans: 7-10 days
Question 9.
What did Nurse theorist Reva Rubin describe?
Ans: The initial postpartum period as the "taking-in phase," which is
characterized by maternal reliance on others to satisfy the needs for
comfort, rest, nourishment, and closeness to families and the newborn. [Show Less]