NURS6670 Maternity Practice HESI Exam (Questions and Answers) Graded 100% Pass New Updated 2023-2024
A male client has right-sided hemiplegia following a
... [Show More] left cerebrovascular accident
(CVA). His sitting balance has improved, and he is now able to sit In a wheelchair. To
assist the client in transferring from the bed to a wheelchair, what action should the
nurse take?
A) Have the client put both arms around the nurse’s neck for
support. B) Place the wheelchair on the client’s left side.
C) Instruct the client to look at his feet.
D) Instruct the client total slow, deep breaths while transferring.
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a
diagnosis of eclampsia. She is not presently convulsing. Which intervention should the
nurse plan to include in this client’s nursing care plan?
A)Keep an airway at the bedside
B)Assess temperature every hour
C)Monitor blood pressure, pulse, and respirations every 4 hours ? D) Allow liberal
family visitation
The 2-hour exam a newborn delivered by cesarean section reveals nasal flaring, visible
retractions, audible grunting, and a dusky skin color. Current vital signs are: axillary
temp 98.5 F, pulse 148 beats/minute, and respiration 67 breaths/minute.
Which intervention should the nurse implement first?
A)Determine the infant’s blood glucose level
B)Delay giving the infants initial bath for one hour
C)Notify the healthcare provider of the infants current status ?
D)Place a pulse oximeter on the infants foot
A primipara client at 42-weeks gestation is admitted for induction. Within one hour
after initiating an oxytocin (Pitocin) infusion, her cervix is 100% effaced and 6cm
dilated, contractions are occurring every 1 minute with a 75 second duration. The
nurse stops the Pitocin and starts oxygen. After 30 minutes of uterine rest, the
contractions are occurring every 5 minutes with a 20 second duration. Which
intervention should the nurse implement?
A) Stop oxygen per canula
B) Check for clonus in both feet
C) Notify nursery about the clients response ?
D) Restart Pitocin infusion rate per protocol
A client at 32-weeks gestation presents with extreme abdominal tenderness and a
small amount of bright red vaginal bleeding. Her blood pressure is 95/65, respiratory
rate is 24 breaths/minute, and her heart rate is 116 beats/minute. She is dizzy, with
cold, clammy skin. Which prescription has the highest priority?
A) Type and cross-match for 4 units of whole blood
B) Insert a foley catheter
C) Lactated Ringers at 200ml/hr using an 18 gauge needle
D) Monitor oxygen saturation rate per pulse oximeter ?
Following a precipitous labor, a postpartum client has a continuous trickling of bright
red blood from her vagina. Her uterus is firming, her vital signs are within normal
limits. The nurse determines that this sign may indicate which condition?
A) Expected course in fourth stage of labor
B) Early postpartum hemorrhage
C) A full urinary bladder ? D) Laceration on the cervix
At 20-weeks gestation, a client who has gained 20 pounds during this pregnancy
tells the nurse that she is feeling fetal movement. Fundal height measurement is 20
cm, and the client’s only complaint is that her breasts are leaking clear fluid.
Which assessment finding warrants further evaluation [Show Less]