HESI Maternity Test Bank (2019-2020-2021) Questions, Answers & Rationale, A+ Guide. All Correct Questions & Answers 100% Correct

Maternity HESI 1 Test Bank (2020)

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 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 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?

Tachycardia and a feeling of nervousness

Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates 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".

3. When do the anterior and posterior fontanels close?

anterior fontanel closes at 12 to 18 months and the posterior by the end of the second

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 child is 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

dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix

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can become edematous and may never completely dilate, necessitating an operative

delivery. Many primigravida’s begin active labor 100?facedand then proceed to

dilate.

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?

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.

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 variation known as...

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.

8. When does the head return to its normal shape?

7-10 days

9. What did Nurse theorist Reva Rubin describe?

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.

10. A couple, concerned because the woman has not been able to conceive, is referred to a

healthcare provider for a fertility workup and a hysterosalpingography is scheduled.

Which post procedure complaint indicates that the fallopian tubes are patent?

Shoulder pain

If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic

collection of peritoneal dye/gas.

11. Which nursing intervention is most helpful in relieving postpartum uterine contractions or

"afterpains?"

Lying prone with a pillow on the abdomen