HESI Obstetrics/Maternity Practice Quiz 2022

HESI Obstetrics/Maternity Practice Quiz 2022 The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose? - ANS- Screen for neural tube defects A 26 year ...

HESI Obstetrics/Maternity Practice Quiz 2022 The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose? - ANS- Screen for neural tube defects A 26 year old, gravid 2, para 1 client is admitted to the hospital at 28 weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethren) 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 During labor, the nurse determines that a full term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Place in the first action on top and last action on the bottom) - ANS- 1. Reposition the client 2. Increase IV fluid 3. Provide oxygen via face mask 4. Call the health care provider A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" - ANS- "Your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day" A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn? - ANS- Infant's condition at birth and treatment received The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? - ANS- Three vessels: two arteries and one vein When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (select all that apply) - ANS- -Mood swings -Tearfulness A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the nurse is best? - ANS- "That is normal; the head will return to a round shape within 7 to 10 days." The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the nurse report to the healthcare provider? - ANS- Yellowish tinge to the skin A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion? - ANS- -3+ deep tendon reflexes and hyperclonus -epigastric pain Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention is best for the nurse to implement first? - ANS- Provide assistance to the mother to begin breastfeeding as soon as possible after delivery A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response is appropriate? - ANS- "A home pregnancy test can be used right after your first missed period." Which assessment finding should the nursery nurse report to the pediatric healthcare provider? - ANS- Central cyanosis when crying A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge? - ANS- It is difficult to consume 18 mg of additional iron by diet alone. The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs - ANS- Two weeks before menstruation A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which explanation should the nurse give to this anxious client? - ANS- "There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb his/her hair." The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client's bedside? (Select all that apply) - ANS- - Sterile glove - An amniotic hook - A doppler - Lubricant? An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority? - ANS- Put the newborn to breast A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first? - ANS- Obtain a specimen for urine analysis An expectant father tells the nurse he fears that his wife "is losing her mind." He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father? - ANS- Let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother feels fetal movement. A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the most likely presenting symptom for pediatric client with AIDS is - ANS- a persistent cold A woman with Typer 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? - ANS- Describe diet changes that can improve the management of her diabetes. A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit? - ANS- Choking, coughing, and cyanosis A 38 week primigravida who works as a secretary and sits at a computer 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? - ANSMove about every hour A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first? - ANS- Bathe the infant with an antimicrobial soap Client teaching is an important part of the maternity nurses role. Which factor has the greatest influence on successful teaching of the gravid client? - ANS- The client's readiness to learn During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. Which compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have - ANS- lower birth weights A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness? - ANS- Correctly place the infant on the breast In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the - ANSanterior fontanel closes at 12 to 18 months and the posterior by the end of the second month 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- At 30 weeks gestation The nurse should encourage the laboring client to begin pushing when - ANS- the cervix is completely dilated 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 When preparing a class on newborn care for expectant parents, what content should the nurse teach concerning the newborn infant born at term gestation? - ANS- Vernix is a white, cheesy substance, predominantly located in the skin folds 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 - ANS- a cephalhematoma, caused by forceps trauma and may last up to 8 weeks A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant? - ANS- Meet the mother's physical needs and demonstrate warmth toward the infant 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 complaint would indicate to the nurse that the woman's fallopian tubes are patent? - ANS- Shoulder pain Which nursing intervention would be most helpful in relieving postpartum uterine contractions or "afterpains?" - ANS- Lying prone with a pillow on the abdomen Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time? - ANS- Her arms and hands receive the infant and she then traces the infant's profile with her fingertips On admission to the prenatal clinic, a 23 year old woman tells the nurse that her last menstrual period began on February test is positive. This client's expected date of delivery (EDD) would be - ANS- November 22 The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36 day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period will be - ANS- January 30-31 A client at 32 weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and magnesium sulfate is prescribed to control the systems. Which assessment finding would indicate that therapeutic drug level has been achieved? - ANS- A decrease in respiratory rate from 24 to 16 Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action will the nurse take? - ANS- Place the woman in a lateral position A client at 28 weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide? - ANS- Come to the clinic today for an ultrasound A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to provide this client? - ANS- "Complete bedrest decreases oxygen needs and demands on the heart muscle tissue." The nurse is teaching care of the newborn to a group of prospective parents and describes the need of administering antibiotics ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant? - ANS- Gonorrhea A newborn infant is brought to the nursery from the birthing suite. The nurse notices that the infant is breathing satisfactory but appears ducky. What action should the nurse take first? - ANS- Check the infant's oxygen saturation rate The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception? - ANS- Between the time the temperature falls and rises. A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most important for the nurse to provide this client? - ANS- Take prescribed multivitamin and mineral supplements...