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HESI DE MATERNITY LAS PREGUNTAS A 1-A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the muse perform fi ...

HESI DE MATERNITY LAS PREGUNTAS A 1-A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the muse perform first? A- Massage the fundus and give an oxytocic agent B-Collect specimen for hemoglobin and hematocrit C-Place the infant to breast for bonding D- Inspect the perineum for lacerations 2-A primigravida client asks the nurse about exercising during pregnancy to help her prepare for labor Which recommendation should the nurse provide? A-Limit exercise to brisk walking during pregnancy B-Stretching exercises are good preparation for labor C- Leg lifts will help to strengthen abdominal muscles D-Avoid weight-bearing exercises until the postpartum period 3- the father of a 3-day old infant who is breast feeding calls the postpartum help to report that his wife is acting strangely She is irritable , can the baby and frequently cries for no apparent reason What information is most important for the nurse to provide this father? A- A fluctuation in hormones in the early postpartum period can cause mood changes B-Contact the clinic if the behaviors continue for more than two weeks or become worse C-Tell the father to count the newborn's number of soiled diapers over the next few days D- Recommend giving supplemental bottle Seedings to the baby between breast feeding 4- a client at 32 weeks gestation presents with extreme abdominal tenderness and a small amount of bright red vaginal bleeding Her blood pressure is respiratory rate is 24 breath / minute and her heart rate is 116 breast/ minutes he is dizzy with cold clammy skin priority? A-Type and cross match for 4 units of whole blood B-Lactated Ringer's at 200 mi/hr. using an 18-gauge needle C-Monitor oxygen saturation rate per pulse oximeter D-insert a Foley catheter HESI DE MATERNITY LAS PREGUNTAS A 5- A primipara presents to the perinatal unit describing rupture of the membranes (ROM) occurring 12 hours prior to coming to the hospital is begun and 8 hours later the client's contractions are irregular and mild Based on these data, the nurse plans to monitor which sign for the average laboring client A-Maternal blood pressure B-Color of amniotic fluid C-Deep tendon reflexes D- Maternal temperature 6- Vaginal prostaglandin gel is used to induce labor for a woman who is at 42-weeks’ gestation Thirty minutes after insertion of the gel, the client complain vaginal warmth, and is experiencing 90 second contractions with fetal heart rate decelerations What action should the nurse implement first? A- Assess the maternal vital signs B- A Increase the IV infusion rate. C- Notify the healthcare provider D-Tum to a side-lying position 7-Cient at 35 weeks’ gestation complains of a "pan whenever the baby moves on assessment, the nurse notes the client's temperature to 101.2 F(38.4) with severe abdominal or uterine tenderness on palpation the nurse knows that these findings are indicative of which condition? A- Abruptio placenta B- Chorioamniondis C-Round ligament strain D-Viral infection 8- A woman who is 38 weeks’ gestation is receiving magnesium sulfate for severe preeclampsia Which assessment finding warrants immediate intervention by the nurse A- dizziness when standing B-Absent patellar reflexes C-Sinus tachycardia D- Lower back pain HESI DE MATERNITY LAS PREGUNTAS A 9- The current vital signs for a primipara who delivered vaginally during the previous shift are temperature 100 4 F (38 C) heart rate 58 beats minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg What action should the nurse implement? A- Report heart rate to healthcare provider B- Document the vital signs in the record C- Assess perineum for excessive lochia D- Administer a PRN dine of acetaminophen 10- a laboring client with gestational diabetes is receiving an IV infusion with regular insulin at 5 units/hour The IV solution contains 100 units of regular insulin in 250ml of 0.9 % normal saline the nurse should program the infusion pump to deliver how many ml/hours (enter numeric only if rounding is required round to the nearest tenth) R/12.5 11- Twelve hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure the nurse determine the fundus is firm and at midline, with moderate, rubra lochia Which action should the nurse take? A- Inspect client's perineal and rectal areas B- Apply a fresh pad and check in an hour C- Check the suprapubic area for distention D- Instruct the client to take a warm sitz bath 12-A 30-year old primigravida delivers a 9-pound infant vaginally after a 30-hour labor What is the priority nursing action for third A-Gently massage fundus every 4 hours B-Encourage direct contact with the infant C-Assess the blood pressure for hypertension D-Observe for signs of uterine hemorrhage 13- Twelve hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure the nurse determines the fundus is farm and at midline with moderate rubra lochia Which action should the nurse take? A- Inspect clients perineal and rectal area B-Apply a fresh pat and check in one hour C-Check the suprapubic area for distention D- instruct the client to take a warm sitz bath 14-The nurse is teaching a client who has gestational diabetes how to self-inject the prescribed daily insulin doses Based on her religious belief the client explains that she HESI DE MATERNITY LAS PREGUNTAS A must abstain from all food and drink during the daylight hours for the next several weeks because it is a holy month What intervention should the nurse implement for this client? A-Collaborate with the healthcare provider to design an alternative insulin schedule- B-Teach the client to monitor blood glucose and to report any results that are too high C-Obtain a medical dispensation from the client’s spatula leader D-Explain the complications of gestational diabetes and necessity of taking insulin 15 A woman who is 38- weeks’ gestation is receiving magnesium sulfate preeclampsia Which assessment finding warrants immediate intervention by the nurse? A- Sinus tachycardia B-Dizziness when standing C-Lower back pain D=Absent patellar reflexes 16- A mother spontaneously delivers har newborn infant in the taxi cab wile on the way to the hospital the emergency room reports that the mother has active herpes (HSV ) lesions on the vulva Which intervention should the nurse implement first when admitting the neonate to the nursery? A- Document the temperature and the flow sheet B-Obtain blood specimen for serum glucose level C-Place the newborn in the isolation area of the nursery D-Administer the Vitamin K injection. 17- The nurse is teaching a client who has gestational diabetes how to sell inject the prescribed Daly issuing doses Based on her religious beliefs the client explains that she must abstain from all food and drink during the daylight hours for the next several weeks because it is a holy month What intervention should the nurse implement for this client? A-Obtain a medical depensation from the client’s spatula leader B-Explain the complications of gestational diabetes and necessity of taking insulin C-Teach the client to monitor blood glucose and to report any results that are too high D-Collaborate with the healthcare provider to design an alternative insulin schedule A PARTIR DE AQUI SON LAS OTRAS QUE SALIERON PERO NO SE CIUAL BATERIA SON 1-. When performing the daily head to toe assessment of a 1-day old newborn, the nurse observes a yellow tint to the skin on the forehead, sternum, and abdomen, what action should the nurse take? A=Measure bilirubin levels using transcutaneous bilirubinometers. ( salio) HESI DE MATERNITY LAS PREGUNTAS A b. Review maternal medical records for blood type and Rh factor. c. Evaluate cord blood Comb’s test results d. Prepare the newborn for phototherapy 2- During a routine health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage? a. Scan the bladder for urinary retention b. Test the fluid with a nitrazine strip (salio) c. Palpate suprapubic area for fetal head position d. Insert straight urinary catheter for drain bladder 3- The father of a 3-day-old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no apparent reason. What information is most important for the nurse to provide this father? a. Tell the father to count the newborn’s number of soiled diapers over the next few days. b. Recommend giving supplemental bottle feeding to the baby between breast feeding. c. A fluctuation in hormones in the early postpartum period can cause mood changes d. Contact the clinic if the behavior continues for more than two weeks or becomes worst (salio) 4- Using the Ballard Gestational Age Assessment Tool, the nurse determines that a 15-minute old infant has gestational age of 42-weeks. Based on this finding, which intervention is most important for the nurse to implement? a. Draw arterial blood gases b. Obtain a capillary blood glucose(salio) c. Apply a pulse oximeter to the foot d. Provide blow by oxygen HESI DE MATERNITY LAS PREGUNTAS A