Mother Baby Hesi - #1 QUESTIONS
WITH CORRECT ANSWERS
Tachycardia and a feeling of nervousness. - ANS ✔✔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 (Bertine) 0.25 mg subcutaneously to stop her labor contractions. The nurse
plans to monitor for which primary side effect of terbutaline sulfate?
Depressed reflexes and increased respirations. A flushed, warm feeling and a dry mouth. - ANS
✔✔side effects of magnesium sulfate
stimulates beta- adrenergic receptors in the uterine muscle to stop contractions - ANS
✔✔Terbutaline sulfate (Bertine), a beta-sympathomimetic drug,
Tachycardia and a feeling of nervousness. - ANS ✔✔primary side effect. Terbutaline sulfate
(Brethine), a
Drowsiness and bradycardia. - ANS ✔✔secondary side effect of Terbutaline sulfate (Brethine), a
Observe the mother for other attachment behaviors. - ANS ✔✔The nurse observes a new
mother avoiding eye contact with her newborn. Which action should the nurse take?
Observe the mother for other attachment behaviors. helps the nurse determine problems in
attachment.
,Ask the mother why she won't look at the infant may cause undue confusion, stress, or impact
the mother's self-confidence. - ANS ✔✔To assess for other attachment behaviors, continued
observation of the new mother's interactions with her infant
Changes in apical heart rate from the 180s to the 140s. - ANS ✔✔A 4-week-old premature
infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase
in RBCs. Since the body has not had to compensate for anemia with an increased heart rate,
changes in heart rate from high to normal - ANS ✔✔Epogen
Respiratory rate should decrease rather than increase - ANS ✔✔Epogen and RR
is not related to Epogen - ANS ✔✔Epogen and urinary output
is usually related to resolution of hyperbilirubinemia, treated with phototherapy or increased
oral intake in the infant. - ANS ✔✔Epogen and bilirubin
Date of last normal menstrual period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal
heart pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and
administer corticosteroids to mature the lungs of the fetus. - ANS ✔✔A client with no prenatal
care arrives at the labor unit screaming, "The baby is coming!" The nurse performs a vaginal
examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What additional
information is most important for the nurse to obtain?
Regression in behaviors in the older child is a typical reaction so he needs attention at this time.
- ANS ✔✔A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
, ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the
nurse respond?
a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), 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 - ANS ✔✔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
Correctly place the infant on the breast. - ANS ✔✔A mother who is breastfeeding her baby
receives instructions from the nurse. Which instruction is most effective to prevent nipple
soreness?
A. Admission weight of 4 pounds, 15 ounces (2244 grams). B. Head to heel length of 17 inches
(42.5 cm). C. Frontal occipital circumference of 12.5 inches (31.25 cm). - ANS ✔✔The nurse is
performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40-weeks. What findings should the nurse identify to
determine if the neonate is small for gestational age (SGA)? (Select all that apply.)
should fall between the measurement ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-35 cm). -
ANS ✔✔appropriate for gestational age (AGA) newborn
Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces. - ANS ✔✔SGA neonate's parameters
Full flexion of all extremities in resting supine position. - ANS ✔✔riteria for physical maturity
score Ballard (Dubowitz) scale.
WITH CORRECT ANSWERS
Tachycardia and a feeling of nervousness. - ANS ✔✔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 (Bertine) 0.25 mg subcutaneously to stop her labor contractions. The nurse
plans to monitor for which primary side effect of terbutaline sulfate?
Depressed reflexes and increased respirations. A flushed, warm feeling and a dry mouth. - ANS
✔✔side effects of magnesium sulfate
stimulates beta- adrenergic receptors in the uterine muscle to stop contractions - ANS
✔✔Terbutaline sulfate (Bertine), a beta-sympathomimetic drug,
Tachycardia and a feeling of nervousness. - ANS ✔✔primary side effect. Terbutaline sulfate
(Brethine), a
Drowsiness and bradycardia. - ANS ✔✔secondary side effect of Terbutaline sulfate (Brethine), a
Observe the mother for other attachment behaviors. - ANS ✔✔The nurse observes a new
mother avoiding eye contact with her newborn. Which action should the nurse take?
Observe the mother for other attachment behaviors. helps the nurse determine problems in
attachment.
,Ask the mother why she won't look at the infant may cause undue confusion, stress, or impact
the mother's self-confidence. - ANS ✔✔To assess for other attachment behaviors, continued
observation of the new mother's interactions with her infant
Changes in apical heart rate from the 180s to the 140s. - ANS ✔✔A 4-week-old premature
infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase
in RBCs. Since the body has not had to compensate for anemia with an increased heart rate,
changes in heart rate from high to normal - ANS ✔✔Epogen
Respiratory rate should decrease rather than increase - ANS ✔✔Epogen and RR
is not related to Epogen - ANS ✔✔Epogen and urinary output
is usually related to resolution of hyperbilirubinemia, treated with phototherapy or increased
oral intake in the infant. - ANS ✔✔Epogen and bilirubin
Date of last normal menstrual period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal
heart pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and
administer corticosteroids to mature the lungs of the fetus. - ANS ✔✔A client with no prenatal
care arrives at the labor unit screaming, "The baby is coming!" The nurse performs a vaginal
examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What additional
information is most important for the nurse to obtain?
Regression in behaviors in the older child is a typical reaction so he needs attention at this time.
- ANS ✔✔A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
, ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get home." How should the
nurse respond?
a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), 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 - ANS ✔✔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
Correctly place the infant on the breast. - ANS ✔✔A mother who is breastfeeding her baby
receives instructions from the nurse. Which instruction is most effective to prevent nipple
soreness?
A. Admission weight of 4 pounds, 15 ounces (2244 grams). B. Head to heel length of 17 inches
(42.5 cm). C. Frontal occipital circumference of 12.5 inches (31.25 cm). - ANS ✔✔The nurse is
performing a gestational age assessment on a full-term newborn during the first hour of
transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines
that the neonate has a maturity rating of 40-weeks. What findings should the nurse identify to
determine if the neonate is small for gestational age (SGA)? (Select all that apply.)
should fall between the measurement ranges of weight, 6-9
pounds (2700-4000 grams);; length, 19-21 inches (48-53 cm);; FOC, 13-14 inches (33-35 cm). -
ANS ✔✔appropriate for gestational age (AGA) newborn
Skin smooth with visible veins and abundant vernix.
E. Anterior plantar crease and smooth heel surfaces. - ANS ✔✔SGA neonate's parameters
Full flexion of all extremities in resting supine position. - ANS ✔✔riteria for physical maturity
score Ballard (Dubowitz) scale.
