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,MATERNITY HESI
TEST BANK
, Maternity HESI Test Bank
• 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 wouldbe 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 thepelvic
veins and increase venous return.
• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestationin
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".
• What does a diaphragmatic hernia looklike?
Scaphoid abdomen and anorexia
• 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?
There's a strong, tough membrane there to protect the baby so you need not beafraid to
wash or comb his/her hair.
• A client who is attending antepartum classes asks the nurse why her healthcareprovider
Med C
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• AH28-year-
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eHimplement?
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H
xaminationHrevealsHthatHherHcervixHisHclosed,Hthick,HandHhigh.HBasedHonHtheseHdata,HwhichHi
nterventionHshouldHtheHnurseHimplementHfirst?
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ityH andH contractionsH areH oftenH sufferingH fromH aH urinaryH tractH infection,HandH this