MATERNAL-CHILD HESI REVIEW
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA2patientA2withA2gestationalA2diabetes-A2whatA2wouldA2beA2aA2goalA2?A2-A2Ans--
PreventingA2anA2LGAA2infant
TheA2dayA2afterA2deliveryA2theA2motherA2hasA2aA2WBCA2ofA215,000.A2WhatA2wouldA2youA2
doA2?A2-A2Ans--Nothing,A2thisA2isA2normal.A2
ExpectedA2toA2beA225,000A2afterA2birth.
WhereA2doA2youA2placeA2theA2heatA2probeA2inA2theA2infantsA2bodyA2whileA2theyA2areA2inA2a
nA2overheadA2warmer?A2-A2Ans--OnA2theA2abdomen,A2NEVERA2OVERA2BONE
AnA2ultrasoundA2atA218-20A2weeksA2isA2generallyA2doneA2forA2whatA2reasonA2?A2-A2Ans--
AtA220A2weeksA2ultrasoundA2isA2doneA2toA2determineA2fetalA2growthA2andA2gestationalA2ag
e
YouA2admitA2aA2motherA2toA2theA2unitA2whoA2hasA2activeA2herpesA2lesions;A2sheA2delivere
dA2herA2infantA2inA2theA2cabA2onA2theA2wayA2toA2theA2hospital.A2WhatA2wouldA2youA2doA2firs
tA2whenA2admittingA2theA2infantA2toA2theA2nursery?A2-A2Ans--IsolateA2infantA2fromA2others
WhatA2isA2theA2bestA2indicationA2thatA2aA2womenA2reallyA2isA2pregnantA2?A2-A2Ans--
Hegar'sA2Sign-A2softeningA2ofA2theA2uterus
YouA2justA2assistedA2withA2theA2adminA2ofA2anA2epidural.A2WhatA2isA2yourA2nextA2priorityA2f
orA2theA2patient?A2-A2Ans--BloodA2pressure
YourA2patientA2isA2admittedA2atA232A2weeksA2gestationA2andA2bleedingA2withA2lowA2bloodA2
pressure,A2sweating,A2andA2highA2respirations.A2WhatA2doA2youA2thinkA2wouldA2beA2aA2pri
orityA2forA2thisA2patient?A2-A2Ans--StartA2IVA2fluidsA2forA2volumeA2expansion:A2LR,A2NSS
AnA2infantA2isA2fourA2hoursA2oldA2andA2nowA2developsA2jitterinessA2andA2unstableA2vitals.A2
WhatA2mightA2youA2doA2first?A2-A2Ans--CheckA2theA2bloodA2glucose
WhenA2doesA2theA2breastfeedingA2motherA2usuallyA2seeA2herA2periodA2returnA2afterA2givin
gA2birth?A2-A2Ans--DedicatedA2breast-
feedingA2mothersA2mayA2haveA2upA2toA212A2weeksA2andA2moreA2beforeA2startingA2theirA2p
eriodA2butA2theyA2canA2stillA2beA2ovulatingA2soA2theyA2canA2stillA2getA2pregnant.
43A2weeksA2gestationA2womanA2isA2inA2theA2officeA2andA2herA2fundalA2heightA2measuresA2
onlyA230cm.A2IsA2thisA2aA2problem?A2-A2Ans--
ThisA2infantA2isA2veryA2small,A2IUGR,A2becauseA2theA2fundalA2heightA2shouldA2beA2theA2sa
meA2asA2theA2gestationalA2weekA2afterA2sheA2reachesA220A2weeks.
, G7/
P5A2admittedA2stressA232A2weeksA2forA2wakingA2upA2inA2aA2poolA2ofA2blood.A2She'sA2notA2i
nA2anyA2pain,A2isA2FHRA2isA2120A2withA2minimalA2variability.A2WhatA2shouldA2youA2doA2first
A2toA2theA2mother?A2-A2Ans--CheckA2BP
WhatA2wouldA2youA2doA2ifA2oneA2ofA2yourA2patientsA2wasA2aA2Jehovah'sA2WitnessA2andA2w
asA2admittedA2toA2yourA2ICUA2withA2postpartumA2hemorrhage?A2-A2Ans--
ClarifyA2theA2ptA2wishesA2toA2notA2receiveA2blood
WhatA2isA2yourA2bestA2diagnosticA2testA2toA2doA2ifA2aA235A2yrA2oldA2pregnantA2womanA2isA2
worriedA2aboutA2herA210A2weekA2oldA2fetusA2havingA2DownA2Syndrome?A2-A2Ans--
ChorionicA2villusA2samplingA2atA212A2weeksA2becauseA2itA2canA2beA2doneA2veryA2earlyA2an
dA2isA2moreA2definitiveA2forA2diagnosingA2downs
WhatA2isA2anA2easyA2deepA2tendonA2reflexA2toA2check?A2-A2Ans--TheA2patellarA2reflex
NameA2someA2waysA2toA2helpA2withA2theA2discomfortA2ofA2breastA2engorgementA2-A2Ans--
KeepA2onA2aA2goodA2supportA2braA2atA2allA2times
useA2NSAIDSA2forA2pain,A2
useA2iceA2packsA2orA2warmA2shower,A2
useA2greenA2cabbageA2leavesA2thatA2areA2cooledA2toA2placeA2onA2insideA2yourA2braA2orA2bi
nding,A2
handA2expressionA2orA2pumping,A2
acupressureA2and/orA2acupuncture
AA2multigravidaA2clientA2inA2laborA2isA2receivingA2oxytocinA2(Pitocin)A24A2mu/
minuteA2toA2helpA2promoteA2anA2affectiveA2contractionA2pattern.A2TheA2availableA2solution
A2isA2LRA21000A2mLA2withA2PitocinA220A2units.A2theA2nurseA2shouldA2programA2theA2pumpA
2toA2deliverA2howA2manyA2ML'sA2perA2hourA2-A2Ans--12A2mL/A2hr
WhatA2isA2ilotycin?
WhyA2isA2thisA2usedA2onA2newbornA2infantA2?A2-A2Ans--
ErythromycinA2ophthalmicA2ointmentA2
UsedA2toA2preventA2ophthalmiaA2neonatorumA2causedA2byA2STD;A2chlamydiaA2andA2gono
rrhea
AA2multiparousA2clientA2atA238A2weeksA2gestationA2isA2admittedA2toA2laborA2andA2deliveryA
2withA2aA2complaintA2ofA2contractionsA2fiveA2minutesA2apart.A2whileA2theA2clientA2isA2inA2the
A2bathroomA2changingA2intoA2aA2hospitalA2gownA2youA2hearA2aA2babyA2crying.A2WhatA2acti
onA2toA2theA2nurseA2takeA2first?A2-A2Ans--
PushA2theA2callA2lightA2forA2help,A2andA2thenA2goA2toA2theA2bathroomA2toA2assist.
AA2clientA2whoseA2laborA2isA2beingA2augmentedA2withA2anA2oxytocinA2infusionA2asksA2forA2
anA2epiduralA2forA2painA2control.A2FindingsA2ofA2theA2lastA2vaginalA2examA2wereA2performe
dA2anA2hourA2ago;A2theyA2wereA23A2cmA2cervicalA2dilated,A260%A2effaced,A2andA2-
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA2patientA2withA2gestationalA2diabetes-A2whatA2wouldA2beA2aA2goalA2?A2-A2Ans--
PreventingA2anA2LGAA2infant
TheA2dayA2afterA2deliveryA2theA2motherA2hasA2aA2WBCA2ofA215,000.A2WhatA2wouldA2youA2
doA2?A2-A2Ans--Nothing,A2thisA2isA2normal.A2
ExpectedA2toA2beA225,000A2afterA2birth.
WhereA2doA2youA2placeA2theA2heatA2probeA2inA2theA2infantsA2bodyA2whileA2theyA2areA2inA2a
nA2overheadA2warmer?A2-A2Ans--OnA2theA2abdomen,A2NEVERA2OVERA2BONE
AnA2ultrasoundA2atA218-20A2weeksA2isA2generallyA2doneA2forA2whatA2reasonA2?A2-A2Ans--
AtA220A2weeksA2ultrasoundA2isA2doneA2toA2determineA2fetalA2growthA2andA2gestationalA2ag
e
YouA2admitA2aA2motherA2toA2theA2unitA2whoA2hasA2activeA2herpesA2lesions;A2sheA2delivere
dA2herA2infantA2inA2theA2cabA2onA2theA2wayA2toA2theA2hospital.A2WhatA2wouldA2youA2doA2firs
tA2whenA2admittingA2theA2infantA2toA2theA2nursery?A2-A2Ans--IsolateA2infantA2fromA2others
WhatA2isA2theA2bestA2indicationA2thatA2aA2womenA2reallyA2isA2pregnantA2?A2-A2Ans--
Hegar'sA2Sign-A2softeningA2ofA2theA2uterus
YouA2justA2assistedA2withA2theA2adminA2ofA2anA2epidural.A2WhatA2isA2yourA2nextA2priorityA2f
orA2theA2patient?A2-A2Ans--BloodA2pressure
YourA2patientA2isA2admittedA2atA232A2weeksA2gestationA2andA2bleedingA2withA2lowA2bloodA2
pressure,A2sweating,A2andA2highA2respirations.A2WhatA2doA2youA2thinkA2wouldA2beA2aA2pri
orityA2forA2thisA2patient?A2-A2Ans--StartA2IVA2fluidsA2forA2volumeA2expansion:A2LR,A2NSS
AnA2infantA2isA2fourA2hoursA2oldA2andA2nowA2developsA2jitterinessA2andA2unstableA2vitals.A2
WhatA2mightA2youA2doA2first?A2-A2Ans--CheckA2theA2bloodA2glucose
WhenA2doesA2theA2breastfeedingA2motherA2usuallyA2seeA2herA2periodA2returnA2afterA2givin
gA2birth?A2-A2Ans--DedicatedA2breast-
feedingA2mothersA2mayA2haveA2upA2toA212A2weeksA2andA2moreA2beforeA2startingA2theirA2p
eriodA2butA2theyA2canA2stillA2beA2ovulatingA2soA2theyA2canA2stillA2getA2pregnant.
43A2weeksA2gestationA2womanA2isA2inA2theA2officeA2andA2herA2fundalA2heightA2measuresA2
onlyA230cm.A2IsA2thisA2aA2problem?A2-A2Ans--
ThisA2infantA2isA2veryA2small,A2IUGR,A2becauseA2theA2fundalA2heightA2shouldA2beA2theA2sa
meA2asA2theA2gestationalA2weekA2afterA2sheA2reachesA220A2weeks.
, G7/
P5A2admittedA2stressA232A2weeksA2forA2wakingA2upA2inA2aA2poolA2ofA2blood.A2She'sA2notA2i
nA2anyA2pain,A2isA2FHRA2isA2120A2withA2minimalA2variability.A2WhatA2shouldA2youA2doA2first
A2toA2theA2mother?A2-A2Ans--CheckA2BP
WhatA2wouldA2youA2doA2ifA2oneA2ofA2yourA2patientsA2wasA2aA2Jehovah'sA2WitnessA2andA2w
asA2admittedA2toA2yourA2ICUA2withA2postpartumA2hemorrhage?A2-A2Ans--
ClarifyA2theA2ptA2wishesA2toA2notA2receiveA2blood
WhatA2isA2yourA2bestA2diagnosticA2testA2toA2doA2ifA2aA235A2yrA2oldA2pregnantA2womanA2isA2
worriedA2aboutA2herA210A2weekA2oldA2fetusA2havingA2DownA2Syndrome?A2-A2Ans--
ChorionicA2villusA2samplingA2atA212A2weeksA2becauseA2itA2canA2beA2doneA2veryA2earlyA2an
dA2isA2moreA2definitiveA2forA2diagnosingA2downs
WhatA2isA2anA2easyA2deepA2tendonA2reflexA2toA2check?A2-A2Ans--TheA2patellarA2reflex
NameA2someA2waysA2toA2helpA2withA2theA2discomfortA2ofA2breastA2engorgementA2-A2Ans--
KeepA2onA2aA2goodA2supportA2braA2atA2allA2times
useA2NSAIDSA2forA2pain,A2
useA2iceA2packsA2orA2warmA2shower,A2
useA2greenA2cabbageA2leavesA2thatA2areA2cooledA2toA2placeA2onA2insideA2yourA2braA2orA2bi
nding,A2
handA2expressionA2orA2pumping,A2
acupressureA2and/orA2acupuncture
AA2multigravidaA2clientA2inA2laborA2isA2receivingA2oxytocinA2(Pitocin)A24A2mu/
minuteA2toA2helpA2promoteA2anA2affectiveA2contractionA2pattern.A2TheA2availableA2solution
A2isA2LRA21000A2mLA2withA2PitocinA220A2units.A2theA2nurseA2shouldA2programA2theA2pumpA
2toA2deliverA2howA2manyA2ML'sA2perA2hourA2-A2Ans--12A2mL/A2hr
WhatA2isA2ilotycin?
WhyA2isA2thisA2usedA2onA2newbornA2infantA2?A2-A2Ans--
ErythromycinA2ophthalmicA2ointmentA2
UsedA2toA2preventA2ophthalmiaA2neonatorumA2causedA2byA2STD;A2chlamydiaA2andA2gono
rrhea
AA2multiparousA2clientA2atA238A2weeksA2gestationA2isA2admittedA2toA2laborA2andA2deliveryA
2withA2aA2complaintA2ofA2contractionsA2fiveA2minutesA2apart.A2whileA2theA2clientA2isA2inA2the
A2bathroomA2changingA2intoA2aA2hospitalA2gownA2youA2hearA2aA2babyA2crying.A2WhatA2acti
onA2toA2theA2nurseA2takeA2first?A2-A2Ans--
PushA2theA2callA2lightA2forA2help,A2andA2thenA2goA2toA2theA2bathroomA2toA2assist.
AA2clientA2whoseA2laborA2isA2beingA2augmentedA2withA2anA2oxytocinA2infusionA2asksA2forA2
anA2epiduralA2forA2painA2control.A2FindingsA2ofA2theA2lastA2vaginalA2examA2wereA2performe
dA2anA2hourA2ago;A2theyA2wereA23A2cmA2cervicalA2dilated,A260%A2effaced,A2andA2-