HESI PRACTICE MATERNITY V1 QUESTIONS AND CORRECT VERIFIED ANSWERS

HESI PRACTICE MATERNITY V1
QUESTIONS AND CORRECT VERIFIED
ANSWERS
1.A2AA2clientA2hasA2obtainedA2PlanA2BA2(levonorgestrelA20.75A2mg,A22A2tablets)A2asA2emer
gency
contraception.A2AfterA2unprotectedA2intercourse,A2theA2clientA2callsA2theA2clinicA2toA2askA2
questions
aboutA2takingA2theA2contraceptives.A2TheA2nurseA2realizesA2theA2clientA2needsA2furtherA2e
xplanation
whenA2sheA2makesA2whichA2ofA2theA2followingA2responses?
1.A2"IA2canA2waitA23A2toA24A2daysA2afterA2intercourseA2toA2startA2takingA2theseA2toA2prevent
pregnancy."
2.A2"MyA2boyfriendA2canA2buyA2PlanA2BA2fromA2theA2pharmacyA2ifA2heA2isA2overA218A2years
A2old."
3.A2"TheA2birthA2controlA2worksA2byA2preventingA2ovulationA2orA2fertilizationA2ofA2theA2egg."
4.A2"IA2mayA2feelA2nauseatedA2andA2haveA2breastA2tendernessA2orA2aA2headacheA2afterA2u
singA2the
contraceptive."A2-A2Ans--
1.A2PlanA2BA2isA2aA2seriesA2ofA2contraceptiveA2pillsA2similarA2inA2compositionA2toA2birthA2co
ntrol
pillsA2thatA2haveA2beenA2usedA2forA2theA2pastA230A2years.A2PlanA2BA2isA2theA2brandA2name
A2for
levonorgestrelA20.75A2mg.A2PillsA2areA2mostA2effectiveA2ifA2takenA2immediatelyA2afterA2unp
rotected
intercourseA2andA2thenA2againA212A2hoursA2later.A2MalesA2canA2purchaseA2thisA2contrace
ptiveA2asA2long
asA2theyA2areA2overA218A2yearsA2ofA2age.A2CommonA2sideA2effectsA2includeA2nausea,A2bre
ast
tenderness,A2vertigo,A2andA2stomachA2pain.
CN:A2PhysiologicalA2adaptation;A2CL:A2Evaluate

2.A2AnA2antenatalA2GA22,A2TA21,A2PA20,A2AbA20,A2LA21A2clientA2isA2discussingA2herA2postpart
umA2plans
forA2birthA2controlA2withA2herA2healthA2careA2provider.A2InA2analyzingA2theA2availableA2choi
ces,A2which
ofA2theA2followingA2factorsA2hasA2theA2greatestA2impactA2onA2herA2birthA2controlA2options?
1.A2SatisfactionA2withA2priorA2methods.
2.A2PreferenceA2ofA2sexualA2partner.
3.A2Breast-A2orA2bottle-feedingA2plan.
4.A2DesireA2forA2anotherA2childA2inA22A2years.A2-A2Ans--
3.A2BirthA2controlA2plansA2areA2influencedA2primarilyA2byA2whetherA2theA2motherA2isA2breas
t-A2or

,bottle-
feedingA2herA2infant.A2TheA2maternalA2milkA2supplyA2mustA2beA2wellA2establishedA2priorA2t
oA2the
initiationA2ofA2mostA2hormonalA2birthA2controlA2methods.A2Low-
doseA2oralA2contraceptivesA2would
beA2theA2exception.A2UseA2ofA2estrogen-/progesterone-basedA2pillsA2andA2progesterone-
onlyA2pills
areA2commonlyA2initiatedA2fromA24A2toA26A2weeksA2postpartumA2becauseA2theA2milkA2supp
lyA2isA2well
establishedA2byA2thisA2time.A2PriorA2experiencesA2withA2birthA2controlA2methodsA2haveA2a
nA2impactA2on
theA2methodA2chosenA2asA2doA2theA2preferencesA2ofA2theA2client'sA2partner;A2however,A2th
eyA2areA2notA2the
mostA2influentialA2factors.A2DesireA2toA2haveA2anotherA2childA2inA2twoA2yearsA2wouldA2mak
eA2some
methods,A2suchA2asA2anA2IUD,A2lessA2attractiveA2butA2wouldA2stillA2beA2secondaryA2toA2the
A2choiceA2to
breast-feed.
CN:A2PharmacologicalA2andA2parenteralA2therapies;A2CL:A2Analyze

3.A2AfterA2theA2nurseA2instructsA2aA220-year-
oldA2nulligravidA2clientA2onA2howA2toA2performA2a
breastA2self-
examination,A2whichA2ofA2theA2followingA2clientA2statementsA2indicatesA2thatA2the
teachingA2hasA2beenA2successful?
1.A2"IA2shouldA2performA2breastA2self-
examinationA2onA2theA2dayA2myA2menstrualA2flowA2begins."
2.A2"It'sA2importantA2thatA2IA2performA2breastA2self-
examinationA2onA2theA2sameA2dayA2each
month."
3.A2"IfA2IA2noticeA2thatA2oneA2ofA2myA2breastsA2isA2muchA2smallerA2thanA2theA2other,A2IA2sh
ouldn't
worry."
4.A2"IfA2thereA2isA2dischargeA2fromA2myA2nipples,A2IA2shouldA2callA2myA2healthA2careA2provi
der."A2-A2Ans--
4.A2TheA2nurseA2determinesA2thatA2theA2clientA2hasA2understoodA2theA2instructionsA2when
A2the
clientA2saysA2thatA2sheA2willA2notifyA2herA2primaryA2healthA2careA2providerA2ifA2sheA2notice
sA2discharge
orA2bleedingA2becauseA2thisA2mayA2beA2symptomaticA2ofA2underlyingA2disease.A2Ideally,A2
breastA2selfexamination
shouldA2beA2performedA2aboutA21A2weekA2afterA2theA2onsetA2ofA2mensesA2because
hormonalA2influencesA2onA2breastA2tissueA2areA2atA2aA2lowA2ebbA2atA2thisA2time.A2TheA2clie
ntA2should
performA2breastA2self-
examinationA2onA2theA2sameA2dayA2eachA2monthA2onlyA2ifA2sheA2hasA2stopped

, menstruatingA2(asA2withA2menopause).A2TheA2client'sA2breastsA2shouldA2mirrorA2eachA2ot
her.A2IfA2one
breastA2isA2significantlyA2largerA2thanA2theA2other,A2orA2ifA2thereA2isA2"pitting"A2ofA2breastA2ti
ssue,A2a
tumorA2mayA2beA2present.
CN:A2ReductionA2ofA2riskA2potential;A2CL:A2Evaluate

4.A2WhichA2ofA2theA2followingA2wouldA2beA2importantA2toA2includeA2inA2theA2teachingA2plan
A2forA2the
clientA2whoA2wantsA2moreA2informationA2onA2ovulationA2andA2fertilityA2management?
1.A2TheA2ovumA2survivesA2forA296A2hoursA2afterA2ovulation,A2makingA2conceptionA2possibl
e
duringA2thisA2time.
2.A2TheA2basalA2bodyA2temperatureA2fallsA2atA2leastA20.2°FA2(0.17°C)A2afterA2ovulationA2h
as
occurred.
3.A2OvulationA2usuallyA2occursA2onA2dayA214,A2plusA2orA2minusA22A2days,A2beforeA2theA2on
setA2ofA2the
nextA2menstrualA2cycle.
4.A2MostA2womenA2canA2tellA2theyA2haveA2ovulatedA2becauseA2ofA2severeA2painA2andA2thic
k,A2scant
cervicalA2mucus.A2-A2Ans--
3.A2ForA2aA2clientA2withA2aA2typicalA2menstrualA2cycleA2ofA228A2days,A2ovulationA2usuallyA2
occurs
onA2dayA214,A2plusA2orA2minusA22A2days,A2beforeA2theA2onsetA2ofA2theA2nextA2menstrualA2c
ycle.A2Stated
anotherA2way,A2theA2menstrualA2periodA2beginsA2aboutA22A2weeksA2afterA2ovulationA2hasA
2occurred.
OvulationA2doesA2notA2usuallyA2occurA2duringA2theA2mensesA2componentA2ofA2theA2cycleA
2whenA2the
uterineA2liningA2isA2beingA2shed.A2InA2mostA2women,A2theA2ovumA2survivesA2forA2aboutA21
2A2toA224A2hours
afterA2ovulation,A2duringA2whichA2timeA2conceptionA2isA2possible.A2TheA2basalA2bodyA2tem
perature
risesA20.5°FA2toA21.0°FA2(0.28°CA2toA20.56°C)A2whenA2ovulationA2occurs.A2AlthoughA2som
eA2women
experienceA2someA2pelvicA2discomfortA2duringA2ovulationA2(mittelschmerz),A2severeA2orA2
unusual
painA2isA2rare.A2AfterA2ovulation,A2theA2cervicalA2mucusA2isA2thinA2andA2copious.
CN:A2HealthA2promotionA2andA2maintenance;A2CL:A2Create

5.A2WhichA2ofA2theA2followingA2instructionsA2aboutA2activitiesA2duringA2menstruationA2woul
d
theA2nurseA2includeA2whenA2counselingA2anA2adolescentA2whoA2hasA2justA2begunA2toA2me
nstruate?
1.A2TakeA2aA2mildA2analgesicA2ifA2neededA2forA2menstrualA2pain.