HESI OB Maternity Practice Exam: Questions & Answers: Latest Updated A+ Score Guide

Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? (Ans- A. The client's readiness to learn A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? (Ans- C. Move about every hour During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have (Ans- B. lower birth weights 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 (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? (Ans- C. Tachycardia and a feeling of nervousness A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness? (Ans- C. correctly place the infant on the breast A full term infant is transferred to the nursery from L & D. Which information is most important for the nurse to receive when planning immediate care for the newborn? (Ans- B. Infant's condition at birth and treatment received. In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the (Ans- D. anterior fontanel closes at 12-18 mos and the posterior fontanel by the end of the second month. When assessing a client who is 12-weeks gestation, the nurse recommends the she and her husband consider attending childbirth preparation classes. What is the best time for the couple to attend these classes? (Ans- D. At 30 weeks gestation. The nurse should encourage the laboring client to begin pushing when (Ans- C. the cervix is completely dilated The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs (Ans- A. two weeks before menstruation. The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take? (Ans- C. have the client breath into her cupped hands