HESI Obstetrics/Maternity Practice Quiz Questions with Verified Solutions

HESI Obstetrics/Maternity Practice Quiz Questions with Verified Solutions The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose? - ANS Screen for neural tube defects A 26 year old, gravid 2, para 1 client is admitted to the hospital at 28 weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethren) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? - ANS Tachycardia and a feeling of nervousness During labor, the nurse determines that a full term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Place in the first action on top and last action on the bottom) - ANS 1. Reposition the client 2. Increase IV fluid 3. Provide oxygen via face mask 4. Call the health care provider A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" - ANS "Your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day" A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn? - ANS Infant's condition at birth and treatment received The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? - ANS Three vessels: two arteries and one vein When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (select all that apply) - ANS -Mood swings -Tearfulness A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the nurse is best? - ANS "That is normal; the head will return to a round shape within 7 to 10 days." The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the nurse report to the healthcare provider? - ANS Yellowish tinge to the skin A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion? - ANS -3+ deep tendon reflexes and hyperclonus