HESI MATERNITY STUDY GUIDE | QUESTIONS & ANSWERS (GRADED A+) | 2023

1. A38-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? Moveabouteveryhour 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 the pelvic veins and increase venous return. 2. A26-year-old,gravida2,para1clientisadmittedtothehospitalat28-weeksgestation 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? Tachycardiaandafeelingofnervousness Terbutalinesulfate(Brethine),abeta-sympathomimeticdrug,stimulatesbeta-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". 3. Whendotheanteriorandposteriorfontanels close? anteriorfontanelclosesat12to18monthsandtheposteriorbytheendofthe second month. 4. When assessing a client who is at 12-weeks gestation, the nurse recommends that sheandherhusbandconsiderattendingchildbirthpreparationclasses.Whenisthe best time for the couple to attend these classes? 30weeks gestation at 30 weeks gestation is closest (of the options) to the time parents would be ready for such classes. Learning is facilitated by an interested pupil! The couple is most interested in childbirth toward the end of the pregnancy when they are psychologicallyreadyfortheterminationofthepregnancy,andthebirthoftheirchild is an immediate concern. 5. Thenurseshouldencouragethelaboringclienttobeginpushingwhen... the cervix is completely dilated. Pushingbeginswiththesecondstageoflabor,i.e.,whenthecervixiscompletelydilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix 1 can become edematous and may never completely dilate, necessitating an operative delivery.Manyprimigravida’sbeginactivelabor100%andtheneffacedproceedto dilate.