HESI Maternity Practice test with correct answers 2024

HESI Maternity Practice test with correct answers 2024 3. After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful? 1. "I should perform breast self-examination on the day my menstrual flow begins." 2. "It's important that I perform breast self-examination on the same day each month." 3. "If I notice that one of my breasts is much smaller than the other, I shouldn't worry." 4. "If there is discharge from my nipples, I should call my health care provider." 4. The nurse determines that the client has understood the instructions when the client says that she will notify her primary health care provider if she notices discharge or bleeding because this may be symptomatic of underlying disease. Ideally, breast selfexamination should be performed about 1 week after the onset of menses because hormonal influences on breast tissue are at a low ebb at this time. The client should perform breast self-examination on the same day each month only if she has stopped menstruating (as with menopause). The client's breasts should mirror each other. If one breast is significantly larger than the other, or if there is "pitting" of breast tissue, a tumor may be present. CN: Reduction of risk potential; CL: Evaluate 4. Which of the following would be important to include in the teaching plan for the client who wants more information on ovulation and fertility management? 1. The ovum survives for 96 hours after ovulation, making conception possible during this time. 2. The basal body temperature falls at least 0.2°F (0.17°C) after ovulation has occurred. 3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle. 4. Most women can tell they have ovulated because of severe pain and thick, scant cervical mucus. 3. For a client with a typical menstrual cycle of 28 days, ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle. Stated another way, the menstrual period begins about 2 weeks after ovulation has occurred. Ovulation does not usually occur during the menses component of the cycle when the uterine lining is being shed. In most women, the ovum survives for about 12 to 24 hours after ovulation, during which time conception is possible. The basal body temperature rises 0.5°F to 1.0°F (0.28°C to 0.56°C) when ovulation occurs. Although some women experience some pelvic discomfort during ovulation (mittelschmerz), severe or unusual pain is rare. After ovulation, the cervical mucus is thin and copious. CN: Health promotion and maintenance; CL: Create 5. Which of the following instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate? 1. Take a mild analgesic if needed for menstrual pain. 2. Avoid cold foods if menstrual pain persists. 3. Stop exercise while menstruating. 4. Avoid sexual intercourse while menstruating. 1. The nurse should instruct the client to take a mild analgesic, such as ibuprofen, if menstrual pain or "cramps" are present. The client should also eat foods rich in iron and should continue moderate exercise during menstruation, which increases abdominal tone. Avoiding cold foods will not decrease dysmenorrhea. Sexual intercourse is not prohibited during menstruation, but the male partner should wear a condom to prevent exposure to blood. CN: Health promotion and maintenance; CL: Apply