HESI OB Peds Actual Exam Set Questions And Verifed Correct Answers The nurse is discussing travel with a pregnant client. The client is in good health and the fetus is developing normally. The nurse is correct to provide which recommendation? A. Stop to walk every hour during car travel B. Receive MMR vaccine prior to foreign travel C. Avoid airport security checkpoints D. Do not travel long distances during pregnancy - ANSWER : A. Stop to walk every hour during car travel It is generally saf e for women to travel during low -risk pregnancies. During car travel, the client should stop every hour and walk to prevent blood clots. The nurse is educating client who has been diagnosed with pregnancy -induced hypertension (PIH) and placed on a sodium restriction. Which statement by the client indicates that the teaching has been effective? A. "I should avoid eating potato chips." B. "I should limit sodium intake to correct my hypotension." C. "Too much sodium can cause central nervous system malforma tions." D. "Consuming canned foods will help reduce my sodium levels." - ANSWER : A. "I should avoid eating potato chips." Sodium restriction is often not necessary for pregnant clients, unless they are at an increase risk of pregnancy -induced hypertensi on (PIH). Teaching has been effective when the client states that she should avoid potato chips, which are high in sodium and low in nutrients. The nurse is discussing risks associated with urinary changes during pregnancy with a group of nursing student s. Which information should the nurse share with the students? A. Increased urinary stagnation causes urinary tract infections B. Increased urinary frequency causes sodium depletion C. Decreased nocturia causes sodium increases D. Decreased urine output d ecreases blood pressure - ANSWER : A. Increased urinary stagnation causes urinary tract infections Clients will experience urinary changes throughout pregnancy. Stagnation of urine due to anatomical changes due to the enlarging uterus placing pressure on the bladder increases maternal risk of urinary tract infections. The nurse is caring for a pregnant client who also has a school -
age child. The client is concerned about preparing the child to be an older sibling. Which should the nurse recognize as the most effective strategy for helping the older sibling adapt? A. Sh ow the child where and how to touch the baby B. Involve the child in bringing the baby home C. Encourage the child to interact with the baby D. Feed the baby separately from the child - ANSWER : A. Show the child where and how to touch the baby The schoo l-age child generally takes a more specific, or clinical interest in the mother's pregnancy. Showing the child where and how to touch the baby is one way to help the older child adapt to the new sibling. The nurse is examining a client who believes she i s pregnant. Which presumptive sign should the nurse recognize as a possible indication of pregnancy? A. Urinary frequency B. Breast changes C. Amenorrhea D. Quickening - ANSWER : A. Urinary frequency Presumptive signs of pregnancy include quickening, a menorrhea, breast changes, and urinary frequency. The nurse should recognize that urinary frequency can be a sign of pregnancy because the hCG hormone increases the blood flow to the kidneys during pregnancy and the pressure of the enlarging uterus on the bladder during the first trimester. The nurse has administered Rh immune globulin to a client. The nurse should report which adverse effect of this medication to the health care immediately? A. Muscle pain B. Insomnia C. Bradycardia D. Hypertension - ANSWER : D. Hypertension Rh immune globulin works to suppress the immune response in a client with Rh negative blood who may have been exposed to Rh positive blood from a previous Rh positive fetus. The nurse should assess for hypertension in a client who has been administered Rh immune globulin, as this is a potentially adverse effect of this treatment. Which condition should the nurse recognize as a contraindication to tocolytic therapy?
age child. The client is concerned about preparing the child to be an older sibling. Which should the nurse recognize as the most effective strategy for helping the older sibling adapt? A. Sh ow the child where and how to touch the baby B. Involve the child in bringing the baby home C. Encourage the child to interact with the baby D. Feed the baby separately from the child - ANSWER : A. Show the child where and how to touch the baby The schoo l-age child generally takes a more specific, or clinical interest in the mother's pregnancy. Showing the child where and how to touch the baby is one way to help the older child adapt to the new sibling. The nurse is examining a client who believes she i s pregnant. Which presumptive sign should the nurse recognize as a possible indication of pregnancy? A. Urinary frequency B. Breast changes C. Amenorrhea D. Quickening - ANSWER : A. Urinary frequency Presumptive signs of pregnancy include quickening, a menorrhea, breast changes, and urinary frequency. The nurse should recognize that urinary frequency can be a sign of pregnancy because the hCG hormone increases the blood flow to the kidneys during pregnancy and the pressure of the enlarging uterus on the bladder during the first trimester. The nurse has administered Rh immune globulin to a client. The nurse should report which adverse effect of this medication to the health care immediately? A. Muscle pain B. Insomnia C. Bradycardia D. Hypertension - ANSWER : D. Hypertension Rh immune globulin works to suppress the immune response in a client with Rh negative blood who may have been exposed to Rh positive blood from a previous Rh positive fetus. The nurse should assess for hypertension in a client who has been administered Rh immune globulin, as this is a potentially adverse effect of this treatment. Which condition should the nurse recognize as a contraindication to tocolytic therapy?
