hesi maternity practice questions 100% sure

The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? • terbutaline (Brethine) 0.25 mg SubQ Q15 mins x 3 • Betamethasone (Celestone) 12 mg deep IM • Butorphanol 1 mg IV push q2h PRN pain • Ampicillin 1-gram IV push q8h • A primigravida client confides in the nurse that her sister told her that she should eliminate all salt once she is at 26 weeks’ gestationbecause it will eliminate fluid retention and swelling. How should the nurse respond? • Salt foods lightly during cooking but add no additional salt at the table. • eliminate all added salt from the diet to improve kidney function during pregnancy • limit grain, meat and milk products which are significant sources of sodium • use canned food products to obtain salt because it is easier to monitor salt intake • A one-day-old neonate develops a cephalohematoma. The nurseshould closely assess this neonate for which common complication? • jaundice* • brain damage • poor appetite • hypoglycemia • The mother of a breastfeeding 24 hr old infant is very concerned aboutthe techniques involved in breastfeeding.She calls the nursewith each feeding to seek reassurance that she is “doing it right.” She tells the nurse, “I just know my daughter is not getting enoughto eat.” What response would be best for the nurse to make? • feed your baby hourly until you feel confident that your child is receiving enough milk • don’t worry, soon your milk will come in, and you will feel how full your breasts are • since you are so concerned, you should probably supplement breastfeeding with formula • if your baby’s urine is straw-colored, she is getting enough milk* • A client at 30 weeks gestation reports that she has not felt the babymove in the last 24 hours. Concerned, she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. Which assessment finding warrants immediate intervention by the nurse? • the onset of uterine contractions • leaking amniotic fluid • fetal heart rate 60 beats/min* • ruptured amniotic membrane • A client at 40-weeks’ gestation presents to the obstetrical floor andindicates that the amniotic membranes ruptured spontaneously at home. She is in active labor and feels the need to bear down and push. What information is most important for the nurse to obtain first? • the estimated amount of fluid • time the membranes ruptured • color and consistency of the fluid • any odor noted when membranes ruptured.