MOTHER BABY HESI – 1 EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestation 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? - CORRECT ANSWER-
Tachycardia and a feeling of nervousness.
side effects of magnesium sulfate - CORRECT ANSWER-Depressed reflexes and
increased respirations. A flushed, warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - CORRECT
ANSWER-stimulates beta- adrenergic receptors in the uterine muscle to stop
contractions
primary side effect. Terbutaline sulfate (Brethine), a - CORRECT ANSWER-
Tachycardia and a feeling of nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - CORRECT ANSWER-
Drowsiness and bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take? - CORRECT ANSWER-Observe the mother for other
attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's
interactions with her infant - CORRECT ANSWER-Observe the mother for other
attachment behaviors. helps the nurse determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress,
or impact the mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug is
effective? - CORRECT ANSWER-Changes in apical heart rate from the 180s to the
140s.
Epogen - CORRECT ANSWER-given to prevent or treat anemia, stimulates
Mother Baby Hesi – 1 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
, erythropoietin production, resulting in an increase in RBCs. Since the body has not
had to compensate for anemia with an increased heart rate, changes in heart rate
from high to normal
Epogen and RR - CORRECT ANSWER-Respiratory rate should decrease rather
than increase
Epogen and urinary output - CORRECT ANSWER-is not related to Epogen
Epogen and bilirubin - CORRECT ANSWER-is usually related to resolution of
hyperbilirubinemia, treated with phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important
for the nurse to obtain? - CORRECT ANSWER-Date of last normal menstrual
period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm
and the fetal heart pattern is reassuring, the healthcare provider may attempt to
prolong the pregnancy and administer corticosteroids to mature the lungs of the
fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get
home." How should the nurse respond? - CORRECT ANSWER-Regression in
behaviors in the older child is a typical reaction so he needs attention at this time.
Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized edema on the right side of his head. The nurse knows that, in the
newborn, an accumulation of blood between the periosteum and skull which does
not cross the suture line is a newborn variation known as - CORRECT ANSWER-a
cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness? - CORRECT ANSWER-
Correctly place the infant on the breast.
Mother Baby Hesi – 1 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
QUESTIONS WITH COMPLETE
SOLUTIONS
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
gestation 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? - CORRECT ANSWER-
Tachycardia and a feeling of nervousness.
side effects of magnesium sulfate - CORRECT ANSWER-Depressed reflexes and
increased respirations. A flushed, warm feeling and a dry mouth.
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, - CORRECT
ANSWER-stimulates beta- adrenergic receptors in the uterine muscle to stop
contractions
primary side effect. Terbutaline sulfate (Brethine), a - CORRECT ANSWER-
Tachycardia and a feeling of nervousness.
secondary side effect of Terbutaline sulfate (Brethine), a - CORRECT ANSWER-
Drowsiness and bradycardia.
The nurse observes a new mother avoiding eye contact with her newborn. Which
action should the nurse take? - CORRECT ANSWER-Observe the mother for other
attachment behaviors.
To assess for other attachment behaviors, continued observation of the new mother's
interactions with her infant - CORRECT ANSWER-Observe the mother for other
attachment behaviors. helps the nurse determine problems in attachment.
Ask the mother why she won't look at the infant may cause undue confusion, stress,
or impact the mother's self-confidence.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last
three weeks. Which assessment finding indicates to the nurse that the drug is
effective? - CORRECT ANSWER-Changes in apical heart rate from the 180s to the
140s.
Epogen - CORRECT ANSWER-given to prevent or treat anemia, stimulates
Mother Baby Hesi – 1 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
, erythropoietin production, resulting in an increase in RBCs. Since the body has not
had to compensate for anemia with an increased heart rate, changes in heart rate
from high to normal
Epogen and RR - CORRECT ANSWER-Respiratory rate should decrease rather
than increase
Epogen and urinary output - CORRECT ANSWER-is not related to Epogen
Epogen and bilirubin - CORRECT ANSWER-is usually related to resolution of
hyperbilirubinemia, treated with phototherapy or increased oral intake in the infant.
A client with no prenatal care arrives at the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal examination that reveals the cervix is 3
centimeters dilated and 75% effaced. What additional information is most important
for the nurse to obtain? - CORRECT ANSWER-Date of last normal menstrual
period.
Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm
and the fetal heart pattern is reassuring, the healthcare provider may attempt to
prolong the pregnancy and administer corticosteroids to mature the lungs of the
fetus.
A 30-year-old multiparous woman who has a 3-year-old boy and an newborn girl
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ manage both children when I get
home." How should the nurse respond? - CORRECT ANSWER-Regression in
behaviors in the older child is a typical reaction so he needs attention at this time.
Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized edema on the right side of his head. The nurse knows that, in the
newborn, an accumulation of blood between the periosteum and skull which does
not cross the suture line is a newborn variation known as - CORRECT ANSWER-a
cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
Cephalhematoma (A), a slight abnormal variation of the newborn, usually arises
within the first 24 hours after delivery. Trauma from delivery causes capillary
bleeding between the periosteum and the skull
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness? - CORRECT ANSWER-
Correctly place the infant on the breast.
Mother Baby Hesi – 1 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
