HESI- MATERNITY AND PEDIATRICS
Which instruction should the nurse provide to this client?
Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit - ANSWER✔✔-An insulin-dependent client with gestational diabetes
mellitus is in the second stage of labor. What supplies will the delivery nurse gather for care of
the newborn? (Select all that apply.)
Feeling of nervousness
Tachycardia
Restlessness - ANSWER✔✔-A client is admitted to the hospital at 28 weeks of gestation in
preterm labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg subcutaneously.
Which side effects will the nurse anticipate for this client? (Select all that apply.)
"I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes." - ANSWER✔✔-The nurse is interviewing a newly
pregnancy client who is 16-years old. Which client statement indicates teaching is necessary for
a safe pregnancy? (Select all that apply.)
,Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering the pain medication. -
ANSWER✔✔-The nurse is preparing to administer an IV pain medication to a client in labor.
What will the nurse include in this client's plan of care related to the administration of the
medication? (Select all that apply.)
Amnihook
1000 mL of D5LR
Oxytocin - ANSWER✔✔-The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of moderate intensity, for the past 6
hours. Her cervical exam upon admission is 4/0/75%, and membranes are intact. In the next 20
minutes, what supplies will the nurse gather for this client? (Select all that apply.)
Ask the mother if she desires any more children. - ANSWER✔✔-The nurse is providing care to
a postpartum client with O negative blood who is antibody positive. The newborn is O negative.
What is the best nursing action for this client?
Site of the vitamin K injection - ANSWER✔✔-The nurse is preparing a newborn for discharge.
There is an order for a hepatitis B vaccination prior to discharge. When planning to administer
the vaccination, what information must the nurse obtain from the infants chart?
Have the client breathe into her cupped hands. - ANSWER✔✔-The nurse instructs a laboring
client to use accelerated blow breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next?
, Two weeks before menstruation - ANSWER✔✔-The nurse is counseling a couple who has
sought information about conceiving. The couple asks the nurse to explain when ovulation
usually occurs. Which statement by the nurse is correct?
Place petroleum ointment around the glans with each diaper change and cleansing. - ANSWER
✔✔-A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
"I am having severe abdominal cramping."
"I am passing blood clots from my vagina." - ANSWER✔✔-The clinic nurse takes a phone call
from a client who reports she is at 12 weeks gestation. Which statements indicate to the nurse the
client may be having a spontaneous abortion? (Select all that apply.)
20010 - ANSWER✔✔-A 25-year-old client has a positive pregnancy test. One year ago she had
a spontaneous abortion at 3 months of gestation. What will the nurse document in the client's
chart regarding her GTPAL?
Asking the client and her partner if they would like the nurse to stay in the room - ANSWER✔
✔-A client in active labor is becoming increasingly fearful because her contractions are
occurring more often than she had expected. Her partner is also becoming anxious. What is the
nurse's best action?
Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
Which instruction should the nurse provide to this client?
Erythromycin ointment
Scale
Measuring tape
Blood glucose testing kit - ANSWER✔✔-An insulin-dependent client with gestational diabetes
mellitus is in the second stage of labor. What supplies will the delivery nurse gather for care of
the newborn? (Select all that apply.)
Feeling of nervousness
Tachycardia
Restlessness - ANSWER✔✔-A client is admitted to the hospital at 28 weeks of gestation in
preterm labor. The nurse administers three doses of terbutaline sulfate, 0.25 mg subcutaneously.
Which side effects will the nurse anticipate for this client? (Select all that apply.)
"I hate milk."
"I only want to gain 10 pounds."
"I refuse to wear maternity clothes." - ANSWER✔✔-The nurse is interviewing a newly
pregnancy client who is 16-years old. Which client statement indicates teaching is necessary for
a safe pregnancy? (Select all that apply.)
,Administer the medication only when the client is having a contraction.
Assess the fetal heart rate (FHR) for 10 minutes prior to administering the pain medication. -
ANSWER✔✔-The nurse is preparing to administer an IV pain medication to a client in labor.
What will the nurse include in this client's plan of care related to the administration of the
medication? (Select all that apply.)
Amnihook
1000 mL of D5LR
Oxytocin - ANSWER✔✔-The nurse is providing care to a laboring client with a GTPAL of
75015. The client reports contractions every 2 to 8 minutes, of moderate intensity, for the past 6
hours. Her cervical exam upon admission is 4/0/75%, and membranes are intact. In the next 20
minutes, what supplies will the nurse gather for this client? (Select all that apply.)
Ask the mother if she desires any more children. - ANSWER✔✔-The nurse is providing care to
a postpartum client with O negative blood who is antibody positive. The newborn is O negative.
What is the best nursing action for this client?
Site of the vitamin K injection - ANSWER✔✔-The nurse is preparing a newborn for discharge.
There is an order for a hepatitis B vaccination prior to discharge. When planning to administer
the vaccination, what information must the nurse obtain from the infants chart?
Have the client breathe into her cupped hands. - ANSWER✔✔-The nurse instructs a laboring
client to use accelerated blow breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take next?
, Two weeks before menstruation - ANSWER✔✔-The nurse is counseling a couple who has
sought information about conceiving. The couple asks the nurse to explain when ovulation
usually occurs. Which statement by the nurse is correct?
Place petroleum ointment around the glans with each diaper change and cleansing. - ANSWER
✔✔-A mother expresses fear about changing the infant's diaper after circumcision. What
information should the nurse include in the teaching plan?
"I am having severe abdominal cramping."
"I am passing blood clots from my vagina." - ANSWER✔✔-The clinic nurse takes a phone call
from a client who reports she is at 12 weeks gestation. Which statements indicate to the nurse the
client may be having a spontaneous abortion? (Select all that apply.)
20010 - ANSWER✔✔-A 25-year-old client has a positive pregnancy test. One year ago she had
a spontaneous abortion at 3 months of gestation. What will the nurse document in the client's
chart regarding her GTPAL?
Asking the client and her partner if they would like the nurse to stay in the room - ANSWER✔
✔-A client in active labor is becoming increasingly fearful because her contractions are
occurring more often than she had expected. Her partner is also becoming anxious. What is the
nurse's best action?
Use condoms when having sex.
Zidovudine prescription helps decrease risk of fetal exposure
