Maternal/Pediatric HESI practice Exam
Questions and Answers 100% Pass
Client teaching is an important part of the maternity nurse's role. Which
factor has the greatest influence on successful teaching of the gravid client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned - ✔✔A
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities?
a. wearing support stockings
1
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,b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing - ✔✔C
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies - ✔✔B
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?
a. drowsiness and bradycardia
2
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,b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth - ✔✔C
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instructions is most effective to prevent nipple soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing - ✔✔C
A full term infant is transferred to the nursery from labor and delivery.
Which information is most important for the nurse to receive when
planning immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
3
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, d. history of drugs given to the mother during labor - ✔✔B
In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the explanation on knowledge that for
the normal new born, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of
the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of
the second week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the first month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end
of the second month. - ✔✔D
When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
4
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Questions and Answers 100% Pass
Client teaching is an important part of the maternity nurse's role. Which
factor has the greatest influence on successful teaching of the gravid client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned - ✔✔A
A 38-week primigravida who works as a secretary and sits at a computer 8
hours each day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities?
a. wearing support stockings
1
100% Pass Guarantee Katelyn Whitman, All Rights
,b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing - ✔✔C
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies - ✔✔B
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?
a. drowsiness and bradycardia
2
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,b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth - ✔✔C
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instructions is most effective to prevent nipple soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing - ✔✔C
A full term infant is transferred to the nursery from labor and delivery.
Which information is most important for the nurse to receive when
planning immediate care for the newborn?
a. length of labor and method of delivery
b. infant's condition at birth and treatment received
c. feeding methods chosen by the parents
3
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, d. history of drugs given to the mother during labor - ✔✔B
In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the explanation on knowledge that for
the normal new born, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of
the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of
the second week
c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the first month
d. anterior fontanel closes at 12 to 18 months and the posterior by the end
of the second month. - ✔✔D
When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending childbirth
4
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