HESI MATERITY COMPREHENSIVE TEST BANK NEWEST
VERSION 2024-2025 (COMBINED RED HESI & OTHER
SOURCES ) COMPLETE QUESTIONS AND ACCURATE
DETAILED ANSWERS \\VERIFIED ANSWERS
||GUARANTEED PASS GRADED A+ BRAND NEW !!!!
Just after delivery, a new D.Provide assistance to the mother to begin
mother tells the nurse, "I breastfeeding as soon as possible after delivery.
was unsuccessful
breastfeeding my first child, Rationale: Infants respond to breastfeeding best when
but I would like to try with feeding is initiated in the active phase soon after
this baby." Which delivery. Options A and B might provide interesting data,
intervention should the but gathering this information is not as important as
nurse implement first? providing support and instructions to the new mother.
Although option C is also true, this response by the
A. Assess the husband's nurse might seem judgmental to a new mother.
feelings about his wife's
decision to breastfeed
their baby.
B. Ask the woman to describe
why she was unsuccessful
with breastfeeding her
last child.
C. Encourage the woman
to develop a positive
attitude about
breastfeeding to help
ensure success.
Provide assistance to
D.
the mother to begin
breastfeeding as soon as
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possible after delivery.
A primigravida, when B.If MSAFP and estriol levels are low and the hCG level
returning for the results of is high, results are positive for a possible
her multiple marker chromosomal defect.
screening (triple screen),
asks the nurse how Rationale:Low levels of MSAFP and estriol and
problems with her baby elevated levels of hCG found in the maternal blood
can be detected by the test. sample are indications of possible chromosomal defects.
What information will the High levels of MSAFP and estriol in the blood sample
nurse give to the client to after 15 weeks of gestation can indicate a neural tube
describe best how the test defect, such as spina bifida and anencephaly, not
is interpreted? chromosomal defects. One of the limitations of the
multiple marker screening is that any defects covered by
A. If MSAFP (maternal skin will not be evident in the blood sampling. After 15
serum alpha- fetoprotein) weeks of gestation, there will be traces of MSAFP,
and estriol levels are high estriol, and hCG in the blood sample.
and the human chorionic
gonadotropin (hCG) level is
low, results are positive
for a possible
chromosomal defect.
B. If MSAFP and estriol levels
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are low and the hCG level is
high, results are positive
for a possible
chromosomal defect.
C. If MSAFP and estriol
levels are within normal
limits, there is a guarantee
that the baby is free of all
structural anomalies.
D. If MSAFP, estriol, and hCG
are absent in the blood,
the results are
interpreted as normal
findings.
During the transition D.Have her cup both hands over her nose and mouth while
phase of labor, a client breathing.
complains of tingling and
Rationale: Hyperventilation blows off carbon dioxide,
numbness in her fingers
depletes carbonic acid in the blood, and causes
and tells the nurse that she
transient respiratory alkalosis, so the client should cup
feels like she is going to
both her hands over her mouth and nose so that she
pass out. What action
can rebreathe carbon dioxide. Options A, B, and C do
should the nurse take?
not help restore carbon dioxide levels as effectively
as rebreathing air in the cupped hands or from a
A. Encourage her to pant
paper bag.
between contractions and
blow with contractions.
B. Coach her to take a
deep cleansing breath
and then refocus.
C. Instruct her to pant three
times and then exhale
through pursed lips.
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D. Have her cup both hands
over her nose and mouth
while breathing.
One hour following a D.Obtain a serum glucose level.
normal vaginal delivery, a
newborn infant boy's Rationale: This infant is demonstrating signs of
axillary temperature is 96° F, hypoglycemia, possibly secondary to a low body
his lower lip is shaking, and temperature. The nurse should first determine the
when the nurse assesses serum glucose level. Option A is an intervention for a
for a Moro reflex, the boy's lethargic infant. Option B should be done based on the
hands shake. Which temperature, but first the glucose level should be
intervention should the obtained. Option C helps raise the blood sugar, but
nurse implement first? first the nurse should determine the glucose level.
A. Stimulate the infant to cry.
B. Wrap the infant in warm
blankets.
C. Feed the infant formula.
D. Obtain a serum glucose
level.
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