Maternity HESI Test Bank Questions
& Answers, 100% Verified
written by
angelinas
www.stuvia.com
,MATERNITY HESI
TEST BANK
, Maternity HESI Test Bank
• A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day
tells the nurse that her feet have begun to swell. Which instruction wouldbe most effective in
preventing pooling of blood in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out thepelvic
veins and increase venous return.
• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestationin
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?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of
the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling
of "nervousness".
• What does a diaphragmatic hernia looklike?
Scaphoid abdomen and anorexia
• A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."Which
explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not beafraid to
wash or comb his/her hair.
• A client who is attending antepartum classes asks the nurse why her healthcareprovider
Med C
, has prescribed iron tablets. The nurse's response is based on what knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of ironand to
meet the demands of pregnancy is difficult so iron supplements are often recommended.
• What is megaloblastic anemia causedby?
folic acid deficiency
• A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when shecould
use a home pregnancy test to diagnose pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6 to 8 days after conception and isbest
detected at 2 weeks’gestation or immediately after the first missed period.
• A 28-year-old client in active labor complains of cramps in her leg. What interventionshould
the nurse implement?
Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the clientis
capable) and putting the heel of the foot on the floor is the best means of relieving leg cramps.
• A client at 30-weeks’gestation, complaining of pressure over the pubic area, is admittedfor
observation. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
Obtaining a urine analysis should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection, and this
Med C
& Answers, 100% Verified
written by
angelinas
www.stuvia.com
,MATERNITY HESI
TEST BANK
, Maternity HESI Test Bank
• A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day
tells the nurse that her feet have begun to swell. Which instruction wouldbe most effective in
preventing pooling of blood in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out thepelvic
veins and increase venous return.
• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestationin
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?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of
the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling
of "nervousness".
• What does a diaphragmatic hernia looklike?
Scaphoid abdomen and anorexia
• A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."Which
explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not beafraid to
wash or comb his/her hair.
• A client who is attending antepartum classes asks the nurse why her healthcareprovider
Med C
, has prescribed iron tablets. The nurse's response is based on what knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of ironand to
meet the demands of pregnancy is difficult so iron supplements are often recommended.
• What is megaloblastic anemia causedby?
folic acid deficiency
• A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when shecould
use a home pregnancy test to diagnose pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6 to 8 days after conception and isbest
detected at 2 weeks’gestation or immediately after the first missed period.
• A 28-year-old client in active labor complains of cramps in her leg. What interventionshould
the nurse implement?
Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the clientis
capable) and putting the heel of the foot on the floor is the best means of relieving leg cramps.
• A client at 30-weeks’gestation, complaining of pressure over the pubic area, is admittedfor
observation. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data,
which intervention should the nurse implement first?
Obtaining a urine analysis should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection, and this
Med C
