Fortis-PN-Maternity Hesi Practice Exam questions with answers

Fortis-PN-Maternity Hesi Practice |\ |\ |\




Exam questions with answers |\ |\ |\




Which physiological cause(s) for constipation during pregnancy
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should the practical nurse (PN) explain to a client in the first
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trimester? (Select all that apply.) |\ |\ |\ |\ |\




1. Displacement of the colon.
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2. Tightening of the anal sphincter.
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3. Change in nutrient absorption.
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4. Shifting of liver placement.
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5. Decrease in peristalsis.
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6. Increase bile production. - CORRECT ANSWERS ✔✔1.
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Displacement of the colon. |\ |\ |\




5. Decrease in peristalsis.
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During pregnancy, the enlarging uterus compresses and
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displaces the colon (A), which leads to a decrease in peristalsis
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(E), which contribute to constipation during pregnancy. (B, C, D,
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and F) do not cause constipation in pregnancy.
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Which intervention should the practical nurse (PN) provide a
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neonate during hospitalization?
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1. Provide play activities in the hospital room.
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2. Offer the neonate a pacifier between feedings.
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3. Assign the neonate to a room with other neonates.
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,4. Request that parents bring security object from home. -
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CORRECT ANSWERS ✔✔2. Offer the neonate to a room with other
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neonates.
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The neonate needs opportunities for nonnutritive sucking and
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oral stimulation using a pacifier (B). (A , C and D) are not
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indicated for a neonate. |\ |\ |\




Which client is a candidate for the administration of human
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immune globulin (RhoGam) after delivery? |\ |\ |\ |\




1. The Rh-positive mother who delivers a Rh-positive baby.
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2. The Rh-negative mother who delivers a Rh-negative baby.
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3. The Rh-positive mother who delivers a Rh-negative baby.
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4. The Rh-negative mother who delivers a Rh-positive baby. -
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CORRECT ANSWERS ✔✔4. The Rh-negative mother who delivers |\ |\ |\ |\ |\ |\ |\ |\


a Rh-positive baby.
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RhoGam is a human immune globulin that prevents the formation
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of anti-Rh antibodies in an Rh-negative mother who has given
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birth to an Rh-positive infant (D). (A, B, or C) are not candidates
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for RhoGam. |\




A client who took iron supplements during pregnancy delivers an
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infant by cesarean section. On the second postpartum day, the
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client reports having a constipated stool that is greenish-black in
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color. Which action should the practical nurse (PN) implement?
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1. Collect a stool sample for guaiac testing.
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2. Administer a prescribed rectal suppository.
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, 3. Record color and consistency of the stool.
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4. Report the complaints to the charge nurse.
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4. Report the complaints to the charge nurse. - CORRECT
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ANSWERS ✔✔3. Record color and consistency of the stool.
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Iron supplements cause constipation and contribute to the dark
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green-black color in stool, which should be documented (C) as an |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


expected finding. (A, B, and D) are not indicated at this time.
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The mother asks the practical nurse (PN) what her infant may
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need if the phenylketonuria (PKU) test is positive. What type of
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treatment should the PN tell the mother will be required?
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1. Blood transfusions.
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2. Iron-enriched formula.
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3. Lifelong dietary management.
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4. Medications to prevent infection. - CORRECT ANSWERS ✔✔3.
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Lifelong dietary management |\ |\




PKU is a condition related to the infant's inability to utilize the
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amino acid, phenylalanine, which must be omitted or strictly
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minimized in the diet throughout life (C). (A, B, and D) are not
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indicated.


A young adult female comes to the health clinic to confirm a
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positive home pregnancy test. After determining the client's last
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menstrual period (LMP) as August 5, what expected date of birth
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(EDB) should the practical nurse (PN)calculate?
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1. April 29
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