Maternity HESI Test Bank Questions &
j j j j j j
Answers, 100% Verified
j j
writtenjby
angelinas
www.stuvia.com
,MATERNITYHESI TES
j j
T BANK
j
, MaternityjHESIjTestjBank
• Aj38-
weekjprimigravidajwhojworksjasjajsecretaryjandjsitsjatjajcomputerjforj8jhoursjeachjdayjtellsjthej
nursejthatjherjfeetjhavejbegunjtojswell.jWhichjinstructionjwouldbejmostjeffectivejinjpreventingj
poolingjofjbloodjinjthejlowerjextremities?
Movejaboutjeveryjhour
Poolingjofjbloodjinjthejlowerjextremitiesjresultsjfromjthejenlargedjuterusjexertingjpressurej
onj thej pelvicj veins.j Movingj aboutj everyj hourj willj straightenj outj thepelvicjveinsjandjincr
easejvenousjreturn.
• Aj26-year-old,jgravidaj2,jparaj1jclientjisjadmittedjtojthejhospitaljatj28-
weeksjgestationinjpretermjlabor.jShejisjgivenj3jdosesjofjterbutalinejsulfatej(Brethine)j0.25jmgjsu
bcutaneouslyjtojstopjherjlaborjcontractions.jThejnursejplansjtojmonitorjforjwhichjprimaryjsidejef
fectjofjterbutalinejsulfate?
Tachycardiajandjajfeelingjofjnervousness
Terbutalinejsulfatej(Brethine),jajbeta-sympathomimeticjdrug,jstimulatesjbeta-
adrenergicjreceptorsjinjthejuterinejmusclejtojstopjcontractions.jThejbeta-
adrenergicjagonistjpropertiesjofjthejdrugjmayjcausejtachycardia,jincreasedjcardiacjoutput,jrestle
ssness,jheadache,jandjajfeelingjofj"nervousness".
• Whatj doesj aj diaphragmaticj herniaj looklike?j
Scaphoidjabdomenjandjanorexia
• Ajnewjmotherjisjafraidjtojtouchjherjbaby'sjheadjforjfearjofjhurtingjthej"largejsoftjspot."Whichjex
planationjshouldjthejnursejgivejtojthisjanxiousjclient?
There'sj aj strong,j toughj membranej therej toj protectj thej babyj soj youj needj notj beafraidjtojwashj
orjcombjhis/herjhair.
• Ajclientjwhojisjattendingjantepartumjclassesjasksjthejnursejwhyjherjhealthcareproviderj
MedjC
, hasjprescribedjironjtablets.jThejnurse'sjresponsejisjbasedjonjwhatjknowledge?
Itjisjdifficultjtojconsumej18jmgjofjadditionaljironjbyjdietjalone.
Consumingjenoughjiron-
containingjfoodsjtojfacilitatejadequatejfetaljstoragejofjironandjtojmeetjthejdemandsjofjpregnan
cyjisjdifficultjsojironjsupplementsjarejoftenjrecommended.
• Whatj isj megaloblasticj anemiaj causedby?j
folicjacidjdeficiency
• Ajwomanjwhojthinksjshejcouldjbejpregnantjcallsjherjneighbor,jajnurse,jtojaskjwhenjshecouldjus
ejajhomejpregnancyjtestjtojdiagnosejpregnancy.jWhichjresponsejisjbest?
Ajhomejpregnancyjtestjcanjbejusedjrightjafterjyourjfirstjmissedjperiod.
Homejurinejtestsjarejbasedjonjthejchemicaljdetectionjofjhumanjchorionicjgonadotrophin
,j whichj beginsj toj increasej 6j toj 8j daysj afterj conceptionj andj isbestjdetectedjatj2jweeks
’gestationjorjimmediatelyjafterjthejfirstjmissedjperiod.
• Aj28-year-
oldjclientjinjactivejlaborjcomplainsjofjcrampsjinjherjleg.jWhatjinterventionshouldjthejnursejim
plement?
Extendjthejlegjandjdorsiflexjthejfoot
Dorsiflexingjthejfootjbyjpushingjthejsolejofjthejfootjforwardjorjbyjstandingj(ifjthejclientisjcapable)j
andjputtingjthejheeljofjthejfootjonjthejfloorjisjthejbestjmeansjofjrelievingjlegjcramps.
• Ajclientjatj30-
weeks’gestation,jcomplainingjofjpressurejoverjthejpubicjarea,jisjadmittedforjobservation.jSh
ejisjcontractingjirregularlyjandjdemonstratesjunderlyingjuterinejirritability.jVaginaljexamina
tionjrevealsjthatjherjcervixjisjclosed,jthick,jandjhigh.jBasedjonjthesejdata,jwhichjintervention
jshouldjthejnursejimplementjfirst?
Obtainingjajurinejanalysisjshouldjbejdonejfirstjbecausejpretermjclientsjwithjuterinejirritabilityj
andj contractionsj arej oftenj sufferingj fromj aj urinaryj tractj infection,jandj this
j j j j j j
Answers, 100% Verified
j j
writtenjby
angelinas
www.stuvia.com
,MATERNITYHESI TES
j j
T BANK
j
, MaternityjHESIjTestjBank
• Aj38-
weekjprimigravidajwhojworksjasjajsecretaryjandjsitsjatjajcomputerjforj8jhoursjeachjdayjtellsjthej
nursejthatjherjfeetjhavejbegunjtojswell.jWhichjinstructionjwouldbejmostjeffectivejinjpreventingj
poolingjofjbloodjinjthejlowerjextremities?
Movejaboutjeveryjhour
Poolingjofjbloodjinjthejlowerjextremitiesjresultsjfromjthejenlargedjuterusjexertingjpressurej
onj thej pelvicj veins.j Movingj aboutj everyj hourj willj straightenj outj thepelvicjveinsjandjincr
easejvenousjreturn.
• Aj26-year-old,jgravidaj2,jparaj1jclientjisjadmittedjtojthejhospitaljatj28-
weeksjgestationinjpretermjlabor.jShejisjgivenj3jdosesjofjterbutalinejsulfatej(Brethine)j0.25jmgjsu
bcutaneouslyjtojstopjherjlaborjcontractions.jThejnursejplansjtojmonitorjforjwhichjprimaryjsidejef
fectjofjterbutalinejsulfate?
Tachycardiajandjajfeelingjofjnervousness
Terbutalinejsulfatej(Brethine),jajbeta-sympathomimeticjdrug,jstimulatesjbeta-
adrenergicjreceptorsjinjthejuterinejmusclejtojstopjcontractions.jThejbeta-
adrenergicjagonistjpropertiesjofjthejdrugjmayjcausejtachycardia,jincreasedjcardiacjoutput,jrestle
ssness,jheadache,jandjajfeelingjofj"nervousness".
• Whatj doesj aj diaphragmaticj herniaj looklike?j
Scaphoidjabdomenjandjanorexia
• Ajnewjmotherjisjafraidjtojtouchjherjbaby'sjheadjforjfearjofjhurtingjthej"largejsoftjspot."Whichjex
planationjshouldjthejnursejgivejtojthisjanxiousjclient?
There'sj aj strong,j toughj membranej therej toj protectj thej babyj soj youj needj notj beafraidjtojwashj
orjcombjhis/herjhair.
• Ajclientjwhojisjattendingjantepartumjclassesjasksjthejnursejwhyjherjhealthcareproviderj
MedjC
, hasjprescribedjironjtablets.jThejnurse'sjresponsejisjbasedjonjwhatjknowledge?
Itjisjdifficultjtojconsumej18jmgjofjadditionaljironjbyjdietjalone.
Consumingjenoughjiron-
containingjfoodsjtojfacilitatejadequatejfetaljstoragejofjironandjtojmeetjthejdemandsjofjpregnan
cyjisjdifficultjsojironjsupplementsjarejoftenjrecommended.
• Whatj isj megaloblasticj anemiaj causedby?j
folicjacidjdeficiency
• Ajwomanjwhojthinksjshejcouldjbejpregnantjcallsjherjneighbor,jajnurse,jtojaskjwhenjshecouldjus
ejajhomejpregnancyjtestjtojdiagnosejpregnancy.jWhichjresponsejisjbest?
Ajhomejpregnancyjtestjcanjbejusedjrightjafterjyourjfirstjmissedjperiod.
Homejurinejtestsjarejbasedjonjthejchemicaljdetectionjofjhumanjchorionicjgonadotrophin
,j whichj beginsj toj increasej 6j toj 8j daysj afterj conceptionj andj isbestjdetectedjatj2jweeks
’gestationjorjimmediatelyjafterjthejfirstjmissedjperiod.
• Aj28-year-
oldjclientjinjactivejlaborjcomplainsjofjcrampsjinjherjleg.jWhatjinterventionshouldjthejnursejim
plement?
Extendjthejlegjandjdorsiflexjthejfoot
Dorsiflexingjthejfootjbyjpushingjthejsolejofjthejfootjforwardjorjbyjstandingj(ifjthejclientisjcapable)j
andjputtingjthejheeljofjthejfootjonjthejfloorjisjthejbestjmeansjofjrelievingjlegjcramps.
• Ajclientjatj30-
weeks’gestation,jcomplainingjofjpressurejoverjthejpubicjarea,jisjadmittedforjobservation.jSh
ejisjcontractingjirregularlyjandjdemonstratesjunderlyingjuterinejirritability.jVaginaljexamina
tionjrevealsjthatjherjcervixjisjclosed,jthick,jandjhigh.jBasedjonjthesejdata,jwhichjintervention
jshouldjthejnursejimplementjfirst?
Obtainingjajurinejanalysisjshouldjbejdonejfirstjbecausejpretermjclientsjwithjuterinejirritabilityj
andj contractionsj arej oftenj sufferingj fromj aj urinaryj tractj infection,jandj this
