MATERNITY HESI 1 TEST
BANK Exam (Questions with
Answers) Explained Latest
update 2023/2024 Graded A+
Question 1.
.
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action should the nurse take?
Ans: Place woman in a lateral position
The nurse should immediately turn the woman to a lateral position, place a
pillow or wedge under the right hip to deflect the uterus, increase the rate of
the main line IV infusion, and administer oxygen by face mask at 10-12
L/min. If the blood pressure remains low, especially if it further decreases,
the anesthesiologist/healthcare provider should be notified immediately.
Question 2.
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
1
,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?
Ans: Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
2
,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".
Question 3.
When do the anterior and posterior fontanels close?
Ans: anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month.
Question 4.
When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes?
Ans: 30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would
be ready for such classes. Learning is facilitated by an interested pupil! The
couple is most interested in childbirth toward the end of the pregnancy
when they are psychologically ready for the termination of the pregnancy,
and the birth of their child is an immediate concern
3
,Question 5.
The nurse should encourage the laboring client to begin
pushing when... Ans: the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never
completely dilate, necessitating an operative delivery. Many primigravida’s
begin active labor 100% effaced and then proceed to dilate.
Question 6.
The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take?
Ans: Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining carbon
dioxide. This can be facilitated by breathing into a paper bag or cupped
hands.
Question 7.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn
4
,variation known as...
Ans: a cephalohematoma, caused by forceps trauma and may last up
to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually
arises within the first 24 hours after delivery. Trauma from delivery causes
capillary bleeding between the periosteum and the skull.
Question 8.
When does the head return to its
normal shape? Ans: 7-10 days
Question 9.
What did Nurse theorist Reva Rubin describe?
Ans: The initial postpartum period as the "taking-in phase," which
is characterized by maternal reliance on others to satisfy the
needs for comfort, rest, nourishment, and closeness to families
and the newborn.
Question 10.
5
, A couple, concerned because the woman has not been able to
conceive, is referred to a healthcare provider for a fertility workup
and a hysterosalpingography is scheduled.
Which post procedure complaint indicates that the
fallopian tubes are patent? Ans: Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub
diaphragmatic collection of peritoneal dye/gas.
Question 11.
Which nursing intervention is most helpful in relieving postpartum
uterine contractions or "afterpains?"
Ans: Lying prone with a pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
Question 12.
Which maternal behavior is the nurse most likely to see when a
new mother receives her infant for the first time?
Ans: Her arms and hands receive the infant and she then traces the
infant's profile with her fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in during the first visit with the newborn, which may
6
BANK Exam (Questions with
Answers) Explained Latest
update 2023/2024 Graded A+
Question 1.
.
Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from
120/80 to 90/60. What action should the nurse take?
Ans: Place woman in a lateral position
The nurse should immediately turn the woman to a lateral position, place a
pillow or wedge under the right hip to deflect the uterus, increase the rate of
the main line IV infusion, and administer oxygen by face mask at 10-12
L/min. If the blood pressure remains low, especially if it further decreases,
the anesthesiologist/healthcare provider should be notified immediately.
Question 2.
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
1
,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?
Ans: Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
2
,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".
Question 3.
When do the anterior and posterior fontanels close?
Ans: anterior fontanel closes at 12 to 18 months and the posterior
by the end of the second month.
Question 4.
When assessing a client who is at 12-weeks gestation, the nurse
recommends that she and her husband consider attending
childbirth preparation classes. When is the best time for the
couple to attend these classes?
Ans: 30 weeks gestation
at 30 weeks gestation is closest (of the options) to the time parents would
be ready for such classes. Learning is facilitated by an interested pupil! The
couple is most interested in childbirth toward the end of the pregnancy
when they are psychologically ready for the termination of the pregnancy,
and the birth of their child is an immediate concern
3
,Question 5.
The nurse should encourage the laboring client to begin
pushing when... Ans: the cervix is completely dilated.
Pushing begins with the second stage of labor, i.e., when the cervix is
completely dilated at 10 cm (C). If pushing begins before the cervix is
completely dilated the cervix can become edematous and may never
completely dilate, necessitating an operative delivery. Many primigravida’s
begin active labor 100% effaced and then proceed to dilate.
Question 6.
The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take?
Ans: Have the client breathe into her cupped hands
Tingling fingers and dizziness are signs of hyperventilation (blowing off
too much carbon dioxide). Hyperventilation is treated by retaining carbon
dioxide. This can be facilitated by breathing into a paper bag or cupped
hands.
Question 7.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn
4
,variation known as...
Ans: a cephalohematoma, caused by forceps trauma and may last up
to 8 weeks.
Cephalohematoma, a slight abnormal variation of the newborn, usually
arises within the first 24 hours after delivery. Trauma from delivery causes
capillary bleeding between the periosteum and the skull.
Question 8.
When does the head return to its
normal shape? Ans: 7-10 days
Question 9.
What did Nurse theorist Reva Rubin describe?
Ans: The initial postpartum period as the "taking-in phase," which
is characterized by maternal reliance on others to satisfy the
needs for comfort, rest, nourishment, and closeness to families
and the newborn.
Question 10.
5
, A couple, concerned because the woman has not been able to
conceive, is referred to a healthcare provider for a fertility workup
and a hysterosalpingography is scheduled.
Which post procedure complaint indicates that the
fallopian tubes are patent? Ans: Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub
diaphragmatic collection of peritoneal dye/gas.
Question 11.
Which nursing intervention is most helpful in relieving postpartum
uterine contractions or "afterpains?"
Ans: Lying prone with a pillow on the abdomen
Lying prone keeps the fundus contracted and is especially useful with
multiparas, who commonly experience afterpains due to lack of uterine tone.
Question 12.
Which maternal behavior is the nurse most likely to see when a
new mother receives her infant for the first time?
Ans: Her arms and hands receive the infant and she then traces the
infant's profile with her fingertips.
Attachment/bonding theory indicates that most mothers will demonstrate
behaviors described in during the first visit with the newborn, which may
6
