MATERNAL/PEDIATRIC HESI PRACTICE
1. Client teaching is an important part of the maternity nurse's role. Which
factor has the greatest influence on successful teaching of the gravid
client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned
ANS A
2. A 38-week primigravida who works as a secretary and sits at a
computer 8 hours each day tells the nurse that her feet have begun to
swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities?
,a. wearing support stockings
b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing
ANS C
3. During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies
ANS B
4. 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 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?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth
ANS C
5. A mother who is breastfeeding her baby receives instructions from
the nurse. Which instructions is most effective to prevent nipple
soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing
, ANS C
6. A full term infant is transferred to the nursery from labor and delivery.
Which information is most important for the nurse to receive when
planning immediate care for the newborn?
a. length of labor and method of delivery
1. Client teaching is an important part of the maternity nurse's role. Which
factor has the greatest influence on successful teaching of the gravid
client?
a. the client's readiness to learn
b. the client's educational background
c. the order in which the information is presented
d. the extent to which the pregnancy is planned
ANS A
2. A 38-week primigravida who works as a secretary and sits at a
computer 8 hours each day tells the nurse that her feet have begun to
swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities?
,a. wearing support stockings
b. reduce salt in her diet
c. move about every hour
d. avoid constrictive clothing
ANS C
3. During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have
a. lower apgar scores
b. lower birth weights
c. respiratory distress
d. a higher rate of congenital anomalies
ANS B
4. 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 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?
a. drowsiness and bradycardia
b. depressed reflexes and increased respirations
c. tachycardia and a feeling of nervousness.
d. a flushed, warm feeling and a dry mouth
ANS C
5. A mother who is breastfeeding her baby receives instructions from
the nurse. Which instructions is most effective to prevent nipple
soreness?
a. wear a cotton bra
b. increase nursing time gradually
c. correctly place the infant on the breast
d. manually express a small amount of milk before nursing
, ANS C
6. A full term infant is transferred to the nursery from labor and delivery.
Which information is most important for the nurse to receive when
planning immediate care for the newborn?
a. length of labor and method of delivery
