HESI RN HESI-STUDY-GUIDE-HESI-MATERNITY-HESI TESTBANK PEDS EDITED (REVISED EXAM PRACTICE GUIDE) (CONTAINS COMPLETE QUESTIONS WITH ANSWERS)l12

HESI RN HESI-STUDY-GUIDE-HESI-MATERNITY-HESI TESTBANK PEDS
EDITED (REVISED EXAM PRACTICE GUIDE) (CONTAINS COMPLETE
QUESTIONS WITH ANSWERS)




 A 38-week primigravida who works as a secretary and sits at a computer
a a a a a a a a a a a a




for 8 hours each day tells the nurse that her feet have begun to swell.
a a a a a a a a a a a a a a a




Which instruction would be most effective in preventing pooling of blood
a a a a a a a a a a a




in the lower extremities?
a a a a




Move about every houra a a




Pooling of blood in the lower extremities results from the enlarged
a a a a a a a a a a




uterus exerting pressure on the pelvic veins. Moving about every
a a a a a a a a a a




a hour will straighten out thepelvic veins and increase venous return.
a a a a a a a a a a




 A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
a a a a a a a a a a a a a




weeks gestationin preterm labor. She is given 3 doses of terbutaline
a a a a a a a a a a a




sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
a a a a a a a a a a




The nurse plans to monitor for which primary side effect of terbutaline
a a a a a a a a a a a a




sulfate?
a

, Tachycardia and a feeling of nervousness a a a a a




Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
a a a a a a




beta-adrenergicreceptors in the uterine muscle to stop contractions. The
a a a a a a a a a a




beta-adrenergic agonist properties of the drug may cause tachycardia,
a a a a a a a a a




increased cardiac output, restlessness, headache, and a feeling of
a a a a a a a a a




"nervousness".
a




 When do the anterior and posterior fontanels close?
a a a a a a a




anterior fontanel closes at 12 to 18 months and the posterior by
a a a a a a a a a a a




a the end of thesecond month.
a a a a a




 When assessing a client who is at 12-weeks gestation, the nurse
a a a a a a a a a a




recommends that she and her husband consider attending childbirth
a a a a a a a a a




preparation classes. When is thebest time for the couple to attend these
a a a a a a a a a a a a a




classes?
a




30 weeks gestation
a a




at 30 weeks gestation is closest (of the options) to the time parents would
a a a a a a a a a a a a a




be ready for such classes. Learning is facilitated by an interested pupil!
a a a a a a a a a a a a

, The couple is most interested in childbirth toward the end of the
a a a a a a a a a a a a




pregnancy when they are psychologically ready for the termination of the
a a a a a a a a a a a




pregnancy, and the birth of their childis an immediate concern.
a a a a a a a a a a a




 The nurse should encourage the laboring client to begin
a a a a a a a a




pushing when...the cervix is completely dilated.
a a a a a a a




Pushing begins with the second stage of labor, i.e., when the cervix is
a a a a a a a a a a a a




completely dilatedat 10 cm (C). If pushing begins before the cervix is
a a a a a a a a a a a a a




completely dilated the cervix
a a a a




1

, can become edematous and may never completely dilate, necessitating
a a a a a a a a




an operativedelivery. Many primigravida’s begin active labor 100%and
a a a a a a a a a




theneffacedproceed todilate.
a a a




 The nurse instructs a laboring client to use accelerated-blow breathing. The
a a a a a a a a a a




client begins to complain of tingling fingers and dizziness. What action
a a a a a a a a a a a




should the nurse take?
a a a a




Have the client breathe into her cupped hands
a a a a a a a




Tingling fingers and dizziness are signs of hyperventilation (blowing off
a a a a a a a a a




too much carbon dioxide). Hyperventilation is treated by retaining carbon
a a a a a a a a a a




dioxide. This can befacilitated by breathing into a paper bag or cupped
a a a a a a a a a a a a a




hands.
a




 Twenty-four hours after admission to the newborn nursery, a full-term
a a a a a a a a a




male infant develops localized edema on the right side of his head. The
a a a a a a a a a a a a a




nurse knows that, in thenewborn, an accumulation of blood between the
a a a a a a a a a a a a




periosteum and skull which does not cross the suture line is a newborn
a a a a a a a a a a a a a




variation known as...
a a a




a cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
a a a a a a a a a a a a