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HESI Review Test-Maternity, Evolve
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Obstetrics/Maternity Practice 2017 Exam, g g g
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HESI Maternity questions and answers.
g g g g
g
g
g
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The gnurse gobserves ga gnew gmother gavoiding geye gcontact gwith gher gnewborn. gWhich
gaction g
g
should gthe gnurse gtake? g- g gcorrect ganswer. g gObserve gthe gmother gfor gother
gattachment
g
behaviors.
g
The gnurse gshould gexplain gto ga g30-year-old ggravid gclient gthat galpha gfetoprotein
gtesting gis grecommended gfor gwhich gpurpose? g- g gcorrect ganswer. g gScreen gfor gneural
gtube gdefects. g
g
What gaction gshould gthe gnurse gimplement gto gdecrease gthe gclient's grisk gfor
ghemorrhage gafter ga gcesarean gsection? g- g gcorrect ganswer. g gCheck gthe gfirmness gof
gthe guterus gevery g15 gminutes. g
g
The gnurse gattempts gto ghelp gan gunmarried gteenager gdeal gwith gher gfeelings gfollowing
ga gspontaneous gabortion gat g8-weeks ggestation. gWhat gtype gof gemotional gresponse
gshould gthe gnurse ganticipate? g- g gcorrect ganswer. g gGrief grelated gto gher gperceptions
gabout gthe gloss gof gthis gchild. g
g
The gnurse gis gassessing ga g3-day gold ginfant gwith ga gcephalohematoma gin gthe gnewborn
gnursery. gWhich gassessment gfinding gshould gthe gnurse greport gto gthe ghealthcare
gprovider? g- g gcorrect ganswer. g gYellowish gtinge gto gthe gskin. g
g
When gassessing ga gclient gwho gis gat g12-weeks ggestation, gthe gnurse grecommends gthat
gshe g
g
and gher ghusband gconsider gattending gchildbirth gpreparation gclasses. gWhen gis gthe
gbest
time gfor gthe gcouple gto gattend gthese gclasses? g- g gcorrect ganswer. g gAt g30-weeks
ggestation gis g
closest gto gthe gtime gparents gwould gbe gready gfor gsuch gclasses. gLearning gis gfacilitated
gby gan g
, g
interested gpupil! gThe gcouple gis gmost ginterested gin gchildbirth gtoward gthe gend
gof gthe
g
pregnancy gwhen gthey gare gpsychologically gready gfor gthe gtermination gof gthe
gpregnancy,
g
and gthe gbirth gof gtheir gchild gis gan gimmediate
gconcern.
g
A gclient gat g32-weeks ggestation gis gdiagnosed gwith gpreeclampsia. gWhich gassessment
gfinding gis gmost gindicative gof gan gimpending gconvulsion? g- g gcorrect ganswer. g
gEpigastric gpain g(C) gis gindicative gof gan gedematous gliver gor gpancreas gwhich gis gan
gearly gwarning gsign gof gan gimpending gconvulsion g(eclampsia) gand grequires gimmediate
gattention. g
g
A gclient gis gadmitted gwith gthe gdiagnosis gof gtotal gplacenta gprevia. gWhich gfinding gis
gmost g
g
important gfor gthe gnurse gto greport gto gthe ghealthcare gprovider gimmediately? g- g
gcorrect
g
answer. g gOnset gof guterine
gcontractions.
g
A gclient gwho gis gin gthe gsecond gtrimester gof gpregnancy gtells gthe gnurse gthat gshe gwants
gto guse gherbal gtherapy. gWhich gresponse gis gbest gfor gthe gnurse gto gprovide? g- g gcorrect
ganswer. g gIt gis gimportant gthat gyou gwant gto gtake gpart gin gyour gcare. g
g
A gcouple, gconcerned gbecause gthe gwoman ghas gnot gbeen gable gto gconceive, gis
greferred gto ga ghealthcare gprovider gfor ga gfertility gworkup gand ga ghysterosalpingography
gis gscheduled. gWhich gpostprocedure gcomplaint gindicates gthat gthe gfallopian gtubes gare
gpatent? g- g gcorrect ganswer. g gIf gthe gtubes gare gpatent g(open), gpain gis greferred gto gthe
gshoulder g(C) gfrom ga gsubdiaphragmatic gcollection gof gperitoneal gdye/gas. g
g
A gclient gwho gdelivered gan ginfant gan ghour gago gtells gthe gnurse gthat gshe gfeels gwet
gunderneath gher gbuttock. gThe gnurse gnotes gthat gboth gperineal gpads gare gcompletely
gsaturated gand gthe gclient gis glying gin ga g6-inch gdiameter gpool gof gblood. gWhich gaction
gshould gthe gnurse gimplement gnext? g- g gcorrect ganswer. g gPalpate gthe gfirmness gof gthe
gfundus. g
g
One ghour gafter ggiving gbirth gto gan g8-pound ginfant, ga gclient's glochia grubra ghas
gincreased gfrom gsmall gto glarge gand gher gfundus gis gboggy gdespite gmassage. gThe
gclient's gpulse gis g84 gbeats/minute gand gblood gpressure gis g156/96. gThe ghealthcare
gprovider gprescribes gMethergine g0.2 gmg gIM g× g1. gWhat gaction gshould gthe gnurse gtake
gimmediately? g- g gcorrect ganswer. g gMethergine gis gcontraindicated gfor gclients gwith
gelevated gblood gpressure, gso gthe gnurse gshould gcontact gthe ghealthcare gprovider gand
gquestion gthe gprescription g(D). g
g
A gclient gat g32-weeks ggestation gcomes gto gthe gprenatal gclinic gwith gcomplaints gof
gpedal gedema, gdyspnea, gfatigue, gand ga gmoist gcough. gWhich gquestion gis gmost
gimportant gfor gthe gnurse gto gask gthis gclient? g- g gcorrect ganswer. g gDo gyou ghave ga
,ghistory gof grheumatic gfever? gClients gwith ga ghistory gof grheumatic gfever g(D) gmay
gdevelop gmitral gvalve gprolapse, gwhich gincreases gthe grisk gfor gcardiac gdecompensation
gdue gto gthe gincreased gblood gvolume gthat goccurs gduring gpregnancy, gso gobtaining
ginformation gabout gthis gclient's ghealth ghistory gis ga gpriority. g
g
A gprimigravida gat g40-weeks ggestation gis greceiving goxytocin g(Pitocin) gto gaugment
glabor. gWhich gadverse geffect gshould gthe gnurse gmonitor gfor gduring gthe ginfusion gof
gPitocin? g- g gcorrect ganswer. g gPitocin gcauses gthe guterine gmyofibril gto gcontract, gso
gunless gthe ginfusion gis gclosely gmonitored, gthe gclient gis gat grisk gfor ghyperstimulation
g(B) gwhich gcan glead gto gtetanic gcontractions, guterine grupture, gand gfetal gdistress gor
gdemise. g
g
A g35-year-old gprimigravida gclient gwith gsevere gpreeclampsia gis greceiving gmagnesium
gsulfate gvia gcontinuous gIV ginfusion. gWhich gassessment gdata gindicates gto gthe gnurse
gthat gthe gclient gis gexperiencing gmagnesium gsulfate gtoxicity? g- g gcorrect ganswer. g
gUrine goutput g90 gml/4 ghours. gUrine goutputs gof gless gthan g100 gml/4 ghours g(D), gabsent
gDTRs, gand ga grespiratory grate gof gless gthan g12 gbreaths/minute gare gcardinal gsigns gof
gmagnesium gsulfate gtoxicity. g
g
The gnurse gis gplanning gpreconception gcare gfor ga gnew gfemale gclient. gWhich
ginformation gshould gthe gnurse gprovide gthe gclient? g- g gcorrect ganswer. g gEncourage
ghealthy glifestyles gfor gfamilies gdesiring gpregnancy. gPlanning gfor gpregnancy gbegins
gwith ghealthy glifestyles gin gthe gfamily g(D) gwhich gis gan gintervention gin gpreconception
gcare gthat gtargets gan goverall ggoal gfor ga gclient gpreparing gfor gpregnancy. g
g
A gmultigravida gclient gat g41-weeks ggestation gpresents gin gthe glabor gand gdelivery gunit
gafter ga gnon-stress gtest gindicated gthat gthe gfetus gis gexperiencing gsome gdifficulties gin
gutero. gWhich gdiagnostic gtest gshould gthe gnurse gprepare gthe gclient gfor gadditional
ginformation gabout gfetal gstatus? g- g gcorrect ganswer. g gBiophysical gprofile g(BPP). gBPP
g(A) gprovides gdata gregarding gfetal grisk gsurveillance gby gexamining g5 gareas: gfetal
gbreathing gmovements, gfetal gmovements, gamniotic gfluid gvolume, gand gfetal gtone gand
gheart grate. g
g
A gclient gwith gno gprenatal gcare garrives gat gthe glabor gunit gscreaming, g"The gbaby gis
gcoming!" gThe gnurse gperforms ga gvaginal gexamination gthat greveals gthe gcervix gis g3
gcentimeters gdilated gand g75% geffaced. gWhat gadditional ginformation gis gmost gimportant
gfor gthe gnurse gto gobtain? g- g gcorrect ganswer. g gDate gof glast gnormal gmenstrual gperiod.
gEvaluating gthe ggestation gof gthe gpregnancy g(C) gtakes gpriority. gIf gthe gfetus gis gpreterm
gand gthe gfetal gheart gpattern gis greassuring, gthe ghealthcare gprovider gmay gattempt gto
gprolong gthe gpregnancy gand gadminister gcorticosteroids gto gmature gthe glungs gof gthe
gfetus. g
g
A gclient gat g28-weeks ggestation gcalls gthe gantepartal gclinic gand gstates gthat gshe gis
gexperiencing ga gsmall gamount gof gvaginal gbleeding gwhich gshe gdescribes gas gbright
gred. gShe gfurther gstates gthat gshe gis gnot gexperiencing gany guterine gcontractions gor
gabdominal gpain. gWhat ginstruction gshould gthe gnurse gprovide? g- g gcorrect ganswer. g
gCome gto gthe gclinic gtoday gfor gan gultrasound. gThird gtrimester gpainless gbleeding gis
, gcharacteristic gof ga gplacenta gprevia. gBright gred gbleeding gmay gbe gintermittent, goccur
gin ggushes, gor gbe gcontinuous. gRarely gis gthe gfirst gincidence glife-threatening, gnor
gcause gfor ghypovolemic gshock. gDiagnosis gis gconfirmed gby gtransabdominal gultrasound
g(A). g
g
A gnew gmother gis gafraid gto gtouch gher gbaby's ghead gfor gfear gof ghurting gthe g"large gsoft
gspot." g
g g
Which gexplanation gshould gthe gnurse ggive gto gthis ganxious gclient? g- g gcorrect
ganswer.
There's ga gstrong, gtough gmembrane gthere gto gprotect gthe gbaby gso gyou gneed gnot gbe
gafraid g
g
to gwash gor gcomb ghis/her
ghair.
g
During glabor, gthe gnurse gdetermines gthat ga gfull-term gclient gis gdemonstrating glate
gdecelerations. gIn gwhich gsequence gshould gthe gnurse gimplement gthese gnursing
gactions? g(Arrange gin gorder.) g- g gcorrect ganswer. g gReposition gthe gclient. g
Provide goxygen gvia gface gmask. g
Increase gIV gfluid. g
Call gthe ghealthcare gprovider. g
g
An goff-duty gnurse gfinds ga gwoman gin ga gsupermarket gparking glot gdelivering gan ginfant
gwhile gher ghusband gis gscreaming gfor gsomeone gto ghelp ghis gwife. gWhich gintervention
ghas gthe ghighest gpriority? g- g gcorrect ganswer. g gPut gthe gnewborn gto gbreast. gPutting gthe
gnewborn gto gbreast g(D) gwill ghelp gcontract gthe guterus gand gprevent ga gpostpartum
ghemorrhage--this gintervention ghas gthe ghighest gpriority. g
g
A g40-week ggestation gprimigravida gclient gis gbeing ginduced gwith gan goxytocin g(Pitocin)
gsecondary ginfusion gand gcomplains gof gpain gin gher glower gback. gWhich gintervention
gshould gthe gnurse gimplement? g- g gcorrect ganswer. g gApply gfirm gpressure gto gsacral
garea. gThe gdiscomfort gof gback glabor gcan gbe gminimized gby gthe gapplication gof gfirm
gpressure gto gthe gsacral garea g
g
A gmultigravida gclient garrives gat gthe glabor gand gdelivery gunit gand gtells gthe gnurse gthat
gher gbag gof gwater ghas gbroken. gThe gnurse gidentifies gthe gpresence gof gmeconium gfluid
gon gthe gperineum gand gdetermines gthe gfetal gheart grate gis gbetween g140 gto g150
gbeats/minute. gWhat gaction gshould gthe gnurse gimplement gnext? g- g gcorrect ganswer. g
gComplete ga gsterile gvaginal gexam. gA gvaginal gexam g(A) gshould gbe gperformed gafter
gthe grupture gof gmembranes gto gdetermine gthe gpresence gof ga gprolapsed gcord. g
g
The gnurse gis gassessing ga gclient gwho gis ghaving ga gnon-stress gtest g(NST) gat g41-weeks
ggestation. gThe gnurse gdetermines gthat gthe gclient gis gnot ghaving gcontractions, gthe gfetal
gheart grate g(FHR) gbaseline gis g144 gbpm, gand gno gFHR gaccelerations gare goccurring.
gWhat gaction gshould gthe gnurse gtake? g- g gcorrect ganswer. g gAsk gthe gclient gif gshe ghas
gfelt gany gfetal gmovement. g
g
g
g
g
g
g
HESI Review Test-Maternity, Evolve
g g g
g
g
Obstetrics/Maternity Practice 2017 Exam, g g g
g
HESI Maternity questions and answers.
g g g g
g
g
g
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g
g
g
g
g
g
g
g
The gnurse gobserves ga gnew gmother gavoiding geye gcontact gwith gher gnewborn. gWhich
gaction g
g
should gthe gnurse gtake? g- g gcorrect ganswer. g gObserve gthe gmother gfor gother
gattachment
g
behaviors.
g
The gnurse gshould gexplain gto ga g30-year-old ggravid gclient gthat galpha gfetoprotein
gtesting gis grecommended gfor gwhich gpurpose? g- g gcorrect ganswer. g gScreen gfor gneural
gtube gdefects. g
g
What gaction gshould gthe gnurse gimplement gto gdecrease gthe gclient's grisk gfor
ghemorrhage gafter ga gcesarean gsection? g- g gcorrect ganswer. g gCheck gthe gfirmness gof
gthe guterus gevery g15 gminutes. g
g
The gnurse gattempts gto ghelp gan gunmarried gteenager gdeal gwith gher gfeelings gfollowing
ga gspontaneous gabortion gat g8-weeks ggestation. gWhat gtype gof gemotional gresponse
gshould gthe gnurse ganticipate? g- g gcorrect ganswer. g gGrief grelated gto gher gperceptions
gabout gthe gloss gof gthis gchild. g
g
The gnurse gis gassessing ga g3-day gold ginfant gwith ga gcephalohematoma gin gthe gnewborn
gnursery. gWhich gassessment gfinding gshould gthe gnurse greport gto gthe ghealthcare
gprovider? g- g gcorrect ganswer. g gYellowish gtinge gto gthe gskin. g
g
When gassessing ga gclient gwho gis gat g12-weeks ggestation, gthe gnurse grecommends gthat
gshe g
g
and gher ghusband gconsider gattending gchildbirth gpreparation gclasses. gWhen gis gthe
gbest
time gfor gthe gcouple gto gattend gthese gclasses? g- g gcorrect ganswer. g gAt g30-weeks
ggestation gis g
closest gto gthe gtime gparents gwould gbe gready gfor gsuch gclasses. gLearning gis gfacilitated
gby gan g
, g
interested gpupil! gThe gcouple gis gmost ginterested gin gchildbirth gtoward gthe gend
gof gthe
g
pregnancy gwhen gthey gare gpsychologically gready gfor gthe gtermination gof gthe
gpregnancy,
g
and gthe gbirth gof gtheir gchild gis gan gimmediate
gconcern.
g
A gclient gat g32-weeks ggestation gis gdiagnosed gwith gpreeclampsia. gWhich gassessment
gfinding gis gmost gindicative gof gan gimpending gconvulsion? g- g gcorrect ganswer. g
gEpigastric gpain g(C) gis gindicative gof gan gedematous gliver gor gpancreas gwhich gis gan
gearly gwarning gsign gof gan gimpending gconvulsion g(eclampsia) gand grequires gimmediate
gattention. g
g
A gclient gis gadmitted gwith gthe gdiagnosis gof gtotal gplacenta gprevia. gWhich gfinding gis
gmost g
g
important gfor gthe gnurse gto greport gto gthe ghealthcare gprovider gimmediately? g- g
gcorrect
g
answer. g gOnset gof guterine
gcontractions.
g
A gclient gwho gis gin gthe gsecond gtrimester gof gpregnancy gtells gthe gnurse gthat gshe gwants
gto guse gherbal gtherapy. gWhich gresponse gis gbest gfor gthe gnurse gto gprovide? g- g gcorrect
ganswer. g gIt gis gimportant gthat gyou gwant gto gtake gpart gin gyour gcare. g
g
A gcouple, gconcerned gbecause gthe gwoman ghas gnot gbeen gable gto gconceive, gis
greferred gto ga ghealthcare gprovider gfor ga gfertility gworkup gand ga ghysterosalpingography
gis gscheduled. gWhich gpostprocedure gcomplaint gindicates gthat gthe gfallopian gtubes gare
gpatent? g- g gcorrect ganswer. g gIf gthe gtubes gare gpatent g(open), gpain gis greferred gto gthe
gshoulder g(C) gfrom ga gsubdiaphragmatic gcollection gof gperitoneal gdye/gas. g
g
A gclient gwho gdelivered gan ginfant gan ghour gago gtells gthe gnurse gthat gshe gfeels gwet
gunderneath gher gbuttock. gThe gnurse gnotes gthat gboth gperineal gpads gare gcompletely
gsaturated gand gthe gclient gis glying gin ga g6-inch gdiameter gpool gof gblood. gWhich gaction
gshould gthe gnurse gimplement gnext? g- g gcorrect ganswer. g gPalpate gthe gfirmness gof gthe
gfundus. g
g
One ghour gafter ggiving gbirth gto gan g8-pound ginfant, ga gclient's glochia grubra ghas
gincreased gfrom gsmall gto glarge gand gher gfundus gis gboggy gdespite gmassage. gThe
gclient's gpulse gis g84 gbeats/minute gand gblood gpressure gis g156/96. gThe ghealthcare
gprovider gprescribes gMethergine g0.2 gmg gIM g× g1. gWhat gaction gshould gthe gnurse gtake
gimmediately? g- g gcorrect ganswer. g gMethergine gis gcontraindicated gfor gclients gwith
gelevated gblood gpressure, gso gthe gnurse gshould gcontact gthe ghealthcare gprovider gand
gquestion gthe gprescription g(D). g
g
A gclient gat g32-weeks ggestation gcomes gto gthe gprenatal gclinic gwith gcomplaints gof
gpedal gedema, gdyspnea, gfatigue, gand ga gmoist gcough. gWhich gquestion gis gmost
gimportant gfor gthe gnurse gto gask gthis gclient? g- g gcorrect ganswer. g gDo gyou ghave ga
,ghistory gof grheumatic gfever? gClients gwith ga ghistory gof grheumatic gfever g(D) gmay
gdevelop gmitral gvalve gprolapse, gwhich gincreases gthe grisk gfor gcardiac gdecompensation
gdue gto gthe gincreased gblood gvolume gthat goccurs gduring gpregnancy, gso gobtaining
ginformation gabout gthis gclient's ghealth ghistory gis ga gpriority. g
g
A gprimigravida gat g40-weeks ggestation gis greceiving goxytocin g(Pitocin) gto gaugment
glabor. gWhich gadverse geffect gshould gthe gnurse gmonitor gfor gduring gthe ginfusion gof
gPitocin? g- g gcorrect ganswer. g gPitocin gcauses gthe guterine gmyofibril gto gcontract, gso
gunless gthe ginfusion gis gclosely gmonitored, gthe gclient gis gat grisk gfor ghyperstimulation
g(B) gwhich gcan glead gto gtetanic gcontractions, guterine grupture, gand gfetal gdistress gor
gdemise. g
g
A g35-year-old gprimigravida gclient gwith gsevere gpreeclampsia gis greceiving gmagnesium
gsulfate gvia gcontinuous gIV ginfusion. gWhich gassessment gdata gindicates gto gthe gnurse
gthat gthe gclient gis gexperiencing gmagnesium gsulfate gtoxicity? g- g gcorrect ganswer. g
gUrine goutput g90 gml/4 ghours. gUrine goutputs gof gless gthan g100 gml/4 ghours g(D), gabsent
gDTRs, gand ga grespiratory grate gof gless gthan g12 gbreaths/minute gare gcardinal gsigns gof
gmagnesium gsulfate gtoxicity. g
g
The gnurse gis gplanning gpreconception gcare gfor ga gnew gfemale gclient. gWhich
ginformation gshould gthe gnurse gprovide gthe gclient? g- g gcorrect ganswer. g gEncourage
ghealthy glifestyles gfor gfamilies gdesiring gpregnancy. gPlanning gfor gpregnancy gbegins
gwith ghealthy glifestyles gin gthe gfamily g(D) gwhich gis gan gintervention gin gpreconception
gcare gthat gtargets gan goverall ggoal gfor ga gclient gpreparing gfor gpregnancy. g
g
A gmultigravida gclient gat g41-weeks ggestation gpresents gin gthe glabor gand gdelivery gunit
gafter ga gnon-stress gtest gindicated gthat gthe gfetus gis gexperiencing gsome gdifficulties gin
gutero. gWhich gdiagnostic gtest gshould gthe gnurse gprepare gthe gclient gfor gadditional
ginformation gabout gfetal gstatus? g- g gcorrect ganswer. g gBiophysical gprofile g(BPP). gBPP
g(A) gprovides gdata gregarding gfetal grisk gsurveillance gby gexamining g5 gareas: gfetal
gbreathing gmovements, gfetal gmovements, gamniotic gfluid gvolume, gand gfetal gtone gand
gheart grate. g
g
A gclient gwith gno gprenatal gcare garrives gat gthe glabor gunit gscreaming, g"The gbaby gis
gcoming!" gThe gnurse gperforms ga gvaginal gexamination gthat greveals gthe gcervix gis g3
gcentimeters gdilated gand g75% geffaced. gWhat gadditional ginformation gis gmost gimportant
gfor gthe gnurse gto gobtain? g- g gcorrect ganswer. g gDate gof glast gnormal gmenstrual gperiod.
gEvaluating gthe ggestation gof gthe gpregnancy g(C) gtakes gpriority. gIf gthe gfetus gis gpreterm
gand gthe gfetal gheart gpattern gis greassuring, gthe ghealthcare gprovider gmay gattempt gto
gprolong gthe gpregnancy gand gadminister gcorticosteroids gto gmature gthe glungs gof gthe
gfetus. g
g
A gclient gat g28-weeks ggestation gcalls gthe gantepartal gclinic gand gstates gthat gshe gis
gexperiencing ga gsmall gamount gof gvaginal gbleeding gwhich gshe gdescribes gas gbright
gred. gShe gfurther gstates gthat gshe gis gnot gexperiencing gany guterine gcontractions gor
gabdominal gpain. gWhat ginstruction gshould gthe gnurse gprovide? g- g gcorrect ganswer. g
gCome gto gthe gclinic gtoday gfor gan gultrasound. gThird gtrimester gpainless gbleeding gis
, gcharacteristic gof ga gplacenta gprevia. gBright gred gbleeding gmay gbe gintermittent, goccur
gin ggushes, gor gbe gcontinuous. gRarely gis gthe gfirst gincidence glife-threatening, gnor
gcause gfor ghypovolemic gshock. gDiagnosis gis gconfirmed gby gtransabdominal gultrasound
g(A). g
g
A gnew gmother gis gafraid gto gtouch gher gbaby's ghead gfor gfear gof ghurting gthe g"large gsoft
gspot." g
g g
Which gexplanation gshould gthe gnurse ggive gto gthis ganxious gclient? g- g gcorrect
ganswer.
There's ga gstrong, gtough gmembrane gthere gto gprotect gthe gbaby gso gyou gneed gnot gbe
gafraid g
g
to gwash gor gcomb ghis/her
ghair.
g
During glabor, gthe gnurse gdetermines gthat ga gfull-term gclient gis gdemonstrating glate
gdecelerations. gIn gwhich gsequence gshould gthe gnurse gimplement gthese gnursing
gactions? g(Arrange gin gorder.) g- g gcorrect ganswer. g gReposition gthe gclient. g
Provide goxygen gvia gface gmask. g
Increase gIV gfluid. g
Call gthe ghealthcare gprovider. g
g
An goff-duty gnurse gfinds ga gwoman gin ga gsupermarket gparking glot gdelivering gan ginfant
gwhile gher ghusband gis gscreaming gfor gsomeone gto ghelp ghis gwife. gWhich gintervention
ghas gthe ghighest gpriority? g- g gcorrect ganswer. g gPut gthe gnewborn gto gbreast. gPutting gthe
gnewborn gto gbreast g(D) gwill ghelp gcontract gthe guterus gand gprevent ga gpostpartum
ghemorrhage--this gintervention ghas gthe ghighest gpriority. g
g
A g40-week ggestation gprimigravida gclient gis gbeing ginduced gwith gan goxytocin g(Pitocin)
gsecondary ginfusion gand gcomplains gof gpain gin gher glower gback. gWhich gintervention
gshould gthe gnurse gimplement? g- g gcorrect ganswer. g gApply gfirm gpressure gto gsacral
garea. gThe gdiscomfort gof gback glabor gcan gbe gminimized gby gthe gapplication gof gfirm
gpressure gto gthe gsacral garea g
g
A gmultigravida gclient garrives gat gthe glabor gand gdelivery gunit gand gtells gthe gnurse gthat
gher gbag gof gwater ghas gbroken. gThe gnurse gidentifies gthe gpresence gof gmeconium gfluid
gon gthe gperineum gand gdetermines gthe gfetal gheart grate gis gbetween g140 gto g150
gbeats/minute. gWhat gaction gshould gthe gnurse gimplement gnext? g- g gcorrect ganswer. g
gComplete ga gsterile gvaginal gexam. gA gvaginal gexam g(A) gshould gbe gperformed gafter
gthe grupture gof gmembranes gto gdetermine gthe gpresence gof ga gprolapsed gcord. g
g
The gnurse gis gassessing ga gclient gwho gis ghaving ga gnon-stress gtest g(NST) gat g41-weeks
ggestation. gThe gnurse gdetermines gthat gthe gclient gis gnot ghaving gcontractions, gthe gfetal
gheart grate g(FHR) gbaseline gis g144 gbpm, gand gno gFHR gaccelerations gare goccurring.
gWhat gaction gshould gthe gnurse gtake? g- g gcorrect ganswer. g gAsk gthe gclient gif gshe ghas
gfelt gany gfetal gmovement. g
g
