HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
HESI RN: p
Maternity - p
Test Bank For LPN t
p p p p p
o RN Transitions Ac
p p p
hieving Success in y p p p
our New Role 5th Ed
p p p p
ition With Rationale p p
s
,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
A 38-p
week primigravida who works as a secretary and sits at a comput
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er for 8 hours each day tells the nurse that her feet have begun to
p p p p p p p p p p p p p p p
swell. Which instruction would be most effective in preventing p
p p p p p p p p p
ooling of blood in the lower extremities? - CORRECT ANSWER-
p p p p p p p p p
Move about every hour p p p
Pooling of blood in the lower extremities results from the enlarg
p p p p p p p p p p
ed uterus exerting pressure on the pelvic veins. Moving about ev
p p p p p p p p p p
ery hour will straighten out the pelvic veins and increase venous
p p p p p p p p p p p
return.
A 26-year-
p
old, gravida 2, para 1 client is admitted to the hospital at 28-
p p p p p p p p p p p p
weeks gestation in preterm labor. She is given 3 doses of terbuta
p p p p p p p p p p p
line sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
p p p p p p p p p p
contractions. The nurse plans to monitor for which primary side p p p p p p p p p p
effect of terbutaline sulfate? - CORRECT ANSWER-
p p p p p p
Tachycardia and a feeling of nervousness p p p p p
Terbutaline sulfate (Brethine), a beta- p p p p
sympathomimetic drug, stimulates beta- p p p
adrenergic receptors in the uterine muscle to stop contractions
p p p p p p p p
. The beta-adrenergic agonist properties of
p p p p p
,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
the drug may cause tachycardia, increased cardiac output, restlessn
p p p p p p p p
ess, headache, and a feeling of "nervousness".
p p p p p p
When do the anterior and posterior fontanels close? -
p p p p p p p p
CORRECT ANSWER-
p p
anterior fontanel closes at 12 to 18 months and the posterior by t
p p p p p p p p p p p p
he end of the second month.
p p p p p
When assessing a client who is at 12-
p p p p p p p
weeks gestation, the nurse recommends that she and her husband c
p p p p p p p p p p
onsider attending childbirth preparation classes. When is the best ti
p p p p p p p p p
me for the couple to attend these classes? - CORRECT ANSWER-
p p p p p p p p p p
30 weeks gestation
p p
at 30 weeks gestation is closest (of the options) to the time paren
p p p p p p p p p p p p
ts would be ready for such classes. Learning is facilitated by an int
p p p p p p p p p p p p
erested pupil! The couple is most interested in childbirth toward t
p p p p p p p p p p
he end of the pregnancy when they are psychologically ready for t
p p p p p p p p p p p
he termination of the pregnancy, and the birth of their child is an i
p p p p p p p p p p p p p
mmediate concern. p
The nurse should encourage the laboring client to begin pushing
p p p p p p p p p p
when... - CORRECT ANSWER-the cervix is completely dilated.
p p p p p p p
, HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
Pushing begins with the second stage of labor, i.e., when the cer
p p p p p p p p p p p
vix is completely dilated at 10 cm (C). If pushing begins before th
p p p p p p p p p p p p
e cervix is completely dilated the cervix can become edematous
p p p p p p p p p p
and may never completely dilate, necessitating an operative del
p p p p p p p p
ivery. Many primigravida's begin active labor 100% effaced and
p p p p p p p p p
then proceed to dilate.
p p p
The nurse instructs a laboring client to use accelerated-
p p p p p p p p
blow breathing. The client begins to complain of tingling fingers
p p p p p p p p p p
and dizziness. What action should the nurse take? -
p p p p p p p p
CORRECT ANSWER-
p p
Have the client breathe into her cupped hands
p p p p p p p
Tingling fingers and dizziness are signs of hyperventilation (blowi
p p p p p p p p
ng off too much carbon dioxide). Hyperventilation is treated by re
p p p p p p p p p p
taining carbon dioxide. This can be facilitated by breathing into a
p p p p p p p p p p p
paper bag or cupped hands. p p p p
Twenty-
four hours after admission to the newborn nursery, a full-
p p p p p p p p p
term male infant develops localized edema on the right side of his
p p p p p p p p p p p p
head. The nurse knows that, in the newborn, an accumulation of
p p p p p p p p p p p
blood between the periosteum and skull which
p p p p p p
HESI RN: p
Maternity - p
Test Bank For LPN t
p p p p p
o RN Transitions Ac
p p p
hieving Success in y p p p
our New Role 5th Ed
p p p p
ition With Rationale p p
s
,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
A 38-p
week primigravida who works as a secretary and sits at a comput
p p p p p p p p p p p
er for 8 hours each day tells the nurse that her feet have begun to
p p p p p p p p p p p p p p p
swell. Which instruction would be most effective in preventing p
p p p p p p p p p
ooling of blood in the lower extremities? - CORRECT ANSWER-
p p p p p p p p p
Move about every hour p p p
Pooling of blood in the lower extremities results from the enlarg
p p p p p p p p p p
ed uterus exerting pressure on the pelvic veins. Moving about ev
p p p p p p p p p p
ery hour will straighten out the pelvic veins and increase venous
p p p p p p p p p p p
return.
A 26-year-
p
old, gravida 2, para 1 client is admitted to the hospital at 28-
p p p p p p p p p p p p
weeks gestation in preterm labor. She is given 3 doses of terbuta
p p p p p p p p p p p
line sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
p p p p p p p p p p
contractions. The nurse plans to monitor for which primary side p p p p p p p p p p
effect of terbutaline sulfate? - CORRECT ANSWER-
p p p p p p
Tachycardia and a feeling of nervousness p p p p p
Terbutaline sulfate (Brethine), a beta- p p p p
sympathomimetic drug, stimulates beta- p p p
adrenergic receptors in the uterine muscle to stop contractions
p p p p p p p p
. The beta-adrenergic agonist properties of
p p p p p
,HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
the drug may cause tachycardia, increased cardiac output, restlessn
p p p p p p p p
ess, headache, and a feeling of "nervousness".
p p p p p p
When do the anterior and posterior fontanels close? -
p p p p p p p p
CORRECT ANSWER-
p p
anterior fontanel closes at 12 to 18 months and the posterior by t
p p p p p p p p p p p p
he end of the second month.
p p p p p
When assessing a client who is at 12-
p p p p p p p
weeks gestation, the nurse recommends that she and her husband c
p p p p p p p p p p
onsider attending childbirth preparation classes. When is the best ti
p p p p p p p p p
me for the couple to attend these classes? - CORRECT ANSWER-
p p p p p p p p p p
30 weeks gestation
p p
at 30 weeks gestation is closest (of the options) to the time paren
p p p p p p p p p p p p
ts would be ready for such classes. Learning is facilitated by an int
p p p p p p p p p p p p
erested pupil! The couple is most interested in childbirth toward t
p p p p p p p p p p
he end of the pregnancy when they are psychologically ready for t
p p p p p p p p p p p
he termination of the pregnancy, and the birth of their child is an i
p p p p p p p p p p p p p
mmediate concern. p
The nurse should encourage the laboring client to begin pushing
p p p p p p p p p p
when... - CORRECT ANSWER-the cervix is completely dilated.
p p p p p p p
, HESIpRN:pMaternityp-pTestpBankpForpLPNptopRNpTransitionspAchievingpSuccesspinpyourpNewpRolep5thpEdition
Pushing begins with the second stage of labor, i.e., when the cer
p p p p p p p p p p p
vix is completely dilated at 10 cm (C). If pushing begins before th
p p p p p p p p p p p p
e cervix is completely dilated the cervix can become edematous
p p p p p p p p p p
and may never completely dilate, necessitating an operative del
p p p p p p p p
ivery. Many primigravida's begin active labor 100% effaced and
p p p p p p p p p
then proceed to dilate.
p p p
The nurse instructs a laboring client to use accelerated-
p p p p p p p p
blow breathing. The client begins to complain of tingling fingers
p p p p p p p p p p
and dizziness. What action should the nurse take? -
p p p p p p p p
CORRECT ANSWER-
p p
Have the client breathe into her cupped hands
p p p p p p p
Tingling fingers and dizziness are signs of hyperventilation (blowi
p p p p p p p p
ng off too much carbon dioxide). Hyperventilation is treated by re
p p p p p p p p p p
taining carbon dioxide. This can be facilitated by breathing into a
p p p p p p p p p p p
paper bag or cupped hands. p p p p
Twenty-
four hours after admission to the newborn nursery, a full-
p p p p p p p p p
term male infant develops localized edema on the right side of his
p p p p p p p p p p p p
head. The nurse knows that, in the newborn, an accumulation of
p p p p p p p p p p p
blood between the periosteum and skull which
p p p p p p