MATERNITY - HESI : PN
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1. During labor, the fetal heart rate slowly decelerates at D) Continue to monitor the
the beginning of the contraction and returns to base- progress of the client's la-
line at the end of the contraction. What action should bor.
the nurse take?
a. Turn the mother to her left side. Rationale:
Early decelerations dur-
b. Administer oxygen to the mother via face mask. ing labor are frequently
caused by head compres-
c. Notify the health care provider regarding the find- sion within the uterus, and
ings. no nursing intervention is
required except to moni-
d. Continue to monitor the progress of the client's
tor the mother's progress
labor.
during labor.
2. Which maternal behavior is the practical nurse (PN) B) She receives the infant
most likely to see when a new mother receives her and touches the infant's
infant for the first time? face with her fingertips.
a. She eagerly undresses the infant and examines the
infant completely. Rationale:
Attachment/bonding the-
b. She receives the infant and touches the infant's face ory indicates that most
with her fingertips. mothers will touch the in-
fant's face during the first
c. She reaches and cuddles the infant to her own body. visit with the newborn.
d. She reaches but hesitates for the nurse's encourage-
ment.
3.
, MATERNITY - HESI : PN
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A new father asks the practical nurse (PN) why oint- C) Gonorrhea
ment is instilled into the eyes of his newborn infant.
Which infection should the PN identify when describ-
Rationale:
ing the purpose of this treatment?
Erythromycin ointment is
a. Herpes instilled into the low-
er conjunctiva of each
b. Staphylococcus eye within 2 hours af-
ter birth to prevent oph-
c. Gonorrhea thalmia neonatorum, an
infection caused by gon-
d. Syphilis
orrhea, and inclusion con-
junctivitis, an infection
caused by Chlamydia.
4. The nurse is taking the temperature of a client who is A) Encourage fluids to in-
6 hours postpartum. The nurse notes that the client's crease hydration.
temperature is 38° C (100.4° F). Which intervention
should the nurse implement?
Rationale:
a. Encourage fluids to increase hydration. It is normal for the post-
partum client to have a
b. Recheck the temperature in 15 minutes. temperature up to 38° C
(100.4° F) because of de-
c. Place an ice pack on the client's forehead. hydration caused by labor.
The most appropriate in-
d. Obtain a prescription for acetaminophen.
tervention is to encourage
fluids to rehydrate the pa-
tient.
*Above 38° C (100.4° F) is
critical
, MATERNITY - HESI : PN
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5. A newborn infant is breathing satisfactorily but ap- C) Check the infant's oxy-
pears dusky. What action should the practical nurse gen saturation rate.
(PN) take first?
a. Notify the pediatrician immediately. Rationale:
The PN should first ob-
b. Suction the infant's nares and then the oral cavity. tain measurable objective
data; an oxygen saturation
c. Check the infant's oxygen saturation rate. rate provides such infor-
mation. The pediatrician
d. Position the infant on the right side.
should be notified if the
oxygen saturation rate is
below 90%.
6. The practical nurse (PN) caring for a laboring client en- B) An overdistended blad-
courages her to void at least every 2 hours and records der could be traumatized
each time the client empties her bladder. What is the during labor and could
rationale for implementing this nursing intervention? prolong the progress of la-
bor.
a. Emptying the bladder during delivery is difficult be-
cause of the position of the presenting fetal part
Rationale:
b. An overdistended bladder could be traumatized dur- A full bladder can impair
ing labor and could prolong the progress of labor. the efficiency of the uter-
ine contractions and im-
c. Urine specimens for glucose and protein must be pede descent of the fe-
obtained at certain intervals throughout labor. tus during labor. Also, be-
cause of the close proxim-
d. Frequent voiding minimizes the need for catheter-
ity of the bladder to the
ization, which increases the chance of bladder infec-
uterus, the bladder can be
tion.
traumatized by the descent
, MATERNITY - HESI : PN
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of the fetus.
7. During a prenatal visit, the practical nurse (PN) discuss- B) Lower initial weight
es with a client the effects that smoking has on the documented at birth.
fetus. The nurse realizes the teaching is effective if the
client identifies which possible effect on the fetus?
Rationale:
a. Lower Apgar score recorded at delivery. Smoking is associated with
low-birth-weight infants.
b. Lower initial weight documented at birth.
c. Higher oxygen used to stimulate breathing.
d. Higher prevalence of congenital anomalies.
8. Following a vaginal delivery, a postpartum client com- C) The release of oxytocin
plains of severe cramping after breastfeeding her new- hormone
born. Which explanation describes the most likely rea-
son for the client's pain?
Rationale:
a. A retained placenta During breastfeeding,
oxytocin is released and
b. Problems with the process of involution will cause uterine contrac-
tions and cramping.
c. The release of oxytocin hormone
d. A possible ileus
9. A female who thinks she could be pregnant calls her A) "A home pregnancy test
neighbor, a practical nurse (PN), to ask when she can be used right after
should use a home pregnancy test to diagnose preg- your first missed period."
Study online at https://quizlet.com/_f09xk6
1. During labor, the fetal heart rate slowly decelerates at D) Continue to monitor the
the beginning of the contraction and returns to base- progress of the client's la-
line at the end of the contraction. What action should bor.
the nurse take?
a. Turn the mother to her left side. Rationale:
Early decelerations dur-
b. Administer oxygen to the mother via face mask. ing labor are frequently
caused by head compres-
c. Notify the health care provider regarding the find- sion within the uterus, and
ings. no nursing intervention is
required except to moni-
d. Continue to monitor the progress of the client's
tor the mother's progress
labor.
during labor.
2. Which maternal behavior is the practical nurse (PN) B) She receives the infant
most likely to see when a new mother receives her and touches the infant's
infant for the first time? face with her fingertips.
a. She eagerly undresses the infant and examines the
infant completely. Rationale:
Attachment/bonding the-
b. She receives the infant and touches the infant's face ory indicates that most
with her fingertips. mothers will touch the in-
fant's face during the first
c. She reaches and cuddles the infant to her own body. visit with the newborn.
d. She reaches but hesitates for the nurse's encourage-
ment.
3.
, MATERNITY - HESI : PN
Study online at https://quizlet.com/_f09xk6
A new father asks the practical nurse (PN) why oint- C) Gonorrhea
ment is instilled into the eyes of his newborn infant.
Which infection should the PN identify when describ-
Rationale:
ing the purpose of this treatment?
Erythromycin ointment is
a. Herpes instilled into the low-
er conjunctiva of each
b. Staphylococcus eye within 2 hours af-
ter birth to prevent oph-
c. Gonorrhea thalmia neonatorum, an
infection caused by gon-
d. Syphilis
orrhea, and inclusion con-
junctivitis, an infection
caused by Chlamydia.
4. The nurse is taking the temperature of a client who is A) Encourage fluids to in-
6 hours postpartum. The nurse notes that the client's crease hydration.
temperature is 38° C (100.4° F). Which intervention
should the nurse implement?
Rationale:
a. Encourage fluids to increase hydration. It is normal for the post-
partum client to have a
b. Recheck the temperature in 15 minutes. temperature up to 38° C
(100.4° F) because of de-
c. Place an ice pack on the client's forehead. hydration caused by labor.
The most appropriate in-
d. Obtain a prescription for acetaminophen.
tervention is to encourage
fluids to rehydrate the pa-
tient.
*Above 38° C (100.4° F) is
critical
, MATERNITY - HESI : PN
Study online at https://quizlet.com/_f09xk6
5. A newborn infant is breathing satisfactorily but ap- C) Check the infant's oxy-
pears dusky. What action should the practical nurse gen saturation rate.
(PN) take first?
a. Notify the pediatrician immediately. Rationale:
The PN should first ob-
b. Suction the infant's nares and then the oral cavity. tain measurable objective
data; an oxygen saturation
c. Check the infant's oxygen saturation rate. rate provides such infor-
mation. The pediatrician
d. Position the infant on the right side.
should be notified if the
oxygen saturation rate is
below 90%.
6. The practical nurse (PN) caring for a laboring client en- B) An overdistended blad-
courages her to void at least every 2 hours and records der could be traumatized
each time the client empties her bladder. What is the during labor and could
rationale for implementing this nursing intervention? prolong the progress of la-
bor.
a. Emptying the bladder during delivery is difficult be-
cause of the position of the presenting fetal part
Rationale:
b. An overdistended bladder could be traumatized dur- A full bladder can impair
ing labor and could prolong the progress of labor. the efficiency of the uter-
ine contractions and im-
c. Urine specimens for glucose and protein must be pede descent of the fe-
obtained at certain intervals throughout labor. tus during labor. Also, be-
cause of the close proxim-
d. Frequent voiding minimizes the need for catheter-
ity of the bladder to the
ization, which increases the chance of bladder infec-
uterus, the bladder can be
tion.
traumatized by the descent
, MATERNITY - HESI : PN
Study online at https://quizlet.com/_f09xk6
of the fetus.
7. During a prenatal visit, the practical nurse (PN) discuss- B) Lower initial weight
es with a client the effects that smoking has on the documented at birth.
fetus. The nurse realizes the teaching is effective if the
client identifies which possible effect on the fetus?
Rationale:
a. Lower Apgar score recorded at delivery. Smoking is associated with
low-birth-weight infants.
b. Lower initial weight documented at birth.
c. Higher oxygen used to stimulate breathing.
d. Higher prevalence of congenital anomalies.
8. Following a vaginal delivery, a postpartum client com- C) The release of oxytocin
plains of severe cramping after breastfeeding her new- hormone
born. Which explanation describes the most likely rea-
son for the client's pain?
Rationale:
a. A retained placenta During breastfeeding,
oxytocin is released and
b. Problems with the process of involution will cause uterine contrac-
tions and cramping.
c. The release of oxytocin hormone
d. A possible ileus
9. A female who thinks she could be pregnant calls her A) "A home pregnancy test
neighbor, a practical nurse (PN), to ask when she can be used right after
should use a home pregnancy test to diagnose preg- your first missed period."
