Maternal/Pediatric HESI Complete Study Guide Exam.

Maternal/Pediatric HESI Complete Study Guide Exam. 1. Client teaching is an important part of the maternity A 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 2. A 38-week primigravida who works as a secretary and C 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 3. During a prenatal visit, the nurse discusses with a B client the effects of smoking on the fetus. When com- pared 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 4. A 26-year-old, gravida 2, para 1 client is admitted to the C 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 5. A mother who is breastfeeding her baby receives in- C structions 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 6. A full term infant is transferred to the nursery from la- B bor 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 b. infant's condition at birth and treatment received c. feeding methods chosen by the parents d. history of drugs given to the mother during labor 7. In developing a teaching plan for expectant parents, D the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal new born, the a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.