Fortis-PN-Maternity Hesi Practice Exam with | | | | |
correct detailed answers
| |
Which |physiological |cause(s) |for |constipation |during |pregnancy |should |the |practical |nurse |(PN)
|explain |to |a |client |in |the |first |trimester? |(Select |all |that |apply.) |
1. |Displacement |of |the |colon. |
2. |Tightening |of |the |anal |sphincter. |
3. |Change |in |nutrient |absorption. |
4. |Shifting |of |liver |placement. |
5. |Decrease |in |peristalsis. |
6. |Increase |bile |production. |- | |correct |answers |1. |Displacement |of |the |colon.
5. |Decrease |in |peristalsis.
During |pregnancy, |the |enlarging |uterus |compresses |and |displaces |the |colon |(A), |which |leads |to
|a |decrease |in |peristalsis |(E), |which |contribute |to |constipation |during |pregnancy. |(B, |C, |D, |and |
F) |do |not |cause |constipation |in |pregnancy.
Which |intervention |should |the |practical |nurse |(PN) |provide |a |neonate |during |hospitalization? |
1. |Provide |play |activities |in |the |hospital |room. |
2. |Offer |the |neonate |a |pacifier |between |feedings. |
3. |Assign |the |neonate |to |a |room |with |other |neonates. |
4. |Request |that |parents |bring |security |object |from |home. |- | |correct |answers |2. |Offer |the |
neonate |to |a |room |with |other |neonates. |
The |neonate |needs |opportunities |for |nonnutritive |sucking |and |oral |stimulation |using |a |pacifier
|(B). |(A |, |C |and |D) |are |not |indicated |for |a |neonate.
, Which |client |is |a |candidate |for |the |administration |of |human |immune |globulin |(RhoGam) |after |
delivery?
1. |The |Rh-positive |mother |who |delivers |a |Rh-positive |baby.
2. |The |Rh-negative |mother |who |delivers |a |Rh-negative |baby.
3. |The |Rh-positive |mother |who |delivers |a |Rh-negative |baby.
4. |The |Rh-negative |mother |who |delivers |a |Rh-positive |baby. |- | |correct |answers |4. |The |Rh-
negative |mother |who |delivers |a |Rh-positive |baby. |
RhoGam |is |a |human |immune |globulin |that |prevents |the |formation |of |anti-Rh |antibodies |in |an |
Rh-negative |mother |who |has |given |birth |to |an |Rh-positive |infant |(D). |(A, |B, |or |C) |are |not |
candidates |for |RhoGam.
A |client |who |took |iron |supplements |during |pregnancy |delivers |an |infant |by |cesarean |section. |
On |the |second |postpartum |day, |the |client |reports |having |a |constipated |stool |that |is |greenish-
black |in |color. |Which |action |should |the |practical |nurse |(PN) |implement?
1. |Collect |a |stool |sample |for |guaiac |testing. |
2. |Administer |a |prescribed |rectal |suppository.
3. |Record |color |and |consistency |of |the |stool. |
4. |Report |the |complaints |to |the |charge |nurse. |
4. |Report |the |complaints |to |the |charge |nurse. |- | |correct |answers |3. |Record |color |and |
consistency |of |the |stool. |
Iron |supplements |cause |constipation |and |contribute |to |the |dark |green-black |color |in |stool, |
which |should |be |documented |(C) |as |an |expected |finding. |(A, |B, |and |D) |are |not |indicated |at |
this |time.
The |mother |asks |the |practical |nurse |(PN) |what |her |infant |may |need |if |the |phenylketonuria |
(PKU) |test |is |positive. |What |type |of |treatment |should |the |PN |tell |the |mother |will |be |required? |
correct detailed answers
| |
Which |physiological |cause(s) |for |constipation |during |pregnancy |should |the |practical |nurse |(PN)
|explain |to |a |client |in |the |first |trimester? |(Select |all |that |apply.) |
1. |Displacement |of |the |colon. |
2. |Tightening |of |the |anal |sphincter. |
3. |Change |in |nutrient |absorption. |
4. |Shifting |of |liver |placement. |
5. |Decrease |in |peristalsis. |
6. |Increase |bile |production. |- | |correct |answers |1. |Displacement |of |the |colon.
5. |Decrease |in |peristalsis.
During |pregnancy, |the |enlarging |uterus |compresses |and |displaces |the |colon |(A), |which |leads |to
|a |decrease |in |peristalsis |(E), |which |contribute |to |constipation |during |pregnancy. |(B, |C, |D, |and |
F) |do |not |cause |constipation |in |pregnancy.
Which |intervention |should |the |practical |nurse |(PN) |provide |a |neonate |during |hospitalization? |
1. |Provide |play |activities |in |the |hospital |room. |
2. |Offer |the |neonate |a |pacifier |between |feedings. |
3. |Assign |the |neonate |to |a |room |with |other |neonates. |
4. |Request |that |parents |bring |security |object |from |home. |- | |correct |answers |2. |Offer |the |
neonate |to |a |room |with |other |neonates. |
The |neonate |needs |opportunities |for |nonnutritive |sucking |and |oral |stimulation |using |a |pacifier
|(B). |(A |, |C |and |D) |are |not |indicated |for |a |neonate.
, Which |client |is |a |candidate |for |the |administration |of |human |immune |globulin |(RhoGam) |after |
delivery?
1. |The |Rh-positive |mother |who |delivers |a |Rh-positive |baby.
2. |The |Rh-negative |mother |who |delivers |a |Rh-negative |baby.
3. |The |Rh-positive |mother |who |delivers |a |Rh-negative |baby.
4. |The |Rh-negative |mother |who |delivers |a |Rh-positive |baby. |- | |correct |answers |4. |The |Rh-
negative |mother |who |delivers |a |Rh-positive |baby. |
RhoGam |is |a |human |immune |globulin |that |prevents |the |formation |of |anti-Rh |antibodies |in |an |
Rh-negative |mother |who |has |given |birth |to |an |Rh-positive |infant |(D). |(A, |B, |or |C) |are |not |
candidates |for |RhoGam.
A |client |who |took |iron |supplements |during |pregnancy |delivers |an |infant |by |cesarean |section. |
On |the |second |postpartum |day, |the |client |reports |having |a |constipated |stool |that |is |greenish-
black |in |color. |Which |action |should |the |practical |nurse |(PN) |implement?
1. |Collect |a |stool |sample |for |guaiac |testing. |
2. |Administer |a |prescribed |rectal |suppository.
3. |Record |color |and |consistency |of |the |stool. |
4. |Report |the |complaints |to |the |charge |nurse. |
4. |Report |the |complaints |to |the |charge |nurse. |- | |correct |answers |3. |Record |color |and |
consistency |of |the |stool. |
Iron |supplements |cause |constipation |and |contribute |to |the |dark |green-black |color |in |stool, |
which |should |be |documented |(C) |as |an |expected |finding. |(A, |B, |and |D) |are |not |indicated |at |
this |time.
The |mother |asks |the |practical |nurse |(PN) |what |her |infant |may |need |if |the |phenylketonuria |
(PKU) |test |is |positive. |What |type |of |treatment |should |the |PN |tell |the |mother |will |be |required? |
