RN HESI Maternity questions with answers

RN HESI Maternity questions |\ |\ |\ |\




with answers |\




A primigravida arrives at the observation unit of the maternity unit
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because thinks is in labor. The |\ |\ |\ |\ |\




nurse applies the external fetal heart monitor and determines that
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the fetal heart rate is 140
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beats/minute and the contractions are occurring irregularly every 10 |\ |\ |\ |\ |\ |\ |\ |\



to 15 minutes. What
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assessment finding confirms to the nurse that the client is not labor
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at this time? - CORRECT ANSWERS ✔✔Contractions decrease with
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walking.
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A primipara has delivered a stillborn fetus at 30 weeks gestation. To
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asses the parents in the grieving process which intervention is most
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for the nurse to implement ?
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A. explain the possible cause of the fetal demise
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B. Provide a time for the parents to hold their infant in privacy
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C. Encourage the parents to seek counseling within the next few
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weeks
D. Assist the couple to request autopsy - CORRECT ANSWERS
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✔✔B. provide a time for the parents to hold their infant in privacy
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,What is the priority nursing assessment immediately following the
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birth of an infant with esophageal atresia and a tracheoesophageal
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(the) fistula ? |\ |\




A. body temperature
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B. level of pain
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C. time of first void
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D. number of vessels in the cord - CORRECT ANSWERS ✔✔A.
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body temperature |\




What is the most important assessment for the nurse to conduct
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following the administration of epidural anesthesia to a client who
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is at 40-weeks gestation?
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A. Level of pain sensation
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B. Station of presenting part
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C. Variability of fetal heart rate
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D. Maternal blood pressure - CORRECT ANSWERS ✔✔D. Maternal
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blood pressure
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A 34-week primigravida with pregnancy induced hypertension
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(PIH) is receiving Ringer's Lactate 500 ml with magnesium sulfate
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,20 grams at the rate of 3 grams/hour. How many ml/hour should
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the nurse program the infusion pump? (Enter numeric value only)
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A. 120|\




B. 70
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C. 65
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D. 75 - CORRECT ANSWERS ✔✔D. 75
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A mother of a 3-year-old boy has just given birth to a new baby girl.
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The little boy asks the nurse, "Why is my baby sister eating my
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mommy's breast?" How should the nurse respond? (Select all that
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apply)
A. Explain that newborns get milk from their mothers in this way
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B. Reassure the older brother that it does not hurt his mother
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C. Remind him that his mother breastfed him too
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D. Suggest that the baby can also drink from a bottle
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E. Clarify that breastfeeding is his mother's choice - CORRECT
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ANSWERS ✔✔A. Explain that newborns get milk from their
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mothers in this way |\ |\ |\




B. Reassure the older brother that it does not hurt his mother
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C. Remind him that his mother breastfed him too
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The nurse is examining an infant for possible cryptorchidism.
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Which exam technique should be used?
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, A. Place the infant in side-lying to facilitate the exam
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B. Hold the penis and retract the foreskin gently
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C. Cleanse the penis with an antiseptic-soaked pad
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D. Place the infant in warm room and use a calm approach -
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CORRECT ANSWERS ✔✔D. Place the infant in warm room and
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use a calm approach
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The nurse is planning care for a client at 30-weeks gestation who is
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experiencing preterm labor. What maternal prescription is most |\ |\ |\ |\ |\ |\ |\ |\



important in preventing this fetus from developing respiratory
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distress syndrome? |\




A. Betamethasone (Celestone) 12 mg deep IM
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B. Butorphanol 1 mg IV push q2h PRN pain
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C. Ampicillin 1 Gram IV push q8h
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D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 -
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CORRECT ANSWERS ✔✔A. Betamethasone (Celestone) 12 mg |\ |\ |\ |\ |\ |\ |\



deep IM |\




A 3-month-old with myelomeningocele and atonic bladder is
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catheterized every 4 hours to prevent urinary retention. The home
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health nurse notes that the child has developed episodes of
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sneezing, urticaria, watery eyes, and a rash in the diaper area. What
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action is most important for the nurse to take?
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A. Auscultate the lungs for respiratory pneumonia.
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