HESI MATERNITY OBSTETRICS 2000 FINAL
PAPER TESTED QUESTIONS WITH FULL
SOLUTION
◉ Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C."I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings..
Answer: A."Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule
during the day will cause a release of prolactin, which will suppress
,ovulation and menses, but is not completely effective as a birth
control method. Option B is incorrect because alcohol can
immediately enter the breast milk. Nicotine is transferred to the
infant in breast milk. Taking a warm shower will stimulate the
production of milk, which will be more painful after breastfeedings.
◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny-looking
head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads
like that."
C."That is normal. The head will return to a round shape within 7 to
10 days."
D."Your pelvis was too small, so the head had to adjust to the birth
canal.".
Answer: C."That is normal. The head will return to a round shape
within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the
newborn and provides correct information regarding the return to a
,normal shape. Although option A is correct, it implies that the client
should not worry. Any implied or spoken "don't worry" is usually the
wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a
negative statement and implies that molding is the mother's fault.
◉ Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from 120/80
to 90/60 mm Hg. Which action should the nurse take immediately?
A.Notify the health care provider or anesthesiologist.
B.Continue to assess the blood pressure every 5 minutes.
C.Place the client in a lateral position.
D.Turn off the continuous epidural..
Answer: C.Place the client in a lateral position.
Rationale: The nurse should immediately turn the client to a lateral
position or place a pillow or wedge under one hip to deflect the
uterus. Other immediate interventions include increasing the rate of
the main line IV infusion and administering oxygen by facemask. If
the blood pressure remains low after these interventions or
decreases further, the anesthesiologist or health care provider
, should be notified immediately. To continue to monitor blood
pressure without taking further action could constitute malpractice.
Option D may also be warranted, but such action is based on
hospital protocol.
◉ The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day..
Answer: A.Avoid alcohol because it is excreted in breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it
is excreted in breast milk and may cause a variety of problems,
including slower growth and cognitive impairment for the infant.
Options B, C, and D should also be included in diet teaching for a
breastfeeding mother; however, because these do not involve safety
of the infant, they do not have the same degree of importance as
option A.
PAPER TESTED QUESTIONS WITH FULL
SOLUTION
◉ Which statement made by the client indicates that the mother
understands the limitations of breastfeeding her newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
C."I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
D."When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings..
Answer: A."Breastfeeding my infant consistently every 3 to 4 hours
stops ovulation and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule
during the day will cause a release of prolactin, which will suppress
,ovulation and menses, but is not completely effective as a birth
control method. Option B is incorrect because alcohol can
immediately enter the breast milk. Nicotine is transferred to the
infant in breast milk. Taking a warm shower will stimulate the
production of milk, which will be more painful after breastfeedings.
◉ A new mother who has just had her first baby says to the nurse, "I
saw the baby in the recovery room. She sure has a funny-looking
head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads
like that."
C."That is normal. The head will return to a round shape within 7 to
10 days."
D."Your pelvis was too small, so the head had to adjust to the birth
canal.".
Answer: C."That is normal. The head will return to a round shape
within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the
newborn and provides correct information regarding the return to a
,normal shape. Although option A is correct, it implies that the client
should not worry. Any implied or spoken "don't worry" is usually the
wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a
negative statement and implies that molding is the mother's fault.
◉ Twenty minutes after a continuous epidural anesthetic is
administered, a laboring client's blood pressure drops from 120/80
to 90/60 mm Hg. Which action should the nurse take immediately?
A.Notify the health care provider or anesthesiologist.
B.Continue to assess the blood pressure every 5 minutes.
C.Place the client in a lateral position.
D.Turn off the continuous epidural..
Answer: C.Place the client in a lateral position.
Rationale: The nurse should immediately turn the client to a lateral
position or place a pillow or wedge under one hip to deflect the
uterus. Other immediate interventions include increasing the rate of
the main line IV infusion and administering oxygen by facemask. If
the blood pressure remains low after these interventions or
decreases further, the anesthesiologist or health care provider
, should be notified immediately. To continue to monitor blood
pressure without taking further action could constitute malpractice.
Option D may also be warranted, but such action is based on
hospital protocol.
◉ The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day..
Answer: A.Avoid alcohol because it is excreted in breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it
is excreted in breast milk and may cause a variety of problems,
including slower growth and cognitive impairment for the infant.
Options B, C, and D should also be included in diet teaching for a
breastfeeding mother; however, because these do not involve safety
of the infant, they do not have the same degree of importance as
option A.
