N144 Week 4 HESI Practice Quiz With
Complete Solutions
Question 1 of 25 | | |
A client at 29-weeks gestation with possible placental insufficiency is
| | | | | | | | | |
being prepared for prenatal testing. Information about which diagnostic
| | | | | | | | |
study should the nurse provide information to the client?
| | | | | | | |
Amniocentesis.
Ultrasonography.
Chorionic villus sampling.
| |
Maternal serum alpha-fetoprotein.
| |
Ultrasonography.
Gestational age, fetal growth, and the status and position of the
| | | | | | | | | | |
placenta are monitored by ultrasound.
| | | |
Question 2 of 25 | | |
,The nurse is planning for the care of a 30-year-old primigravida with pre-
| | | | | | | | | | | |
gestational diabetes. What is the most important factor affecting this
| | | | | | | | | |
client's pregnancy outcome?
| |
Mother's age. |
Amount of insulin required prenatally.
| | | |
Degree of glycemic control during pregnancy.
| | | | |
Number of years since diabetes was diagnosed.
| | | | | |
Degree of glycemic control during pregnancy.
| | | | |
Clients with tight glucose control and no blood vessel disease should
| | | | | | | | | | |
have positive pregnancy outcomes (C). Risk assessment is best done by
| | | | | | | | | | |
evaluating the woman's blood glucose and blood vessels, not by
| | | | | | | | | |
evaluating mother's age (A), number of years since diabetes was
| | | | | | | | | |
diagnosed (D), or the amount of insulin required prenatally (B).
| | | | | | | | |
Question 3 of 25 | | |
Which nursing intervention is the priority during the fourth stage of
| | | | | | | | | | |
labor?
Promote bonding. |
Assess for hemorrhage.
| |
,Provide comfort measures. | |
Monitor uterine contractions. | |
Assess for hemorrhage.
| |
The fourth stage of labor starts after delivery of the placenta which
| | | | | | | | | | | |
leaves open uterine wall sinuses subject to bleeding. The main focus of
| | | | | | | | | | | |
the fourth stage is to monitor vital signs and assess for vaginal
| | | | | | | | | | | |
hemorrhage (B). Although promoting bonding (A) and providing comfort
| | | | | | | |
|measures (C) are important, assessing for bleeding during the first
| | | | | | | | | |
hours after delivery is the highest priority. Although "after-pains" can
| | | | | | | | | |
occur after delivery, regular uterine contractions have ceased during the
| | | | | | | | |
|fourth stage (D). | |
Question 4 of 25 | | |
The nurse is assessing a 12-hour-old infant with a maternal history of
| | | | | | | | | | | |
frequent alcohol consumption during pregnancy. Which finding should
| | | | | | | |
the nurse report that is most suggestive of fetal alcohol syndrome
| | | | | | | | | | |
(FAS)?
An extra digit on the left hand.
| | | | | |
Corneal clouding. |
Flat nasal bridge.
| |
Asymmetrical bulging fontanels. | |
, Flat nasal bridge.
| |
FAS is typically manifested by craniofacial anomalies, including short
| | | | | | | | |
eyelid opening, flat midface or flat nasal bridge (C), flat upper lip groove,
| | | | | | | | | | | |
thin upper lip, and microcephaly. (A, B and D) are not usually associated
| | | | | | | | | | | | |
with FAS.
| |
Question 5 of 25 | | |
A client with asthma who is 8 hours post-delivery is experiencing
| | | | | | | | | | |
postpartum hemorrhage. Which prescription should the nurse
| | | | | | |
administer?
Oxytocin (Pitocin). |
Ibuprofen (Motrin). |
Fentanyl (Sublimaze). |
Hemabate (Carboprost). |
Oxytocin (Pitocin). |
Oxytocin is the drug of choice, and it will not exacerbate symptoms of
| | | | | | | | | | | | |
asthma (A). Nonsteroidal antiinflammatory drugs (NSAIDs) (B) are not
| | | | | | | | |
used to treat bleeding. Fentanyl (C) is used to treat pain, not bleeding.
| | | | | | | | | | | | |
Prostaglandin derivatives (D) may exacerbate asthma symptoms.
| | | | | |
Complete Solutions
Question 1 of 25 | | |
A client at 29-weeks gestation with possible placental insufficiency is
| | | | | | | | | |
being prepared for prenatal testing. Information about which diagnostic
| | | | | | | | |
study should the nurse provide information to the client?
| | | | | | | |
Amniocentesis.
Ultrasonography.
Chorionic villus sampling.
| |
Maternal serum alpha-fetoprotein.
| |
Ultrasonography.
Gestational age, fetal growth, and the status and position of the
| | | | | | | | | | |
placenta are monitored by ultrasound.
| | | |
Question 2 of 25 | | |
,The nurse is planning for the care of a 30-year-old primigravida with pre-
| | | | | | | | | | | |
gestational diabetes. What is the most important factor affecting this
| | | | | | | | | |
client's pregnancy outcome?
| |
Mother's age. |
Amount of insulin required prenatally.
| | | |
Degree of glycemic control during pregnancy.
| | | | |
Number of years since diabetes was diagnosed.
| | | | | |
Degree of glycemic control during pregnancy.
| | | | |
Clients with tight glucose control and no blood vessel disease should
| | | | | | | | | | |
have positive pregnancy outcomes (C). Risk assessment is best done by
| | | | | | | | | | |
evaluating the woman's blood glucose and blood vessels, not by
| | | | | | | | | |
evaluating mother's age (A), number of years since diabetes was
| | | | | | | | | |
diagnosed (D), or the amount of insulin required prenatally (B).
| | | | | | | | |
Question 3 of 25 | | |
Which nursing intervention is the priority during the fourth stage of
| | | | | | | | | | |
labor?
Promote bonding. |
Assess for hemorrhage.
| |
,Provide comfort measures. | |
Monitor uterine contractions. | |
Assess for hemorrhage.
| |
The fourth stage of labor starts after delivery of the placenta which
| | | | | | | | | | | |
leaves open uterine wall sinuses subject to bleeding. The main focus of
| | | | | | | | | | | |
the fourth stage is to monitor vital signs and assess for vaginal
| | | | | | | | | | | |
hemorrhage (B). Although promoting bonding (A) and providing comfort
| | | | | | | |
|measures (C) are important, assessing for bleeding during the first
| | | | | | | | | |
hours after delivery is the highest priority. Although "after-pains" can
| | | | | | | | | |
occur after delivery, regular uterine contractions have ceased during the
| | | | | | | | |
|fourth stage (D). | |
Question 4 of 25 | | |
The nurse is assessing a 12-hour-old infant with a maternal history of
| | | | | | | | | | | |
frequent alcohol consumption during pregnancy. Which finding should
| | | | | | | |
the nurse report that is most suggestive of fetal alcohol syndrome
| | | | | | | | | | |
(FAS)?
An extra digit on the left hand.
| | | | | |
Corneal clouding. |
Flat nasal bridge.
| |
Asymmetrical bulging fontanels. | |
, Flat nasal bridge.
| |
FAS is typically manifested by craniofacial anomalies, including short
| | | | | | | | |
eyelid opening, flat midface or flat nasal bridge (C), flat upper lip groove,
| | | | | | | | | | | |
thin upper lip, and microcephaly. (A, B and D) are not usually associated
| | | | | | | | | | | | |
with FAS.
| |
Question 5 of 25 | | |
A client with asthma who is 8 hours post-delivery is experiencing
| | | | | | | | | | |
postpartum hemorrhage. Which prescription should the nurse
| | | | | | |
administer?
Oxytocin (Pitocin). |
Ibuprofen (Motrin). |
Fentanyl (Sublimaze). |
Hemabate (Carboprost). |
Oxytocin (Pitocin). |
Oxytocin is the drug of choice, and it will not exacerbate symptoms of
| | | | | | | | | | | | |
asthma (A). Nonsteroidal antiinflammatory drugs (NSAIDs) (B) are not
| | | | | | | | |
used to treat bleeding. Fentanyl (C) is used to treat pain, not bleeding.
| | | | | | | | | | | | |
Prostaglandin derivatives (D) may exacerbate asthma symptoms.
| | | | | |
