HESI Maternity Test Correctly Solved

A full-term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn? A. The length of labor and method of delivery B. The infant's condition at birth and treatment received C. The feeding method chosen by the parents D. The history of drugs given to the mother during labor - B. The infant's condition at birth and treatment received A client in active labor complains of cramps in her leg. What intervention should the nurse implement? A. Ask if she takes a daily calcium tablet B. Extend the leg and dorsiflex the foot C. Lower the leg off the side of the bed D. Elevate the leg above the heart - B. Extend the leg and dorsiflex the foot. "Toes to the nose" A client at 30weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick and high. Based on this data, which intervention should the nurse implement first? A. Provide oral hydration B. Have a complete blood count (CBC) drawn C. Obtain a specimen for urine analysis D. Place the client on strict bedrest - C. Obtain a specimen for urine analysis. This should be done first because preterm clients with uterine irritability and contractions are often suffering from a UTI, and this should be ruled out first. A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client's care? A. Patellar reflex 4+ B. Blood pressure 158/80 C. Four-hour urine output 240 ml D. Respiration 12/minute - A. Patellar reflex 4+. A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an indication of impending seizure. A 4 week old premature infant has been receiving epoetin alfa (Epogen) for the last 3 weeks. Which assessment finding indicates to the nurse that the drug is effective? A. Slowly increasing urinary output over the last week B. Respiratory rate changes from the 40s to the 60s. C. Changes in apical heart rate from the 180s to the 140s D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl - A. Slowly increasing urinary output over the last week The healthcare provider prescribes terbutalne (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition? A. Gestational diabetes B. Elevated blood pressure C. Urinary tract infection D. Swelling in lower extremities - A. Gestational diabetes A client with no prenatal care arrives at the labor unit screaming, "the baby is coming!" The nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and 75% effaced. What additional information is most important for the nurse to obtain? A. Gravidity and parity B. Time and amount of last oral intake