RN HESI Maternity Questions and Right Answers

A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The Nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 Beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What Assessment finding confirms to the nurse that the client is not labor at this time? - Contractions decrease with walking. A primipara has delivered a stillborn fetus at 30 weeks gestation. To assess the parents in the grieving process which intervention is most for the nurse to implement? A. Explain the possible cause of the fetal demise B. Provide a time for the parents to hold their infant in privacy C. Encourage the parents to seek counseling within the next few weeks D. Assist the couple to request autopsy - B. Provide a time for the parents to hold their infant in privacy What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a tracheoesophageal (the) fistula? A. Body temperature B. Level of pain C. Time of first void D. Number of vessels in the cord - A. Body temperature What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation? A. Level of pain sensation B. Station of presenting part C. Variability of fetal heart rate D. Maternal blood pressure - D. Maternal blood pressure A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion pump? (Enter numeric value only) A. 120 B. 70 C. 65 D. 75 - D. 75 A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse respond? (Select all that apply) A. Explain that newborns get milk from their mothers in this way B. Reassure the older brother that it does not hurt his mother C. Remind him that his mother breastfed him too D. Suggest that the baby can also drink from a bottle E. Clarify that breastfeeding is his mother's choice - A. Explain that newborns get milk from their mothers in this way B. Reassure the older brother that it does not hurt his mother C. Remind him that his mother breastfed him too