FORTIS PN MATERNITY HESI PRACTICE
EXAM QUESTION AND ANSWER A+
ULTIMATE GUIDE.
Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that
apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - CORRECT ANSWER -1. Displacement of the colon.
5. Decrease in peristalsis.
What is the most important action by the practical nurse (PN) in preventing
neonatal infection?
1. Hand washing.
2. Isolating infected infants.
3. Adequate spacing of bassinets.
4. Practicing Standard Precautions. - CORRECT ANSWER -1. Hand washing
Almost all controlled clinical trials have demonstrated that effective hand
washing (A) is the most responsible and the most important action for the
prevention of nosocomial infection in nursery units. Other measures
include implementing isolation policies for infants with potentially
,infectious conditions (B) and standard precautions (D). Other standards
and policies in nurseries define procedures for careful and thorough
cleaning, frequent replacement of used equipment, proper disposal of
excrement and linens, and criteria to prevent overcrowding, such as the
distance or spacing of bassinets (C) placed in a common area in the
nursery.
The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when dark
red blood comes from the client's vagina. What action is most important for
the PN to implement?
1. Continue to massage the fundus until firm.
2. Obtain serial vital signs every 15 minutes.
3. Observe the perineum for hematoma formation.
4. Determine if clots have formed in the lochia. - CORRECT ANSWER -4.
Determine if clots have formed in the lochia.
The uterine height after birth should be midway between the umbilicus and
symphysis. The client's fundal height and dark red lochia indicates
inadequate uterine contraction, so the fundus should be massaged until
firm (B). (A, C, and D) should be implemented, but the priority action is to
ensure the uterus is firm to minimize lochia flow.
An infant who weighs 4550 grams is delivered using forceps-assisted
vaginal delivery. What action is most important for the practical nurse (PN)
to implement?
1. Palpate the clavicle for irregularity.
2.Place the infant to the mother's breast.
3.Monitor for signs of hypoglycemia.
, 4. Complete a gestational age assessment. - CORRECT ANSWER -3. Monitor for
signs of hypoglycemia.
A newborn who weighs 4550 grams is considered large for gestational age,
or macrosomic, which increases the risk for hypoglycemia, hypocalemia,
and hyperbilirubinemia. Monitoring for signs of hypoglycemia (C), such as
jitteriness, is the priority so early corrective action can be initiated to
reduce CNS irritability. (A) is implemented to identify signs suggestive of a
fractured clavicle, but the priority action is early detection of hypoglycemia.
(B) is implemented to meet a basic need, but additional monitoring is
required for a macrosomic newborn who is at risk for hypoglycemia. (D)
provides data that supports the classification of an infant who is large for
gestational age and at risk for hypoglycemia.
The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most important
for the PN reinforce with the client?
1. Notify the clinic if any vision changes are experienced.
2. Rest frequently with both feet elevated after long periods of standing.
3. Pack personal belongings for admission to the hospital.
4. Record daily weight for review by the healthcare provider at the next
visit. - CORRECT ANSWER -1. Notify the clinic if any vision changes are
experienced.
With the onset of pre-eclampsia, central nervous system changes may occur
due to vasospasms and cerebral edema, resulting in headaches and visual
disturbances (A). Although (B, C, and D) should be reviewed with the client,
the early signs of toxemia of pregnancy should be emphasized.
EXAM QUESTION AND ANSWER A+
ULTIMATE GUIDE.
Which physiological cause(s) for constipation during pregnancy should the
practical nurse (PN) explain to a client in the first trimester? (Select all that
apply.)
1. Displacement of the colon.
2. Tightening of the anal sphincter.
3. Change in nutrient absorption.
4. Shifting of liver placement.
5. Decrease in peristalsis.
6. Increase bile production. - CORRECT ANSWER -1. Displacement of the colon.
5. Decrease in peristalsis.
What is the most important action by the practical nurse (PN) in preventing
neonatal infection?
1. Hand washing.
2. Isolating infected infants.
3. Adequate spacing of bassinets.
4. Practicing Standard Precautions. - CORRECT ANSWER -1. Hand washing
Almost all controlled clinical trials have demonstrated that effective hand
washing (A) is the most responsible and the most important action for the
prevention of nosocomial infection in nursery units. Other measures
include implementing isolation policies for infants with potentially
,infectious conditions (B) and standard precautions (D). Other standards
and policies in nurseries define procedures for careful and thorough
cleaning, frequent replacement of used equipment, proper disposal of
excrement and linens, and criteria to prevent overcrowding, such as the
distance or spacing of bassinets (C) placed in a common area in the
nursery.
The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when dark
red blood comes from the client's vagina. What action is most important for
the PN to implement?
1. Continue to massage the fundus until firm.
2. Obtain serial vital signs every 15 minutes.
3. Observe the perineum for hematoma formation.
4. Determine if clots have formed in the lochia. - CORRECT ANSWER -4.
Determine if clots have formed in the lochia.
The uterine height after birth should be midway between the umbilicus and
symphysis. The client's fundal height and dark red lochia indicates
inadequate uterine contraction, so the fundus should be massaged until
firm (B). (A, C, and D) should be implemented, but the priority action is to
ensure the uterus is firm to minimize lochia flow.
An infant who weighs 4550 grams is delivered using forceps-assisted
vaginal delivery. What action is most important for the practical nurse (PN)
to implement?
1. Palpate the clavicle for irregularity.
2.Place the infant to the mother's breast.
3.Monitor for signs of hypoglycemia.
, 4. Complete a gestational age assessment. - CORRECT ANSWER -3. Monitor for
signs of hypoglycemia.
A newborn who weighs 4550 grams is considered large for gestational age,
or macrosomic, which increases the risk for hypoglycemia, hypocalemia,
and hyperbilirubinemia. Monitoring for signs of hypoglycemia (C), such as
jitteriness, is the priority so early corrective action can be initiated to
reduce CNS irritability. (A) is implemented to identify signs suggestive of a
fractured clavicle, but the priority action is early detection of hypoglycemia.
(B) is implemented to meet a basic need, but additional monitoring is
required for a macrosomic newborn who is at risk for hypoglycemia. (D)
provides data that supports the classification of an infant who is large for
gestational age and at risk for hypoglycemia.
The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most important
for the PN reinforce with the client?
1. Notify the clinic if any vision changes are experienced.
2. Rest frequently with both feet elevated after long periods of standing.
3. Pack personal belongings for admission to the hospital.
4. Record daily weight for review by the healthcare provider at the next
visit. - CORRECT ANSWER -1. Notify the clinic if any vision changes are
experienced.
With the onset of pre-eclampsia, central nervous system changes may occur
due to vasospasms and cerebral edema, resulting in headaches and visual
disturbances (A). Although (B, C, and D) should be reviewed with the client,
the early signs of toxemia of pregnancy should be emphasized.
