HESI RN MATERNITY TEST BANK HESI-STUDY-GUIDE-HESI-
MATERNITY-PEDS EDITED (300 Q & As) 100% CORRECTLY/VERIFIED
Maternity HESI Test Bank
• A 38-week primigravida who works as a secretary and sits at a computer
for 8 hours each day tells the nurse that her feet have begun to swell.
Which instruction would be most effective in preventing pooling of blood
in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged
uterus exerting pressure on the pelvic veins. Moving about every
hour will straighten out thepelvic veins and increase venous return.
• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestationin preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline
sulfate?
Tachycardia and a feeling of nervousness
,ANSWERS LATEST IPDATE 2021/2022 GRADED A+
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergicreceptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause tachycardia,
increased cardiac output, restlessness, headache, and a feeling of
"nervousness".
• What does a diaphragmatic hernia
looklike? Scaphoid abdomen and
anorexia
• A new mother is afraid to touch her baby's head for fear of hurting the
"large soft spot."Which explanation should the nurse give to this anxious
client?
There's a strong, tough membrane there to protect the baby so you
need not beafraid to wash or comb his/her hair.
• A client who is attending antepartum classes asks the nurse why
her healthcareprovider has prescribed iron tablets. The nurse's
response is based on what knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal
,ANSWERS LATEST IPDATE 2021/2022 GRADED A+
storage of ironand to meet the demands of pregnancy is difficult so iron
supplements are often recommended.
• What is megaloblastic anemia
causedby? folic acid deficiency
• A woman who thinks she could be pregnant calls her neighbor, a nurse,
to ask when shecould use a home pregnancy test to diagnose
pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human
chorionic gonadotrophin, which begins to increase 6 to 8 days
after conception and isbest detected at 2 weeks’gestation or
immediately after the first missed period.
• A 28-year-old client in active labor complains of cramps in her leg. What
interventionshould the nurse implement?
, ANSWERS LATEST IPDATE 2021/2022 GRADED A+
Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing
(if the clientis capable) and putting the heel of the foot on the floor is the
best means of relieving leg cramps.
• A client at 30-weeks’gestation, complaining of pressure over the pubic
area, is admittedfor observation. She is contracting irregularly and
demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
Obtaining a urine analysis should be done first because preterm
clients with uterine irritability and contractions are often suffering from
a urinary tract infection, and this should be ruled out first.
• A client in active labor is admitted with preeclampsia. Which assessment
finding is mostsignificant in planning this client's care?
A 4+ reflex in a client with pregnancy-induced hypertension indicates
hyperreflexia, which is an indication of an impending seizure.
• What is Epogen for?
Changes an apical heart rate from the 180s to the 140s.
4
MATERNITY-PEDS EDITED (300 Q & As) 100% CORRECTLY/VERIFIED
Maternity HESI Test Bank
• A 38-week primigravida who works as a secretary and sits at a computer
for 8 hours each day tells the nurse that her feet have begun to swell.
Which instruction would be most effective in preventing pooling of blood
in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged
uterus exerting pressure on the pelvic veins. Moving about every
hour will straighten out thepelvic veins and increase venous return.
• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestationin preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions.
The nurse plans to monitor for which primary side effect of terbutaline
sulfate?
Tachycardia and a feeling of nervousness
,ANSWERS LATEST IPDATE 2021/2022 GRADED A+
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates
beta-adrenergicreceptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause tachycardia,
increased cardiac output, restlessness, headache, and a feeling of
"nervousness".
• What does a diaphragmatic hernia
looklike? Scaphoid abdomen and
anorexia
• A new mother is afraid to touch her baby's head for fear of hurting the
"large soft spot."Which explanation should the nurse give to this anxious
client?
There's a strong, tough membrane there to protect the baby so you
need not beafraid to wash or comb his/her hair.
• A client who is attending antepartum classes asks the nurse why
her healthcareprovider has prescribed iron tablets. The nurse's
response is based on what knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal
,ANSWERS LATEST IPDATE 2021/2022 GRADED A+
storage of ironand to meet the demands of pregnancy is difficult so iron
supplements are often recommended.
• What is megaloblastic anemia
causedby? folic acid deficiency
• A woman who thinks she could be pregnant calls her neighbor, a nurse,
to ask when shecould use a home pregnancy test to diagnose
pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human
chorionic gonadotrophin, which begins to increase 6 to 8 days
after conception and isbest detected at 2 weeks’gestation or
immediately after the first missed period.
• A 28-year-old client in active labor complains of cramps in her leg. What
interventionshould the nurse implement?
, ANSWERS LATEST IPDATE 2021/2022 GRADED A+
Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing
(if the clientis capable) and putting the heel of the foot on the floor is the
best means of relieving leg cramps.
• A client at 30-weeks’gestation, complaining of pressure over the pubic
area, is admittedfor observation. She is contracting irregularly and
demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
Obtaining a urine analysis should be done first because preterm
clients with uterine irritability and contractions are often suffering from
a urinary tract infection, and this should be ruled out first.
• A client in active labor is admitted with preeclampsia. Which assessment
finding is mostsignificant in planning this client's care?
A 4+ reflex in a client with pregnancy-induced hypertension indicates
hyperreflexia, which is an indication of an impending seizure.
• What is Epogen for?
Changes an apical heart rate from the 180s to the 140s.
4
