1. The nurse should explain to a 30-year-old gravid client Screen for neural tube de-
that alpha fetoprotein testing is recommended for fects
which purpose?
2. A 26 year old, gravid 2, para 1 client is admitted to the Tachycardia and a feeling
hospital at 28 weeks gestation in preterm labor. She is of nervousness
given 3 doses of terbutaline sulfate (Brethren) 0.25 mg
subcutaneously to stop her labor contractions. The
nurse plans to monitor for which primary side effect
of terbutaline sulfate?
3. During labor, the nurse determines that a full term 1. Reposition the client
client is demonstrating late decelerations. In which 2. Increase IV fluid
sequence should the nurse implement these nursing 3. Provide oxygen via face
actions? (Place in the first action on top and last action mask
on the bottom) 4. Call the health care
provider
4. A new mother asks the nurse, "How do I know that my "Your milk is suflcient if
daughter is getting enough breast milk?" the baby is voiding pale
straw-colored urine 6-10
times a day"
5. A full term infant is transferred to the nursery from la- Infant's condition at birth
bor and delivery. Which information is most important and treatment received
for the nurse to receive when planning immediate
care for the newborn?
6. The nurse is assessing the umbilical cord of a new- Three vessels: two arteries
born. Which finding constitutes a normal finding? and one vein
, HESI Obstetrics/Maternity Practice Quiz
7. -Mood swings
-Tearfulness
, HESI Obstetrics/Maternity Practice Quiz
When explaining "postpartum blues" to a client who is
1 day postpartum, which symptoms should the nurse
include in the teaching plan? (select all that apply)
8. A new mother who has just had her first baby says to "That is normal; the head
the nurse, "I saw the baby in the recovery room. She will return to a round
sure has a funny looking head." Which response by shape within 7 to 10 days."
the nurse is best?
9. The nurse is assessing a 3-day old infant with a Yellowish tinge to the skin
cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the
healthcare provider?
10. A client at 32-weeks gestation is diagnosed with -3+ deep tendon reflexes
preeclampsia. Which assessment finding is most in- and hyperclonus
dicative of an impending convulsion? -epigastric pain
11. Just after delivery, a new mother tells the nurse, "I was Provide assistance to the
unsuccessful breastfeeding my first child, but I would mother to begin breast-
like to try with this baby." Which intervention is best feeding as soon as possi-
for the nurse to implement first? ble after delivery
12. A woman who thinks she could be pregnant calls "A home pregnancy test
her neighbor, a nurse, to ask when she could use a can be used right after
home pregnancy test to diagnose pregnancy. Which your first missed period."
response is appropriate?
13. Which assessment finding should the nursery nurse Central cyanosis when cry-
report to the pediatric healthcare provider? ing
14. A client who is attending antepartum classes asks the
nurse why her healthcare provider has prescribed iron