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Maternity HESI Test Bank c c c
• A 38-c
week primigravida who works as a secretary and sits at a computerfor 8 ho
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urs each day tells the nurse that her feet have begun to swell. Which instruc
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tion would be most effective in preventing pooling of blood in the lower extre
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mities?
Move about every hour
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Pooling of blood in the lower extremities results from the enlarged uterus
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c exerting pressure on the pelvic veins. Moving about every hour will str
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aighten out thepelvic veins and increase venous return.
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• A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
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c weeks gestationin preterm labor. She is given 3 doses of terbutaline sulfat
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e (Brethine) 0.25 mg subcutaneously to stop her labor contractions.The nu
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rse plans to monitor for which primary side effect of terbutaline sulfate?
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Tachycardia and a feeling of nervousness c c c c c
,HESI RN MATERNITY TEST BANK HESI-STUDY-GUIDE-HESI-
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Terbutaline sulfate (Brethine), a beta- c c c c
sympathomimetic drug, stimulates beta- c c c
adrenergicreceptors in the uterine muscle to stop contractions. Thebeta- c c c c c c c c c
adrenergic agonist properties of the drug may cause tachycardia, increase
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d cardiac output, restlessness, headache, and a feeling of "nervousness".
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• What does a diaphragmatic hernial
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ooklike? Scaphoid abdomen and an c c c c
orexia
• A new mother is afraid to touch her baby's head for fear of hurting the "larg
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e soft spot."Which explanation should the nurse give to this anxiousclient?
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There's a strong, tough membrane there to protect the baby so younee
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d not beafraid to wash or comb his/her hair.
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• A client who is attending antepartum classes asks the nurse whyh
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er healthcareprovider has prescribed iron tablets. The nurse's res
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ponse is based on what knowledge?
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It is difficult to consume 18 mg of additional iron by diet alone.
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Consuming enough iron-containing foods to facilitate adequate fetal
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,HESI RN MATERNITY TEST BANK HESI-STUDY-GUIDE-HESI-
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storage of ironand to meet the demands of pregnancy is difficult so ironsu
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pplements are often recommended. c c c
• What is megaloblastic anemia
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causedby? folic acid deficiency c c c
• A woman who thinks she could be pregnant calls her neighbor, a nurse,to
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ask when shecould use a home pregnancy test to diagnose pregnancy.
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Which response is best?
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A home pregnancy test can be used right after your first missed period.
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Home urine tests are based on the chemical detection of humanch
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orionic gonadotrophin, which begins to increase 6 to 8 daysafter
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c conception and isbest detected at 2 weeks’gestation or immediat
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ely after the first missed period.
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• A 28-year-
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old client in active labor complains of cramps in her leg. Whatinterventions
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hould the nurse implement?
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, HESI RN MATERNITY TEST BANK HESI-STUDY-GUIDE-HESI-
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MATERNITY-PEDS EDITED (300 Q & As) 100% CORRECTLY/VERIFIED c c c c c c c
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Extend the leg and dorsiflex the foot
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Dorsiflexing the foot by pushing the sole of the foot forward or by standing(if t
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he clientis capable) and putting the heel of the foot on the floor is the best me
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ans of relieving leg cramps.
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• A client at 30-
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weeks’gestation, complaining of pressure over the pubic area, is admitte c c c c c c c c c
dfor observation. She is contracting irregularly and demonstrates underly
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ing uterine irritability. Vaginal examination revealsthat her cervix is closed
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, thick, and high. Based on these data, which intervention should the nurs
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e implement first?
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Obtaining a urine analysis should be done first because preterm clients
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withuterine irritability and contractions are often suffering froma urinary t
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ract infection, and this should be ruled out first.
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• A client in active labor is admitted with preeclampsia. Which assessmentfin
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ding is mostsignificant in planning this client's care?
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A 4+ reflex in a client with pregnancy-
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induced hypertension indicates hyperreflexia, which is an indication of a
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n impending seizure.
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• What is Epogen for? c c c
4