HESI-MATERNITY & PEDIATRICS Correct and Verified Answers {ALREADY GRADED A+ } NEWEST VERSION

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HESI-MATERNITY & PEDIATRICS Correct and Verified Answers {ALREADY GRADED A+ }

NEWEST VERSION

• The nurse is counseling a couple who has sought information about conceiving. The

couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?

Correct Answer: Two weeks before menstruation

• The nurse instructs a laboring client to use accelerated blow breathing. The client

begins to complain of tingling fingers and dizziness. Which action should the nurse take next?

Correct Answer: Have the client breathe into her cupped hands.

• The nurse is preparing a newborn for discharge. There is an order for a hepatitis B

vaccination prior to discharge. When planning to administer the vaccination, what information must the nurse obtain from the infants chart?

Correct Answer: Site of the vitamin K injection

• The nurse is providing care to a postpartum client with O negative blood who is

antibody positive. The newborn is O negative. What is the best nursing action for this client?

Correct Answer: Ask the mother if she desires any more children.

• The nurse is providing care to a laboring client with a GTPAL of 75015. The client

reports contractions every 2 to 8 minutes, of moderate intensity, for the past 6 hours.Her cervical exam upon admission is 4/0/75%, and membranes are intact. In the next 20 minutes, what supplies will the nurse gather for this client? (Select all that apply.)

Correct Answer:

• Amnihook • 1000 mL of D5LR • Oxytocin

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• The nurse is preparing to administer an IV pain medication to a client in labor. What

will the nurse include in this client's plan of care related to the administration of the medication? (Select all that apply.)

Correct Answer:

• Administer the medication only when the client is having a contraction.• Assess the fetal heart rate (FHR) for 10 minutes prior to administering the pain medication.

• The nurse is interviewing a newly pregnancy client who is 16-years old. Which client

statement indicates teaching is necessary for a safe pregnancy? (Select all that apply.)

Correct Answer:

• "I hate milk." • "I only want to gain 10 pounds." • "I refuse to wear maternity clothes."

• A client is admitted to the hospital at 28 weeks of gestation in preterm labor. The

nurse administers three doses of terbutaline sulfate, 0.25 mg subcutaneously. Which side effects will the nurse anticipate for this client? (Select all that apply.)

Correct Answer:

• Feeling of nervousness • Tachycardia • Restlessness

• An insulin-dependent client with gestational diabetes mellitus is in the second

stage of labor. What supplies will the delivery nurse gather for care of the newborn?(Select all that apply.)

Correct Answer:

• Erythromycin ointment • Scale • Measuring tape • Blood glucose testing kit

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• A breastfeeding postpartum client is diagnosed with mastitis, and antibiotic

therapy is prescribed. Which instruction should the nurse provide to this client?Correct Answer: Breastfeed the infant, ensuring that both breasts are completely emptied.

• A mother expresses fear about changing the infant's diaper after circumcision.

What information should the nurse include in the teaching plan?Correct Answer: Place petroleum ointment around the glans with each diaper change and cleansing.

• The clinic nurse takes a phone call from a client who reports she is at 12 weeks

gestation. Which statements indicate to the nurse the client may be having a spontaneous abortion? (Select all that apply.)

Correct Answer:

• "I am having severe abdominal cramping." • "I am passing blood clots from my vagina."

• A 25-year-old client has a positive pregnancy test. One year ago she had a

spontaneous abortion at 3 months of gestation. What will the nurse document in the client's chart regarding her GTPAL?

Correct Answer: 20010

• A client in active labor is becoming increasingly fearful because her contractions

are occurring more often than she had expected. Her partner is also becoming anxious. What is the nurse's best action?Correct Answer: Asking the client and her partner if they would like the nurse to stay in the room

• What specific instructions will the nurse include in the pregnancy client's teaching

plan who is also human immunodeficiency virus (HIV) positive? (Select all that apply.)

Correct Answer:

• Use condoms when having sex.• Zidovudine prescription helps decrease risk of fetal exposure • Breastfeeding is not recommended.

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• A 41-week multigravida is receiving oxytocin to augment labor. Contractions are

firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to baseline after the contraction.What is the next nursing action?

Correct Answer: Increase the rate of the oxytocin infusion.

• On admission to the prenatal clinic, a client tells the nurse that her last menstrual

period began on February 15 and that previously her periods were regular (28-day cycle). Her pregnancy test is positive. What is this client's expected date of birth?

Correct Answer: November 22

• A client at 39 weeks gestation overhears her health care provider say to the nurse,

"Her Bishop score is 10." The client asks the nurse, "What does that mean?" What is the nurse's best response?

Correct Answer: "Your cervix is ready for labor."

• The clinic nurse is reviewing signs of pre-term labor with a client at 28 weeks

gestation. Which client statements indicate to the nurse further teaching is necessary? (Select all that apply.)

Correct Answer:

• "I expect the discharge from my vagina will change from thick to brown over the next two weeks." • "The baby's movements will decrease and be almost still from here on out." • "I should expect low back pain and diarrhea as the baby grows."

• When a new mother receives her infant for the first time, which behavior is most

reassuring to the nurse?Correct Answer: Her arms and hands receive the infant and she then traces the infant's profile with her fingertips.

• A client presents to the emergency department with complaints of severe lower

left abdominal pain and vaginal spotting. Her last menstrual period was 5 weeks ago.What are the nurse's next actions? (Select all that apply.)

Correct Answer:

• Check the results of the HCG test.