Hesi Maternity

60 Questions  I  By [email protected] on May 26, 2012
Welcome to Maternal and Child Health Nursing (HESI EXAMINATION) Prepared by: Jeffrey Viernes Maternity nursing is a form of intensive, informative and knowledgeable care provided by a maternity nurse. In most instances, the maternity nurse provides 2 related and integrated services. The first one is pre-birth care. The maternity nurse is there to help the mother and the family during their pregnancy and afterwards. In maternity nursing, the provider prepares the family for the entire birthing experience. The second responsibility of the maternity nurse is post birth. The nurse is also there after the birth. In this role, he or she advises mothers on such things as post natal care of themselves and their newborns.

  

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1.  A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
A.
B.
C.
D.
2.  During the prenatal visit, the client states that she has been experiencing heartburn frequently. The LPN provides instruction on the cause and prevention of heartburn. When she ask to verbalize understanding of the information, which of the following statements by the client indicates further instruction may be necessary?
A.
B.
C.
D.
3.  Ativan 0.5 mg IM every 1 hour as needed is prescribed for a client experiencing delirium tremens. The medication vial reads 2mg/mL of solution. How many mL should the LPN draw into the syringe for single dose administration?
4.  The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The LPN should tell the patient that she can expect to feel the fetus move at which time?
A.
B.
C.
D.
5.  The LPN is preparing to administer Solu-medrol 40 mg mixed in 150 mL of sodium chloride via intravenous piggyback. The medication is to be administered over 30 minutes. Using the tubing with a drop factor of 15 ggts/mL, what would the LPN calculate the rate to be in drops per minute?
A.
B.
C.
D.
6.  A 36 year-old male client loses all function from his waist down after sustaining a spinal cord injury after falling off the roof of his house. The nurse asks the client how this injury will affect the different aspects of his life. The client replie, "It won't." This reaction exemplifies that the client is in what stage of the grieving process?
7.  During which of the following phase of the menstrual cycle is it ideal for implantation of a fertilized egg to occur? 
A.
B.
C.
D.
8.  She complained of leg cramps, which usually occurs at night. To provide relief, the nurse tells Diane to: 
A.
B.
C.
D.
9.  Reddish purple strech marks that usually occur on the abdomen, breasts, thighs, and upper arm. As a nurse, you would document this correctly in the client's chart by using what medical terminology?
10.  The OB/GYN physician required the LPN to perform different laboratory tests for the primigravida woman who is on her 20 weeks' gestation. As a nurse you would expect that the physician will order what types of laboratory testing for the pregnant woman?
A.
B.
C.
D.
E.
F.
11.  Fetal heart is carefully monitored throughout pregnancy and during labor to assess fetal well being. Which of the following represnts an appropriate fetal heart rate?
A.
B.
C.
D.
12.  A 36 weeks gestation pregnant woman is complaining of urinary urgency and frequency. The nurse explained that the enlarging fetus is pressing the bladder which causes frequent urination. This is normally occuring during the first and third trimesters of pregnancy. The nurse advices the patient to do the following measures to prevent urinary frequency. Select all the necessary measures that the nurse can provide to the patient. 
A.
B.
C.
D.
E.
13.  Cervical softening and uterine souffle are classified as which of the following?
A.
B.
C.
D.
14.  A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the following are functions of amniotic fluid? Select all that apply.
A.
B.
C.
D.
E.
F.
15.  A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond?
A.
B.
C.
D.
16.   A primigravida patient who is 12 weeks pregnant visits a helath promotion program in the community pertaining to the pregnancy care. A group of nursing student is educating the public about measures to prevent discomfort of pregnancy. The primigravida patient asks one of the student about measures on how to prevent heartburn she is experiencing throughout the day. Select all the necessary measures to prevent the primigravia patient's complaint.
A.
B.
C.
D.
E.
F.
17.  Which of the following represents the average amount of weight gained during pregnancy?
A.
B.
C.
D.
18.  A nurse is collecting data during the admission asessment of a client who is pregnant with twins. The client also has 5 year old child. The nurse would document which gravida and para status on this client?
A.
B.
C.
D.
19.  The nurse is educating a primigravida patient who is 12 weeks pregnant about the danger signs of pregnancy. The information provided is clearly understood by the expectant mother if the client states the following danger signs of pregnancy: Slect all that apply.
A.
B.
C.
D.
E.
F.
G.
20.  After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Which is most likely to occur?
A.
B.
C.
D.
21.  A client LMP began July 5. Her EDD should be which of the following?
A.
B.
C.
D.
22.  A client is pregnant with her third child. Medical history of the client indicates a previous precipitate labor and birth. Which of the following interventions would NOT be expected during labor of the present pregnancy?
A.
B.
C.
D.
23.  A nurse is collecting data from a client who suspects that she is pregnant. The nurse is checking the client for probable signs of pregnancy. Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
24.  Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours. How many mg of sulfisoxazole is this client receiving in a 24-hour period?
A.
B.
C.
D.
25.  Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
A.
B.
C.
D.
26.  A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several cloth. What is the primary nursing diagnosis for this patient
A.
B.
C.
D.
27.  Mrs. Puente is visiting the clinic for a prenatal assessment. This is the client's fourth pregnancy. She lost one pregnancy during the ninth week of gestation. One pregnancy resulted in birth of a stillborn infant at full term, and she has one living child who was born the 35th week of gestation. Which of the following best describes the client?
A.
B.
C.
D.
28.  A nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. The nurse checks the client for which classic signs of preeclampsia? Select all that apply.
A.
B.
C.
D.
E.
F.
29.  Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
A.
B.
C.
D.
30.  The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says:
A.
B.
C.
D.
31.  During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which of the following heart rates is noted?
A.
B.
C.
D.
32.  The physcician orders epinephrine 0.1 mg SQ x 1 now. The constitution of epinephrine according to the vial is 1;1000, or 1 g of epinephrine per 1,000 mL of solution. How much solution should be drawn into the syringe by the LPN?
A.
B.
C.
D.
33.   A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform:
A.
B.
C.
D.
34.  Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
A.
B.
C.
D.
35.   FHR can be auscultated with a fetoscope as early as which of the following?
A.
B.
C.
D.
36.  While the postpartum client is receiving herapin for thrombophlebitis, which of the following drugs would the nurse Mica expect to administer if the client develops complications related to heparin therapy?
A.
B.
C.
D.
37.  A 25-year-old client with diabetes type I visits the clinic to discuss her and her husband's desire to start a family. This diabetic client 
A.
B.
C.
D.
38.  The nurse knows that there are psychological maternal changes that occurs during pregnancy in a primigravida patient. Select all  the normal psychological maternal changes that happens throughout pregnancy.  
A.
B.
C.
D.
E.
F.
G.
H.
39.  When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion? 
A.
B.
C.
D.
40.  According to Diane, her LMP is November 15, 2002, using the Naegle’s rule what is her EDC? 
A.
B.
C.
D.
41.  On which of the following areas would the nurse expect to observe chloasma?
A.
B.
C.
D.
42.  The hormone responsible for the development of the ovum during the menstrual cycle is?    
A.
B.
C.
D.
43.  A client suspects that she is pregnant and visits the clinic. Of the following changes caused by pregnancy, which is the only positive sign that the client is pregnant?
A.
B.
C.
D.
44.  This is a dark streak down the midline of the abdomen that may appear as the uterus is enlarging. The LPN correctly describes this to the pregnant woman as?
45.  During a lecture on reproduction, a student nurse asks the instructor what determines the sex of a fetus. Accurate information in response to this question would be:
A.
B.
C.
D.
46.  What is the recommended drug for the prevention of maternal-fetal HIV transmission; it is usually administered orally beginning after 14 weeks' gestation, intravenously during labor, and in the form of syrup to the neonate after birth for 6 weeks?
47.  A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?
A.
B.
C.
D.
48.  Family centered nursing care for women and newborn focuses on which of the following?    
A.
B.
C.
D.
49.  A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?
A.
B.
C.
D.
50.  During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which of the following heart rates is noted?
A.
B.
C.
D.
51.  Which of the following prenatal laboratory test values would the nurse consider as significant?
A.
B.
C.
D.
52.  Which of the following would cause a false-positive result on a pregnancy test?
A.
B.
C.
D.
53.  Which of the following would the nurse identify as a presumptive sign of pregnancy?
A.
B.
C.
D.
54.  The LPN has initiated the administration of vancomycin via IV piggyback . In which of the following situations should the nurse recognize that the client may be experiencing a fatal reaction to this medication?
A.
B.
C.
D.
55.  Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
A.
B.
C.
D.
56.  During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
A.
B.
C.
D.
57.  A nurse is monitoring for the Physiological Maternal Changes relating to pregnancy for a primigravida patient. What are the normal changes that happens during pregnancy? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
58.  When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
A.
B.
C.
D.
59.  Variation on the length of menstrual cycle is due to variations in the number of days in which of the following phase? 
A.
B.
C.
D.
60.  The nurse identifies substance abuse behaviors exhibited by a pregnant client during an initial prenatal screening. While promoting a therapeutic and accepting environment, the care managment by the nurse would be MOST appropriate if focused on which of the following?
A.
B.
C.
D.
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