HESI Maternity (Maternal And Child Health Nursing) Exam
(96).jpg "HESI Maternity (Maternal And Child Health Nursing) Exam - Quiz")
Welcome to Maternal and Child Health Nursing (HESI EXAMINATION). Maternity nursing is a form of intensive, informative and knowledgeable care provided by a maternity nurse. In most instances, the maternity nurse provides two 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 afterward. 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 birth. In this role, he or she advises mothers on such things as post natal care of themselves and their newborns.
- 1.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?
- 2.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 replies, "It won't." This reaction exemplifies that the client is at what stage of the grieving process?
- 3.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.
Use of magnesium sulfate
- B.
Close monitoring of the fetus for hypoxia
- C.
The nurse stays at the bedside constantly or as much as possible
- D.
Amnioinfusion will be performed
- 4.The fetal heart is carefully monitored throughout pregnancy and during labor to assess fetal well being. Which of the following represents an appropriate fetal heart rate?
- A.
108
- B.
127
- C.
170
- D.
185
- 5.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.
Enlarge abdomen
- B.
Positive pregnancy test
- C.
Detection of fetal heartbeat
- D.
Uterine contraction
- 6.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.
0.01 mL
- B.
0.1 mL
- C.
1.0 mL
- D.
10 mL
- 7.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.
40
- B.
50
- C.
75
- D.
150
- 8.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.
The client start coughing
- B.
The client complains of pain at the intravenous catheter insertion site
- C.
The nurse hears the client snoring from the hall
- D.
The nurse notices the client's neck and chest is bright red
- 9.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.
160 mg
- B.
320 mg
- C.
480 mg
- D.
960 mg
- 10.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.
"The sex of the fetus is not determined until the eighth week of gestation."
- B.
"The fertilization of the zygote is the point at which sex is determined."
- C.
"Males have one less pair of chromosomes than females."
- D.
"Sex is determined by the chromosomes contributed by the ovum."
- 11.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.
Discouraging substance use during pregnancy
- B.
Termination of the pregnancy at an early stage
- C.
Eliminating substance use during pregnancy
- D.
Setting boundaries with the client in regards to substance use
- 12.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.
Should be discouraged from becoming pregnant
- B.
Has a greater risk of complications during pregnancy
- C.
Should be informed about treatment for infertility
- D.
Will be able to carry out a completely normal pregnancy
- 13.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.
"The sphincter that normally prevents stomach contents from going back up into the esophagus is relaxed."
- B.
"I should try to avoid drinking fluids while I'm eating."
- C.
"Eating six or seven small meals a day may help my symptoms."
- D.
"I'll eat enough to ensure that I am full at every meal."
- 14.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.
Ballottement
- B.
Chadwick's sign
- C.
Uterine enlargement
- D.
Braxton Hicks contractions
- E.
Outline of fetus via radiography or ultrasound
- F.
Fetal heart rate detected by a non electronic device
- G.
Hegar's sign
- H.
Goodle's sign
- 15.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.
Proteinuria
- B.
Hypertension
- C.
Low grade fever
- D.
Generalized edema
- E.
Increase pulse rate
- F.
Increase respiratory rate
- 16.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.
Circulating blood volume increases
- B.
Sodium and water retention may occur, which can lead to weight gain
- C.
Shortness of breath may be experienced
- D.
Breast size atrophies
- E.
There is a decrease in vaginal secretions
- F.
Frequency of urination occurs during second trimester
- G.
Chloasma occurs
- 17.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.
Ambivalence
- B.
Breast tenderness
- C.
Emotional lability
- D.
Body image changes
- E.
Bonding or relationship with the fetus
- F.
Nausea and vomiting
- G.
Syncope
- H.
Urinary frequency
- 18.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.
Drink 2 quarts of fluid during the day
- B.
Engaging in a regular exercise
- C.
Performing Kegel exercises
- D.
Soaking in a warm sitz bath
- E.
Limiting fluid intake during the evening
- 19.
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? - 20.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.
Blood type and Rh factor
- B.
Pap's smear
- C.
Rubella titer
- D.
Urinalysis
- E.
Hemoglobin and hematocrit levels
- F.
Hepatitis B surface antigen
- 21.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.
Gush of vaginal discharge
- B.
Vaginal bleeding
- C.
Persistent vomiting
- D.
Constipation
- E.
Urinary frequency
- F.
Epigastric or abdominal pain
- G.
Fetal heart rate of 120
- 22.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?
- 23.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.
G1P1
- B.
G2P1
- C.
G2P2
- D.
G3P2
- 24.
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?
- 25.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.
Allows for fetal movement
- B.
Is a measure of kidney function
- C.
Surrounds, cushions, and protects the fetus
- D.
Maintains the body temperature of the fetus
- E.
Prevents large particles such as bacteria from passing to the fetus
- F.
Provides an exchange of nutrients and waste products between the mother and the fetus
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