MATERNITY HESI 1 TEST BANK 2020

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MATERNITY HESI 1 TEST BANK 2020 1 QUESTION 1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which ins... truction would bemost effective in preventing pooling of blood in the lower extremities? Ans: Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvicveins and increase venous return. 2 QUESTION 2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28- weeks gestationin preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? Ans: Tachycardia and a feeling of nervousness Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergicreceptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of "nervousness". 3 QUESTION 3. When do the anterior and posterior fontanels close? Ans: anterior fontanel closes at 12 to 18 months and the posterior by the end of thesecond month. 4 QUESTION 4. When assessing a client who is at 12-weeks gestation, the nurse recommends that sheand her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes? Ans: 30 weeks gestation at 30 weeks gestation is closest (of the options) to the time parents would be ready forsuch classes. Learning is facilitated by an interested pupil! The couple is most interested in childbirth toward the end of the pregnancy when they are psychologicallyready for the termination of the pregnancy, and the birth of their child is an immediate concern. 5 QUESTION 5. The nurse should encourage the laboring client to begin pushing when...Ans: the cervix is completely dilated. Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervixcan become edematous and may never completely dilate, necessitating an operative delivery. Many primigravida’s begin active labor 100% effaced and then proceed to dilate. 6 QUESTION 6. The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take? [Show More]

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