NURS 220 HESI Maternity Practice Questions_2022/2023 | QUESTIONS ONLY

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NURS 220 HESI Maternity Practice Questions 1. The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preven... ting this fetus from developing respiratory distress syndrome? a. terbutaline (Brethine) 0.25 mg SubQ Q15 mins x 3 b. Betamethasone (Celestone) 12 mg deep IM c. Butorphanol 1 mg IV push q2h PRN pain d. Ampicillin 1-gram IV push q8h 2. A primigravida client confides in the nurse that her sister told her that she should eliminate all salt once she is at 26 weeks’ gestation because it will eliminate fluid retention and swelling. How should the nurse respond? a. Salt foods lightly during cooking but add no additional salt at the table. b. eliminate all added salt from the diet to improve kidney function during pregnancy c. limit grain, meat and milk products which are significant sources of sodium d. use canned food products to obtain salt because it is easier to monitor salt intake 3. A one-day-old neonate develops a cephalohematoma. The nurse should closely assess this neonate for which common complication? a. jaundice* b. brain damage c. poor appetite d. hypoglycemia 4. The mother of a breastfeeding 24 hr old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is “doing it right.” She tells the nurse, “I just know my daughter is not getting enough to eat.” What response would be best for the nurse to make? a. feed your baby hourly until you feel confident that your child is receiving enough milk b. don’t worry, soon your milk will come in, and you will feel how full your breasts are c. since you are so concerned, you should probably supplement breastfeeding with formula d. if your baby’s urine is straw-colored, she is getting enough milk* 5. A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours. Concerned, she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. Which assessment finding warrants immediate intervention by the nurse? a. the onset of uterine contractions b. leaking amniotic fluid c. fetal heart rate 60 beats/min* d. ruptured amniotic membrane 6. A client at 40-weeks’ gestation presents to the obstetrical floor and indicates that the amniotic membranes ruptured spontaneously at home. She is in active labor and feels the need to bear down and push. What information is most important for the nurse to obtain first? a. the estimated amount of fluid b. time the membranes ruptured c. color and consistency of the fluid d. any odor noted when membranes ruptured. 7. A 32-week gestation client has deep tendon reflexes (DTRs) are 4+. What action should the nurse take first? a. assess the urine for proteinuria b. record the finding on a flowsheet c. obtain blood pressure reading d. notify the healthcare provider 8. The nurse is preparing to draw blood from a newborn to obtain hemoglobin and hematocrit levels. What is the best method to obtain this blood sample? a. use a butterfly, small gauge needle to do a venous puncture on the hand b. draw blood from the infant's antecubital vein using a small gauge needle c. use a small gauge needle to puncture the vastus lateralis d. use a lancet to puncture the outer lateral aspect of the heel * 9. A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this client? a. postpartum psychosis b. hard, painful uterine afterpains c. placenta accreta d. disseminated intravascular coagulation* 10. A primigravida client receives a prescription for an infusion of oxytocin (Pitocin) at 12 milliunits/minute. The available solution is ringers lactated 1,000 ml with Piton 10 units. The nurse should program the infusion pump to deliver how many ml/hour? 11. A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damage.” The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client’s history, which nursing diagnosis has the highest priority? a. sleep deprivation b. risk for infection c. fluid volume excess * d. nausea and vomiting 12. collard greens 13. A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that began one hour ago. The nurse’s assessment reveals approximately 30 ml of bright red vaginal bleeding, FHR of 130 to 140 beats/min, no contraction, and no complaints of pain. What is the most likely case of this client’s bleeding? a. placenta previa b. a ruptured blood vessel in the vaginal vault c. normal bloody show indicating initiation of labor d. abruptio placenta 14. A client at 26 weeks gestation recently indicated a yellow discharge from her right breast. How should the nurse respond? a. you need to wear a good support bra b. you need to discuss this with your HCP c. you probably have an infection d. this is normal * 15. When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP? a. +1 pedal edema b. 130/70 blood pressure c. 101.2 F oral temp * d. +1 proteinuria [Show More]

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