Lying prone (A) keeps the fundus contracted and is especially useful with

multiparas, who commonly experience afterpains due to lack of uterine tone.

2. A multigravida client arrives at the labor and delivery unit and tells the nurse that her

bag of water has broken. The nurse identifies the presence of meconium fluid on the

perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What

action should the nurse implement next?

A vaginal exam (A) should be performed after the rupture of membranes to

determine the presence of a prolapsed cord.

3. When explaining "postpartum blues" to a client who is 1 day postpartum, which

symptoms should the nurse include in the teaching plan? (Select all that apply.)

"Postpartum blues" is a common emotional response related to the rapid decrease in

placental hormones after delivery and include mood swings (A), tearfulness (C),

feeling low, emotional, and fatigued.

4. A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted

for observation. She is contracting irregularly and demonstrates underlying uterine

irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on

these data, which intervention should the nurse implement first?

a. Provide oral hydration

b. Have a complete blood count (CBC) drawn

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Maternity HESI Quiz Bank| Latest 2022/2023

a. Lying prone with a pillow on the abdomen

b. Using a breast pump

c. Massaging the abdomen

d. Giving oxytocic medications

1. Which nursing intervention is most helpful in relieving postpartum uterine

contractions or "afterpains?"

a. Complete a sterile vaginal exam

b. Take maternal temperature every 2 hours

c. Prepare for an immediate cesarean birth

d. Obtain sterile suction equipment

a. Mood swings

b. Panic attacks

c. Tearfulness

d. Decreased need for sleep

e. Disinterest in the infant

Obtaining a urine analysis (C) should be done first because preterm clients with

uterine irritability and contractions are often suffering from a urinary tract infection, and

this should be ruled out first.

5. A client in active labor complains of cramps in her leg. What intervention should the

nurse implement?

Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client

is capable) (B) and putting the heel of the foot on the floor is the best means of

relieving leg cramps.

6. The nurse is caring for a woman with a previously diagnosed heart disease who is in

the second stage of labor. Which assessment findings are of greatest concern?

Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation

and require immediate intervention.

7. The nurse is teaching a woman how to use her basal body temperature (BBT) pattern

as a tool to assist her in conceiving a child. Which temperature pattern indicates the

occurrence of ovulation, and there for, the best time for intercourse to ensure conception?

In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72

hours after ovulation, when the corpus luteum of the ruptured ovary produces

progesterone. Therefore, intercourse between the time of the temperature fall and rise

(A) is the best time for conception.

8. A client who is in the second trimester of pregnancy tells the nurse that she wants to

use herbal therapy. Which response is best for the nurse to provide?

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c. Obtain a specimen for urine analysis

d. Place the client on strict bedrest

a. Ask the client if she takes a daily calcium tablet

b. Extend the leg and dorsiflex the foot

c. Lower the leg off the side of the bed

d. Elevate the leg above the heart

b. Extend the leg and dorsiflex the foot

a. edema, basilar rales, and an irregular pulse

b. Increased urinary output, and tachycardia

c. Shortness of breath, bradycardia, and hypertension

d. Regular heart rate, and hypertension

a. Between the time the temperature falls and rises

b. Between 36 and 48 hours after the temperature rises

c. When the temperature falls and remains low for 36 hours

d. Within 72 hours before the temperature falls

The emphasis of alternative and complementary therapies, such as herbal therapy, is

that the client is viewed as a whole being, capable of decision-making and an integral

part of the health care team, so (D) recognizes the client's request.

9. A mother who is breastfeeding her baby receives instructions from the nurse.

Which instruction is most effective to prevent nipple soreness?

The most common cause of nipple soreness is incorrect positioning (C) of the infant on

the breast, e.g., grasping too little of the areola or grasping on the nipple.

10. The nurse is counseling a woman who wants to become pregnant. The woman tells

the nurse that she has a 36-day menstrual cycle and the first day of her menstrual period

was January *. The nurse correctly calculates that the woman's next fertile period is

This woman can expect her next period to begin 36 days from the first day of her last

menstrual period - the cycle begins at the first day of the cycle and continues to the first

day of the next cycle. Her next period would, therefore, begin on February 13. Ovulation

occurs 14 days before the first day of the menstrual period. Therefore, ovulation for this

woman would occur January 31 (C).

11. The nurse should encourage the laboring client to begin pushing when

Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated

(A, B, and D), the cervix can become edematous and may never completely dilate, necessitating

an operative delivery. Many primigravida’sctive laborbegin 100%a effaced

and then proceed to dilate.

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a. Herbs are a corner stone of good health to include in your treatment

b. Touch is also therapeutic in relieving discomfort and anxiety

c. Your healthcare provider should direct treatment options for herbal therapy

d. It is important that you want to take part in your care

a. Wear a cotton bra

b. Increase nursing time gradually

c. Correctly place the infant on the breast

d. Manually express a small amount of milk before nursing

a. January 14-15

b. January 22-23

c. January 30-31

d. February 6-7

a. there is only an anterior or posterior lip of cervix left

b. the client describes the need to have a bowel movement

c. the cervix is completely dilated

d. the cervix is completely effaced

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