Maternity HESI 2023 Quizlet

Question 1 of 5

During a routine first-trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?

A. Recommend explaining the normal physiological changes during pregnancy. B. Notify the healthcare provider of the complaint. C. Inform her that this is a normal physiological change. D. Prepare to provide education on vaginal health.

Correct Answer: C

Rationale: The increased vaginal discharge described by the pregnant client, which is white, thin, and watery, is a common physiological change during pregnancy. It is typically normal and attributed to hormonal fluctuations. The nurse should reassure the client that this type of discharge is expected during pregnancy and does not typically indicate an issue requiring medical intervention or treatment.

Question 2 of 5

A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. What information should the nurse provide this client?

A. Use an alternative form of contraception until a new diaphragm is obtained. B. After weaning, the diaphragm should be resized. C. Avoid intercourse during ovulation until the diaphragm size is reassessed. D. If weight gain during pregnancy was no more than 20 pounds, the diaphragm is safe to use.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 28-year-old client in active labor complains of cramps in her leg. What intervention should be implemented?

A. Massage the calf and foot. 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.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The parents of a 3-year-old boy with Duchenne muscular dystrophy (DMD) ask, 'How can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide these parents?

A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family. B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage. C. The lack of the protein dystrophin in the mother can impact the XXX muscle groups of males. D. Spinal cord damage due to birth trauma during a breech vaginal birth weakens the muscles.

Correct Answer: A

Rationale: The correct answer is A. Duchenne muscular dystrophy is an X-linked recessive disorder, meaning the gene mutation causing DMD is located on the X chromosome. Males have one X chromosome and one Y chromosome, so if the X chromosome they inherit from their mother carries the mutated gene, they will develop DMD. Females have two X chromosomes, so they are carriers of the gene but are usually not affected by the disease.
Therefore, the nurse should explain to the parents that DMD is an inherited X-linked recessive disorder that primarily affects male children in the family.

Question 5 of 5

Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client?

A. The client's readiness to learn. B. The client's educational background. C. The order in which the information is presented. D. The extent to which the pregnancy was planned.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Maternity HESI 2023 Quizlet - Nurselytic

Nurselytic

HESI RN

HESI RN