HESI RN
Maternity HESI 2023 Quizlet Questions
Question 1 of 5
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28 weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The LPN/LVN plans to monitor for which primary side effect of terbutaline sulfate?
Correct Answer: C
Rationale: The primary side effects of terbutaline sulfate are related to its beta-adrenergic effects. Tachycardia and nervousness are common side effects of terbutaline sulfate. Tachycardia is expected due to the drug's beta-agonist properties, while nervousness can result from the stimulation of beta-adrenergic receptors. It is crucial to monitor the client for these side effects to ensure early recognition and appropriate management.
Question 2 of 5
Upon admission to the prenatal clinic, a 23-year-old woman informs the nurse that her last menstrual period began on February 15, and that previously her periods were regular. Her pregnancy test is positive. What is this client's expected date of delivery (EDD)?
Correct Answer: A
Rationale: The correct answer is A) November 22. To determine the expected date of delivery (EDD) using Naegele's rule, you start with the first day of the last menstrual period (February 15) and add 7 days, then count back 3 months, and finally add 1 year. This calculation gives an EDD of November 22. Option B) November 8 is incorrect because it does not follow the proper calculation based on Naegele's rule. Option C) December 22 is incorrect as it is too far past the calculated EDD. Option D) October 22 is incorrect as it is before the calculated EDD. Understanding how to calculate the expected date of delivery is crucial in prenatal care as it helps healthcare providers monitor fetal growth, assess gestational age, and plan appropriate care for both the mother and baby. By mastering this skill, nurses can provide accurate information and support to pregnant individuals throughout their journey to motherhood.
Question 3 of 5
A client at 28 weeks gestation calls the antepartum clinic and reports experiencing a small amount of bright red vaginal bleeding without uterine contractions or abdominal pain. What instruction should the LPN/LVN provide?
Correct Answer: A
Rationale: Bright red vaginal bleeding without pain could indicate placental issues such as previa. An ultrasound is necessary to evaluate the cause. It is important to rule out potential serious conditions like placental previa, which can lead to further complications for both the mother and the fetus. Therefore, prompt evaluation through an ultrasound at the clinic is essential for appropriate management and ensuring the well-being of the client and her baby.
Question 4 of 5
Just after delivery, a new mother tells the nurse, 'I was unsuccessful breastfeeding my first child, but I would like to try with this baby.' Which intervention is best for the LPN/LVN to implement first?
Correct Answer: D
Rationale: The correct intervention is to provide immediate assistance to the mother to begin breastfeeding as soon as possible after delivery. This approach helps initiate bonding and successful breastfeeding. Taking action promptly can address the mother's desire to breastfeed and promote positive outcomes for both the mother and the newborn.
Question 5 of 5
A 28-year-old client in active labor complains of cramps in her leg. What intervention should be implemented?
Correct Answer: B
Rationale: In the scenario presented, the correct intervention for the 28-year-old client experiencing leg cramps during labor is Option B: Extend the leg and dorsiflex the foot. This intervention is appropriate because it helps to alleviate muscle cramps by stretching the affected muscle and improving circulation. Dorsiflexion of the foot helps to relieve tension in the calf muscle, reducing the cramping sensation. Option A, massaging the calf and foot, may not be advisable in this case as it can potentially dislodge a blood clot if the cramp is due to deep vein thrombosis. Option C, lowering the leg off the side of the bed, can worsen the cramp by increasing muscle tension. Option D, elevating the leg above the heart, is not typically indicated for leg cramps and may not address the underlying cause effectively. From an educational standpoint, understanding the rationale behind interventions for common discomforts during labor is crucial for nurses and healthcare providers working in maternity care. It is essential to know the appropriate measures to address issues like leg cramps to ensure the well-being and comfort of laboring individuals. By mastering these interventions, healthcare professionals can provide effective and evidence-based care during the labor and delivery process.