Herzing University HESI Maternity | Nurselytic

Questions 44

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Herzing University HESI Maternity Questions

Extract:


Question 1 of 5

A client who delivered vaginally 2 days ago states that she wants to resume using her diaphragm for birth control. What information should the nurse share with her?

Correct Answer: A

Rationale: Childbirth can alter vaginal and cervical anatomy, requiring the diaphragm to be refitted for effective contraception.

Question 2 of 5

The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In conducting discharge teaching, which intervention is most important for the nurse to implement?

Correct Answer: B

Rationale: Proper feeding techniques are critical for the infant's nutrition and growth, making evaluation of these skills the priority before discharge.

Question 3 of 5

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. Which information is most important for the nurse to obtain?

Correct Answer: C

Rationale: The time of membrane rupture is critical to assess the risk of infection, which increases with prolonged rupture, especially in active labor.

Question 4 of 5

The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first?

Correct Answer: D

Rationale: Variable decelerations often result from umbilical cord compression. Changing the client's position, such as to a lateral or knee-chest position, is the first step to relieve this.

Question 5 of 5

The nurse is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the nurse take?

Correct Answer: A

Rationale: A boggy uterus displaced above and to the right of the umbilicus often indicates a distended bladder, which can prevent proper uterine contraction. Encouraging voiding addresses this issue, helping the uterus return to its normal position and firm up.

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