HESI PN MATERNAL NEWBORN PROCTORED EXAM

HESI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 21

• A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia.

Which of the following findings should the nurse expect?

• Reports increased urinary output
• Diaphoresis
• Reports blurred vision
• Shallow respirations
• A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the

following actions should the nurse take?

• Administer penicillin G 2.4 million units IM to the client
• Instruct the client to schedule an annual pelvic examination
• Tell the client she will start medication for HIV immediately after delivery
• Report the client’s condition to the local health department
• A nurse is providing teaching for a client who has a new prescription for combined oral

contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?

• Depression
• Polyuria
• Hypotension
• Urticaria
• A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new

prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?

• “I can administer oxytocin 4 hours after the insertion of the medication”
• “You will need a full bladder prior to the insertion of the medication” - no need to

empty bladder first

• “Remain in a side-lying position for 15 minutes after the medication is inserted”
• “An antacid will be given 20 minutes prior to the insertion of the medication”
• A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the

following actions should the nurse take?

• Administer antiviral medication
• Schedule an ultrasound examination
• Administer Haemophilus influenza type b vaccine
• Schedule an indirect Coombs’ test
• A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the

following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

• Apply a cool back for 10 minutes to the heel prior to the puncture
• Request a prescription for IM analgesic
• Use a manual lace blade to pierce the skin
• Place the newborn skin to skin on the mother’s chest
• A nurse is performing a vaginal examination on a client who is in labor and observes the

umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

• Insert two gloved fingers into the vagina and apply upward pressure to the presenting 1 / 2

part

• Wrap the visible cord tightly with sterile, dry gauze
• Apply oxygen to the client at 2 L/min via nasal cannula
• Place the client in the lithotomy position and apply fundal pressure
• A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental

abruption? Which of the following laboratory tests should the nurse expect the provider to prescribe?

• Kleihauer-Betke test
• Progesterone serum level
• Lecithin/sphingomyelin (L/S) ration
• Maternal Alpha-fetoprotein (AFP)
• A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which

of the following complications should the nurse assess?

• Abruptio placenta
• Placenta previa
• Preeclampsia
• Maternal bradycardia
• A nurse is assessing a client who has severe preeclampsia. Which of the following

manifestations should the nurse expect?

• 2+ deep tendon reflex
• Proteinuria of 200mg in a 24-hr specimen
• Polyuria
• Blurred vision
• A nurse is providing education about family bonding to parents who recently adopted a

newborn. The nurse should make which of the following suggestions to aid the family’s 7-year- old child in accepting the new family member?

• Allow the sibling to hold the newborn during a bath - quizlet
• Make sure the sibling kisses the newborn each night
• Obtain a gift from the newborn to present to the sibling
• Switch the sibling’s room with the nursery
• A nurse is assessing a client who is receiving morphine via IV bolus following a cesarean birth.

The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer?

• Fentanyl
• Butorphanol
• Naloxone
• Meperidine
• A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.

Which of the following statements by the client indicates an understanding of the teaching?

• “I should increase my protein intake to 60 grams each day”
• “I should drink 2 liters of water each day”
• “I should increase my overall daily caloric intake by 300 calories”
• “ I should take 600 micrograms of folic acid each day”
• A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should

the nurse report to the provider?

• Acrocyanosis
• Transient strabismus
• Jaundice -quizlet
• Caput succedaneum
• A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which

of the following actions by the parent should the nurse recognize as a positive parenting behavior?

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