HESI PN MATERNAL NEWBORN PROCTORED EXAM
VERSION 15
- A nurse is assessing a newborn following a forceps assisted birth. Which of the following
- Hypoglycemia
- Polycythemia
- Facial Palsy
- Bronchopumonary dysplasia
clinical manifestations should the nurse identify as a complication of the birth method?
- A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor.
- A nurse is caring for a client who has hyperemesis gravidarum. Which of the following
Which of the following statement by client indicates an understanding of the teaching?“The medication could cause me to experience heart paptation” “This medication could cause me to experience blurred vision” “This medication could cause me to experience ringing in my ears” “This medication could cause me to experience frequent …”
laboratory tests should the nurse anticipate?Urine Ketones Rapid plasma regain Prothrombin time Urine culture
- / 3
- A nurse is caring for a client who is in labor and requests nonpharmacological pain
- Assisting the client into squatting position
- Having the client lie in a supine position
- Applying fundal pressure during contractions
- Encouraging the client to void every 6 hr
management. Which of the following nursing actions promotes client comfort?
- A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of
- Thick, White Vaginal Discharge
- Urinary Frequency
- Vulva Lesions
- Malodorous Discharge
the following findings should the nurse expect?
- A nurse is caring for a client who is 14 weeks of gestation. At which the following locations
- Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
- Left Upper Abdomen
- Two fingerbreadths above the umbilicus
- Lateral at the Xiphoid Process
should the nurse place the Doppler device when assessing the fetal heart rate?
8.A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
- Urine protein concentration 200 mg/ 24 hr
- Creatnine 0.8 mg/ dL
- Hemoglobin 14.8 g/ dL
- Platelet Count 60.000/ mm
3
- A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which
- Tinnitus
- Urinary Frequency
- Breast Tenderness
- Chills
of the following adverse effect should the nurse include?
- / 3
- A nurse is assessing a newborn upon admission to the nursery. Which of the following
- Bulging Fontanels
- Nasal Flaring
- Length from head to heel of 40 cm (15.7 in)
- Chest circumference 2 cm (0.8 in) smaller than the head circumference
should the nurse expect?
- A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the
- Increase the newborn’s visual stimulation
- Weigh the newborn every other day
- Discourage parental interaction until after a social evaluation
- Swaddle the newborn in a flexed position
following interventions should the nurse include in the plan of care.
- A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65
- Obtain a blood sample for a serum glucose level
- Feed the newborn immediately
- Administer 50 mL of dextrose solution IV
- Reassess the blood glucose level prior to the next feeding
mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
- A nurse is providing teaching to a client about exercise safety during pregnancy. Which of
- “I will limit my time in the hot tub to 30 minutes after exercise.”
- “I should consume three 8-ounce glasses of water after I exercise.”
- “I will check my heart rate every 15 minutes during exercise sessions.”
- “I should limit exercise sessions to 30 minutes when the weather is humid.”
- “I should rest by lying on my side for 10 minutes following exercise.”
the following statements by the client indicates an understanding of the teaching? (Select all that apply).
- A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which
- Contraction durations of 95 to 100 seconds
- Contraction frequency of 2 to 3 min apart
- Absent early deceleration of fetal heart rate
- / 3
of the following findings should the charge nurse instruct the staff members to report to the provider?