Maternity HESI 2023 Quizlet

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A pregnant woman in her first trimester is experiencing watery vaginal discharge. What should the nurse tell her?

  • A. Inform her that it is normal.
  • B. Advise her to see a doctor immediately.
  • C. Suggest using panty liners.
  • D. Suggest a change in diet.
Correct Answer: A

Rationale: Informing the pregnant woman that watery vaginal discharge is normal during the first trimester is crucial to providing reassurance and reducing anxiety. This discharge, known as leukorrhea, is common during pregnancy due to increased estrogen levels and increased blood flow to the pelvic area. It helps maintain a healthy balance of bacteria in the vagina and protects the birth canal from infection. Advising the woman to see a doctor immediately may cause unnecessary alarm, while suggesting the use of panty liners can help manage the discharge comfortably. Suggesting a change in diet is not relevant to addressing watery vaginal discharge in this scenario.

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When assessing a child with HIV, which system should the nurse assess first?

  • A. Assess the respiratory system.
  • B. Assess the gastrointestinal system.
  • C. Assess the cardiovascular system.
  • D. Assess the neurological system.
Correct Answer: A

Rationale: When assessing a child with HIV, it is essential to prioritize assessing the respiratory system first. Children with HIV are more susceptible to respiratory infections and complications, such as pneumonia, due to their weakened immune system. Identifying any respiratory issues early on can help in prompt intervention and management, thus improving outcomes for the child.

A one-day-old neonate develops a cephalohematoma. The nurse should closely assess this neonate for which common complication?

  • A. Jaundice.
  • B. Poor feeding.
  • C. Brain injury.
  • D. Hypoglycemia.
Correct Answer: A

Rationale: A cephalohematoma is a collection of blood between the skull and the periosteum. As the blood breaks down, there is an increased risk of jaundice due to the release of bilirubin from the breakdown of red blood cells. Jaundice is a common complication associated with cephalohematoma in neonates. Therefore, the nurse should closely monitor the neonate for signs of jaundice and manage it accordingly.

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?

  • A. Assess the husband's feelings about his wife's decision to breastfeed their baby.
  • B. Ask the client to describe why she was unsuccessful with breastfeeding her last child.
  • C. Encourage the client to develop a positive attitude about breastfeeding to help ensure success.
  • D. Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
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.

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.

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

  • A. Assess cervical dilation.
  • B. Change the client's position.
  • C. Administer oxygen via facemask.
  • D. Turn off the oxytocin infusion.
Correct Answer: B

Rationale: Changing the client's position is the priority intervention for variable decelerations as it can relieve pressure on the umbilical cord, potentially resolving the deceleration and improving fetal oxygenation. Assessing cervical dilation, administering oxygen via facemask, and turning off the oxytocin infusion are important interventions but addressing the fetal distress caused by variable decelerations takes precedence.

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