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HESI RN · HESI Maternity · Maternity HESI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The LPN/LVN bases the explanation on knowledge that for the normal newborn, the

A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week.

B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week.

C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month.

D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.

Expert Explanatory Rationale

Correct Answer: anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.

Question 2 of 5

A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client's care?

A. Patellar reflex 4+

B. Blood pressure 158/80

C. Four-hour urine output 240 ml

D. Respirations 12/minute

Expert Explanatory Rationale

Correct Answer: Patellar reflex 4+

Question 3 of 5

One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large, and her fundus is boggy despite massage. The client's pulse is 84 beats/minute, and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM 1. What action should the healthcare provider take immediately?

A. Give the medication as prescribed and monitor for efficacy.

B. Encourage the client to breastfeed rather than bottle-feed.

C. Have the client empty her bladder and massage the fundus.

D. Call the healthcare provider to question the prescription.

Expert Explanatory Rationale

Correct Answer: Call the healthcare provider to question the prescription.

Question 4 of 5

The nurse is caring for a 2-day old neonate who has not passed meconium and has a swollen abdomen. The healthcare provider reviews the flat plate X-ray of the abdomen and makes a tentative diagnosis of Hirschsprung's disease. Which pathophysiological process is consistent with this neonate's clinical picture?

A. The congenital absence of parasympathetic ganglion cells to large intestine produces no peristalsis.

B. Pyloric obstruction causes reflux and projectile hematemesis.

C. Partial imperforated anal opening limits passage of stools.

D. Peristalsis moving against the intestinal obstruction causing hyperactivity of the bowel.

Expert Explanatory Rationale

Correct Answer: The congenital absence of parasympathetic ganglion cells to large intestine produces no peristalsis.

Question 5 of 5

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks what is the purpose of the ointment. The nurse would be correct in stating that the purpose of the ointment is:

A. Prevent eye infection.

B. Dilate the pupil so the red reflex can be visualized.

C. Clear the infant's vision.

D. Prevent herpes infection.

Expert Explanatory Rationale

Correct Answer: Prevent eye infection.

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