Hesi OB 2022- LATEST UPDATED EXAM GUIDE GRADED A
Hesi OB 2022- LATEST UPDATED EXAM GUIDE GRADED A
A client at 37 weeks gestation presents to labor and
... [Show More] delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition? - ( CORRECT ANS)herpes simplex virus
A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client? - ( CORRECT ANS)Use alternative form of birth control until new diaphragm can be obtained.
A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority nursing action for this client? - ( CORRECT ANS)Massage the fundus Q 4 hours
At 0600 while admitting a woman for a scheduled repeat cesarean section (C Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? - ( CORRECT ANS)Inform the anesthesia care provider
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which action should the nurse perform? - - ( CORRECT ANS)Place procedure equipment at bedside
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority? - ( CORRECT ANS)Hypoglycemia
the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago. the nurse observes the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and retractions. the nurse should recognize these finding indicate which complication? - ( CORRECT ANS)transient tachypnea of the newborn
A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occuring every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine rest, the contractions are occuring every 5 minutes with 20 second duration. which intervention should the nurse implement? - ( CORRECT ANS)Restart the oxytocin per oxytocin protocol
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. the nurse applies the external fetal heart monitor and determines she is not in labor. What makes the nurse realize she is not in labor? - ( CORRECT ANS)Contractions stop when the client is walking
A primigravida client with gestational hypertension and bishop score of 3 is scheduled for induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions with cervical changes at 0900 which action should the nurse take? - ( CORRECT ANS)Administer oxytocin 4 hours later
A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. The nurse should program the infusion pump to deliver how many ml/hr? - ( CORRECT ANS)12
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. What action is most important for the nurse to take? - ( CORRECT ANS)Encourage the mother to hold and spend time with her baby
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