2021 HESI RN Maternity V1 – Notes and Questions
Maternity and Peds
• The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor.
2. A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl and a hematocrit of 25.1 %. What f...
the nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor
a pregnant woman in the first trimester of pregnancy ha
Written for
Chicago State University
NURS 4125 (NURS4125)
All documents for this subject (9)
Seller
Follow
BROWSEGRADES76
Reviews received
Content preview
2021 HESI RN Maternity V1 – Notes and Questions
Maternity and Peds
The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor.
Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
Ampicillin 1 gram IV push q8h.
Betamethasone (Celestone) 12 mg deep IM
Butorphanol (Stadol) 1 mg IV push q2h PRN pain
2. A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her
diet?
Carrots
Chicken
Yogurt
Cheese
3. The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the drug?
Respiratory rate of 22 breaths/min
A large amount of lochia rubra
Blood pressure 149/90
Positive Homan’s sign
, 4. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis
(JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding
muscle. Which physical therapy regimen should the nurse encourage the adolescent to
implement?
Begin a training program lifting weights and running
Splint affected joints during activity
Exercise in a swimming pool
Perform passive range of motion exercises twice daily
5. A client receiving oxytocin (Pitocin) to augment early labor. Which assessment is most
important for the nurse to obtain each time the infusion rate is increased?
Pain level
Blood pressure
Infusion site
Contraction pattern
6. One day after vaginal delivery of a full term baby, a postpartum client’s white blood cell
count is 15.000/mm. What action should the nurse take first?
Check the differential, since the WBC is normal for this client
Assess the client’s temperature, pulse, and respirations q4h
Assess the client’s perineal area for signs of a perineal hematoma
Notify the healthcare provider, since this finding is indicative of infection
7. A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when supporting the parents of a child
with this anomaly?
, Discuss the need for cortisol and aldosterone replacement therapy after discharge
Support the parents in their decision to assign sex of their child according to their
preference
Offer information about ultrasonography and genotyping to determine sex
assignment
Explain that corrective surgical procedures consistent with sex assignment can be
delayed
8. The nurse assessing a 9-year old boy who has been admitted to the hospital with
possible acute postsreptococcal glomerulonephritis (APSGN). In obtaining his history, what
information is most significant?
Back pain for a few days
A history of hypertension
A sore throats last week
Diuresis during the nights
Note: Page 1538 MB
9. A loading dose of terbutaline (Brethine) 250 mcg IV is prescribed for a client in preterm
labor. Brethine 20 mg is added to 1,000 ml D W. How many ml of the solution should the
nurse administer?
13
10. A 36-week primigravida is admitted to labor and delivery with severe abdominal pain
and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart
rate FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute. What action
should the nurse implement first?
Alert the neonatal team and prepare for neonatal resuscitation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BROWSEGRADES76. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.39. You're not tied to anything after your purchase.
