OB HESI V2 EXAMS 2023
During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods
should the nurse encourage the client to eat?
1
Liver and raisins
Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals Ans- cheese and broccoli
...
OB HESI V2 EXAMS 2023
During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods
should the nurse encourage the client to eat?
1
Liver and raisins
Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals Ans- cheese and broccoli
need calcium
A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse
keep at the bedside to prepare for the possibility of magnesium sulfate toxicity?
1Oxygen
2Naloxone
3Calcium gluconate
4Suction equipment Ans- calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the action of
magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction equipment may
be necessary if the client has excessive secretions after a seizure. The priority intervention is trying to
prevent a seizure.
, A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is prescribed. For what
therapeutic effect should the nurse monitor the client?
1increased blood pressure and pulse
2Reduction of pain in the perineal area
3Gradual cervical dilation as labor progresses
4Decreased frequency and duration of contractions Ans- decreased frequency and duration of
contractions
Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the uterus to reduce
contractility, which in turn inhibits dilation and the frequency and duration of contractions. Although
terbutaline may increase blood pressure and pulse, this is a side, not a therapeutic, effect requiring
frequent assessments. Terbutaline is not an analgesic. It should stop cervical dilation rather than
increase it.
greenish amniotic fluid indicates Ans- meconium in amniotic fluid and dr should be notified immediately
pt on magnesium sulfide, what base line assessment is needed Ans- repsiration rate
LOC is also affected but do not need a baseline
hydatidiform mole Ans- causes extra large utereus
lepolds maneuver on patient with placental previa expects Ans- high floating, presenting part
A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal heart
rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are observed on the
monitoring strip. What does the nurse suspect as the cause of this change?
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