Exam (elaborations)
2020 HESI OB/MATERNITY V 1 |100 QUESTIONS AND CORRECT ANSWERS
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2020 HESI OB/MATERNITY V 1 |100 QUESTIONS AND CORRECT ANSWERS
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OB Hesi 20201. Vaginal examinations reveal that a laboring client cervix is dilated 2cm,
70% effaced, with presenting part at -2 station. The client tells the nurse " I
need my epidural now! This hurts!" The nurse response to the client
should be based on which information.: Administering an epidural at this
point would slow the labor process.
2. The client will need to be catheterized before the epidural can be
admin- istered. A client who is HIV+ is receiving zidovudine during labor.
Which information should the nurse provide to the client?: This
treatment helps prevent transmission of the virus to the fetus.
3. A newborn's head circumference is 12 inches (30.5cm), and his chest
measurement is 13 inches (33cm). The nurse notes that this infant has no
molding, and was at breech presentation delivery by c section. What
action should the nurse take based on these data?: Record the finding on
the chart. They are within normal limits.
4. A three hour old newborn of a gestational diabetic mother who is
asymp- tomatic and successful breastfed after birth, heel stick glucose
level is 36 mg/dL. Which intervention should the nurse do first?: Assist the
mother to breastfeed the infant
5. The nurse is caring for a female client, a primigravida with preeclampsia.
Finding include +2 proteinuria, BP 172/112 mmHg, Facial and hand
sweating, complaints of blurry vision, and a severe frontal headache.
Which medication should the nurse anticipate for this client?: Magnesium
sulfate
6. When planning care for a laboring client, the nurse identifies the need to
withhold solid foods while the client is in labor. What is the most important
reason for this nursing intervention?: An increase risk for aspiration can
occur if general analgesic is needed.
7. Which action should the nurse take if an infant, who wa born yesterday
weighing 7.5 lbs: Inform and assure the mother that this is normal
weight loss.
8. A client at 20 week gestation comes to the antepartum clinic
complaining of vaginal warts. HPV What information should the nurse
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, provide?: The client should be treated with acyclovir.
9. At 34 weeks gestation, a primigravida is assessing at her bimonthly
clinic visit. Which assessment finding is important for the nurse to report
to the HCP.: Weight gain of 7 lbs
10.A client in preterm labor has had an infusion of magnesium sulfate
running 8 hrs. Current assessment finding are: RR 14 bpm, UOP 24:
The
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