West Coast University N271 Hesi
Maternal (Obstetrics) Questions and
Answers Rated A.
Which maternal behavior is the nurse most likely to see when a new
mother receives her infant for the first time?
Correct Answer -Her arms and hands receive the infant and she then traces
the infant's profile w/ her fingertips.
A primigravida at 40 weeks’ gestation is receiving oxytocin to augment
labor. Which adverse effect should the nurse monitor for during Pitocin?
Correct Answer -Hyperstimulation.
A client at 32 weeks gestation is hospitalized with severe pregnancy
induced hypertension (PIH) and MgSo4 Is prescribed to control the
symptoms. Which assessment finding would indicate that therapeutic drug
level has been achieved?
Correct Answer -A decrease in RR from 24 to 16.
The nurse should encourage the laboring client to begin pushing when?
Correct Answer -The cervix is completely dilated.
A woman who had a miscarriage 6 months ago becomes pregnant. Which
instruction is most important for the nurse to provide the client?
Correct Answer -Take prescribed multivitamin and mineral supplements.
A healthcare provide informs the charge nurse of a labor and delivery unit
that a client is coming to the unit with suspected abruptio placentae. What
findings should the charge nurse expect the client to demonstrate?
, Correct Answer -Increased uterine irritability, dark red vaginal bleeding, a
rigid abdomen.
A vaginally delivered infant of an HIV positive mother is admitted to the
newborn nursery. What information should the nurse perform first?
Correct Answer -Bathe the infant w/ an antimicrobial soap.
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2006. Based on Nagele's rule, what is the estimated
date of delivery?
Correct Answer -May 9, 2007 (-3 months, +7 days is how you calculate
Nagele's rule)
A client with gestational hypertension is in active labor and received an
infusion of magnesium sulfate. Which drug should the nurse have
available for signs of potential toxicity?
Correct Answer -Calcium gluconate.
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse implement
first?
Correct Answer -Raise the foot of the bed.
The nurse caring for a laboring client encourages her to void at least q 2h
and records each time the client empties her bladder. What is the primary
reason for implementing this nursing intervention?
Correct Answer -An over-distended bladder could be traumatized during
labor as well as prolong the progress of labor.
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