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Exam (elaborations)

HESI OB – MATERNITY V2 EXAM.

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HESI OB – MATERNITY V2 EXAM.1. The nurse is caring for a client who had an emergency cesarean section, with her husband in attendance the day before. The baby’s Apgar was 9/9. The woman and her partner had attended childbirth education classes and had anticipated having a water birth with family present. Which of the following comments by the nurse is appropriate? a) “Sometimes babies just don’t deliver the way we expect them to.” b) “With all of your preparations, it must have been disappointing for you to have had a cesarean.” c) “I know you had to have surgery, but you are very lucky that your baby was born healthy.” d) “At least your husband was able to be with you when the baby was born.” 2. A nurse has brought a 2-hour-old baby to a mother from the nursery. The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform first? a) Compare mother’s and baby’s identification bracelets. b) Help the mother into a comfortable position. c) Teach the mother about a proper breast latch. d) Tickle the baby’s lips with the mother’s nipple. 3. The obstetrician has ordered that a post-op cesarean section client’s patient-controlled analgesia (PCA) be discontinued. Which of the following actions by the nurse is appropriate? a) Discard the remaining medication in the presence of another nurse. b) Recommend waiting until her pain level is zero to discontinue the medicine. c) Discontinue the medication only after the analgesia is completely absorbed. d) Return the unused portion of medication to the narcotics cabinet. 4. A client is receiving an epidural infusion of a narcotic for pain relief after a cesarean section. The nurse would report to the anesthesiologist if which of the following were assessed? a) Respiratory rate 8 rpm. b) Complaint of thirst. c) Urinary output of 250 cc/hr.

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