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Hesi Specialty Maternity

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1. A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this client? A. Which symptom did you experience first? B. Are you eating large amounts of salty foods? C. Have you visited a foreign country recently? D. Do you have a history of rheumatic fever? Clients with a history of rheumatic fever (D) may develop mitral valve prolapse, which increases the risk...

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Hesi:Saunders Online Review Focus on Maternity

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A home care nurse is instructing a client with hyperemesis gravidarum about measures to ease the nausea and vomiting. The nurse tells the client to: 
 A Eat foods high in calories and fat B Lie down for at least 20 minutes after meals C Eat carbohydrates such as cereals, rice, and pasta Correct D Consume primarily soups and liquids at mealtimes Incorrect 


Rationale: Low-fat foods and easily digested carbohydrates such as fruit, breads, cereals, rice, and pasta provide important...

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2020 Maternity/OB PN Hesi Specialty V2

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1) A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the client is in which phase and stage of labor? A) Latent phase, First Stage B) Active Phase of First Stage C) Latent phase of Second Stage D) Transition Ans: B) Active Phase of First Stage Second stage = full ...

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HESI RN Maternity/Peds REVIEW 2020 –

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PLEASE NOTE: Health care system is continuously changing, guidelines and recommendation could differ from time to time, the answers of below questions were made up to our best knowledge and elimination of wrong answers – and remember that most of the time there are more than a correct answer but you have to choose the MOST important or priority or what’s within nursing scope of practice. We tried our best to have all answers correct but we do not guarantee that 100%. You must study and revie...

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OB HESI 26

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1. A primipara has delivered a stillborn fetus at 30-weeks’ gestation. To assess the parents in the grieving process which intervention is most important for the nurse to implement ? A. explain the possible cause of the fetal demise B. Provide an opportunity for the parents to hold their infant in privacy C. Encourage the parents to seek counseling within the next few weeks D. Assist the couple to request autopsy 2. What is the priority nursing assessment immediately following the b...

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OB HESI PRACTICE QUESTIONS

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A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving process, which intervention is most important for the nurse to implement? Provide an opportunity for the parents to hold their infant in privacy 2. A one-day-old neonate develops a cephalhematoma. The nurse should closely assess this neonate for which common complication? Jaundice 3. What is the most important assessment for the nurse to conduct following the administration of e...

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HESI: MATERNITY/OB

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Medication Guide: Antenatal Glucocorticoid Therapy with Betamethasone, Dexamethasone Action Stimulates fetal lung maturation by promoting release of enzymes that induce production or release of lung surfactant NOTE: The Food and Drug Administration has not approved these medications for this use (i.e., this is an unlabeled use for obstetrics). Indication To prevent or reduce the severity of respiratory distress syndrome in preterm infants between 24 and 34 weeks of gestation Dosag...

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Maternity/OB PN Hesi Specialty V1

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At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocrit results. B. Administer pai...

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HESI MATERNITY CASE STUDY OB WEEK5.

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Case Study Sexually Transmitted Infections week 5 7/17/20 Difficulty: Intermediate Setting: Outpatient clinic Index Words: sexually transmitted infection (STI), pelvic inflammatory disease (PID), human immunodeficiency virus (HIV), assessment, pain management, patient education Giddens Concepts: Health Care Law, Infection, Patient Education, Reproduction, Sexuality HESI Concepts: Assessment, Health Care Law, Infection, Patient Education, Sexua...

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OB Final Study Guide

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Chapter 3 Genetics, Conception, Fetal Development, and Reproductive Technology o  30,000 genes in the human genome (organism’s complete set of DNA)  46 chromosomes; 22 homologous pairs of chromosomes and one pair of sex chromosomes  recessive genetic disorders  sickle cell anemia, cystic fibrosis, thalassemia, Tay-Sachs disease  carrier testing  identify individuals who carry one copy of a gene mutation that, when present in two copies causes a genetic disorde...

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