Health Care > EXAM > HESI RN Maternal: Latest New File Tested : 100& Verified: 55 Questions & Answers (All)
The nurse is planning a class for pregnant women in the first trimester of pregnancy.Which information is most imported for the nurse to include in the class? B) If any vaginal bleeding occurs, noti... fy the healthcare provider immediately 2. When assessing a pregnant woman AT 39-weeks gestation who is admitted to labor and delivery which finding is most important to report to the health care provider? D) 101.2 oral temperature 3.A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol (Cytotec), a synthetic prostaglandin C drug, how should the nurse respond? A) “You may be at risk for having a spontaneous miscarriage” 4.Following the vaginal delivery of a large-for-gestation-age (LGA) infant a woman is admitted to the intensive care unit due to postpartum hemorrhaging. The client’s medical record lists the client’s religion as Jehovah’s Witness. What action should the nurse take? C) Clarify the clients wishes about receiving blood products 5.After delivery of a normal infant, the mother tells the nurses that she would like to useoral contraceptive. Which finding in the client’s health history is a contraindication of the use of contraceptives? D) Smoked cigarettes prior to becoming pregnant 6. When planning care for a laboring client, the nurse identifies the need to withhold solidsfood while the client is in labored. What is the most important reasons for this nursing intervention? C) An increased risk of aspiration can occur if general anesthesia is needed 7.The parents of a male newborns have signed an informed consent for circumcision.which intervention should the nurse implement upon completion of the circumcision? A) Place petroleum gauze dressings on the site 8.The nurse is caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus is firm, and she has a moderate lochia flow.On inspection the nurse finds that a perineal hematoma is beginning to form. Which assessment findings show the nurse obtain first? C) Heart rate and blood pressure 9. At 6 weeks gestation the rubella titer of a client medication indicates she is nonimmune. When is the best time to administer a rubella vaccine to this client? D) Early postpartum within 72 hours of delivery 10. The nurses assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indication that the infant is transitioning well toextrauterine life? B) Cries vigorously when stimulated 11. A woman in her third trimester of pregnancy has been in active labor for the past 8hours and cervix dialed 3cm. The nurse’s assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare providerprescribes an oxytocin drip. Which data is most important for the nurse to monitor? C) Intensity, interval, and length of contractions 12. The nurse is caring for a newborn who is 18inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10inches. Based on these physical findings, assessment for which condition has the highest priority? A) Hyperthermia 13. .Assessment findings of a 3-hour old newborn include: axillary temperature of 97.7 F,heart rate of 140 beats/min with a soft murmur, and irregular respiratory rate at 42 breaths/min. Based on these findings, what action should the nurse implement? d. place the infant under the radiant warmer 14.Which type of anesthesia, used with a client in labor, produces a loss of sensation onlyto the vagina and perineum? a. pudendal block 15.A new mother asks the nurse [Show More]
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