2020 HESI OB/MATERNITY V 1
1. A 3-day postpartum client, who is not immune to
rubella, is to receive the vaccine at discharge. Which of the
following must the nurse include in her discharge teaching
regarding the
...
2020 HESI OB/MATERNITY V 1
1. A 3-day postpartum client, who is not immune to
rubella, is to receive the vaccine at discharge. Which of the
following must the nurse include in her discharge teaching
regarding the vaccine?
1. The woman should not become pregnant for at least 4
weeks.
2. The woman should pump and dump her breast milk for
1 week.
3. The mother must wear a surgical mask when she cares
for the baby.
4. Passive antibodies transported across the placenta will
protect the baby.
2. A 3-day-postpartum client questions why she is to
receive the rubella vaccine before leaving the hospital.
Which of the following rationales should guide the nurse’s
response?
1. The client’s obstetric status is optimal for receiving the
vaccine.
2. The client’s immune system is highly responsive during
the postpartum period.
3. The client’s baby will be high risk for acquiring rubella if
the woman does not receive the vaccine.
4. The client’s insurance company will pay for the shot if it
is given during the immediate postpartum period.
3. A patient, G2P1102, who delivered her baby 8 hours
ago, now has a temperature of 100.2ºF. Which of the
following is the appropriate nursing intervention at this
time?
1. Notify the doctor to get an order for acetaminophen.
2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids.
4. To prevent infection, the nurse teaches the postpartum
client to perform which of the following tasks?
1. Apply antibiotic ointment to the perineum daily.
2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with a povidone-iodine solution
after toileting.
5. A 3-day-postpartum breastfeeding woman is being
assessed. Her breasts are firm and warm to the touch.
When asked when she last fed the baby her reply is, “I fed
the baby last evening. I let the nurses feed him in the
nursery last night. I needed to rest.” Which of the
following actions should the nurse take at this time?
1. Encourage the woman exclusively to breast
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