2020 HESI OB/MATERNITY V 2
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 chi
...
2020 HESI OB/MATERNITY V 2
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
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