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OB Hesi 2020 answered 100% correct

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Vaginal examinations reveal that a laboring client cervix is dilated 2cm, 70% effaced, with presenting part at -2 station. The client tells the nurse " I need my epidural now! This hurt!" The nurse response to the client should be based on which information. - ANSWER Administering an epidural at this point would slow the labor process. The client will need to be catheterized before the epidural can be administered. A client who is HIV+ is receiving zidovudine during labor. Which information should the nurse provide to the client? - ANSWER This treatment helps prevent transmission of the virus to the fetus. A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm). The nurse notes that this infant has no molding, and was at breech presentation delivery by c section. What action should the nurse take based on these data? - ANSWER Record the finding on the chart. They are within normal limits. A three hour old newborn of a gestational diabetic mother who is asymptomatic and successful breastfed after birth, heel stick glucose level is 36 mg/dL. Which intervention should the nurse do first? - ANSWER Assist the mother to breastfeed the infant The nurse is caring for a female client, a primigravida with preeclampsia. Finding include +2 proteinuria, BP 172/112 mmHg, Facial and hand sweating, complaints of blurry vision, and a severe frontal headache. Which medication should the nurse anticipate for this client? - ANSWER Magnesium sulfate When planning care for a laboring client, the nurse identifies the need to withhold solid foods while the client is in labor. What is the most important reason for this nursing intervention? - ANSWER An increase risk for aspiration can occur if general analgesic is needed. Which action should the nurse take if an infant, who wa born yesterday weighing 7.5 lbs - ANSWER Inform and assure the mother that this is normal weight loss. A client at 20 week gestation comes to the antepartum clinic complaining of vaginal warts. HPV What information should the nurse provide? - ANSWER The client should be treated with acyclovir. At 34 weeks gestation, a primigravida is assessing at her bimonthly clinic visit. Which assessment finding is important for the nurse to report to the HCP. - ANSWER Weight gain of 7 lbs A client in preterm labor has had an infusion of magnesium sulfate running 8 hrs. Current assessment finding are: RR 14 bpm, UOP 24 - ANSWER The finding indicate potential toxicity to magnesium sulfate and close follow up is indicated. the nurse notes that a newborn at 24hrs of age has a large cephalhematoma. Which intervention has the highest priority. - ANSWER Assess the infant for jaundice every 8 hours The charge nurse working on a postpartum unit is making assignments for a staff consisting of a nurse, practical nurse and 2 unlicensed assistive personnel. which client should the charge nurse assign to the practical nurse? - ANSWER A multagraida who delivered during c section 20 min ago and needs her vital signs taken. The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks gestation. Which prenatal lab assessment, prescribed at 28-weeks, should the nurse includes - ANSWER One-hour glucose screen A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse to provide the m

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