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HESI Version 5(2021), (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A

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HESI Version 5(2021), (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A 1. One hour after delivery the nurse is unable to palpate the uterine funds of a client who had an ... epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next. 2. The father of a 3-day old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no appeared reason. What information is most important for the nurse to provide the father? 3. Which action should the nurse take if an infant, who was born yesterday weighing 7.5lbs (3,317grams) weights 7 lbs. (3,175grams) today. 4. A term multigravida, who is receiving oxytocin for labor augmentation is requesting pain medication. Review of the clients record indication that she was medicated 30minutes ago with butorphanol (Stadol) 2mg and promethazine (Phenergan) 25mg IV push. Vaginal examination reveals that the client cervical dilation is 3cm, 70% effaced, and at a 0 station. What action should the nurse implement? 5. A woman who delivered a 9-pound baby boy by cesarean section under spinal anesthesia is recovering in the post anesthesia care unit. Her fundus is firm at the umbilicus and a continues to trickle bright red blood with no clots from the vagina in observed by the nurse. Which actions should the nurse implemented. 6. A newborn infant is receiving immunization prior discharge. Which action should the nurse implement? 7. A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant. What information should the nurse provide prior to discharge. 8. When teaching a gravid client how to perform kick (fetal movement) counts which instruction should the nurse includes. 9. A client at 38- weeks’ gestation complaints of severe abdominal pain. Upon the nurse notes that the abdomen is rigid. 10. A 26-week gestational primigravida who is carrying twins is seen in the clinic today. Her fundal height in measured at 29cm. Based on these findings what actions the nurse implement. [Show More]

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