(Answered) Obstetrics -; OB Hesi 2020 distinction level
Q&A.
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 hurts!" The nurse response to the client should be based on which information.
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?
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?
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?
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?
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?
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
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?
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.
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
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.
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?
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
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 mother?
Your baby was given an injection of vitamin K to prevent bleeding
The nurse receives a newborn within the first minutes after a vaginal delivery and
intervenes to establish adequate respirations. What priority issue should the nurse
address to ensure the newborn's...
Heat loss
An oxytocin induction was started for a gravid client 6 hours ago. When assessing the
FHR on the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which
intervention should the nurse implement first?
Change the position of the client
A client at 34 weeks gestation comes to the birthing center complaining of
vaginal bleeding that began one hour ago. The nurse’s assessment reveals
approximately 30 ml of bright red vaginal bleeding, FHR of 130 to 140 beats/min,
no contraction, and no complaints of pain. What is the most likely case of this
client’s bleeding?
placenta previa
A pregnant woman in the first trimester of pregnancy has a Hb 8.6 mg/dL and HCT
25.1%. What food should the nurse encourage this client to include in her diet?
Chicken
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the
assistance of a nurse-midwife. Two days later, the client calls the clinic to ask if it is
necessary to see the healthcare provider since the infant is healthy, and she is not
having any complications. The woman's history indicates that both previously born
infants were Rh-negative. Which response should the nurse provide?
The newborn's blood type should be tested to determine the need for RhoGAM .
Following the vaginal delivery of a 10 pound infant, the nurse assess a new mothers
vaginal bleeding and finds that she has saturated two pads in 30 min and has a boggy
uterus. What action should the nurse implement first?
Perform fundal massage until firm.
The mother of a breastfeeding 24 hr old infant is very concerned about the
techniques involved in breastfeeding. She calls the nurse with each feeding to
seek reassurance that she is “doing it right.” She tells the nurse, “I just know my
daughter is not getting enough to eat.” What response would be best for the
nurse to make?
if your baby's urine is straw-colored, she is getting enough milk*
Q&A.
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 hurts!" The nurse response to the client should be based on which information.
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?
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?
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?
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?
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?
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
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?
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.
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
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.
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?
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
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 mother?
Your baby was given an injection of vitamin K to prevent bleeding
The nurse receives a newborn within the first minutes after a vaginal delivery and
intervenes to establish adequate respirations. What priority issue should the nurse
address to ensure the newborn's...
Heat loss
An oxytocin induction was started for a gravid client 6 hours ago. When assessing the
FHR on the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which
intervention should the nurse implement first?
Change the position of the client
A client at 34 weeks gestation comes to the birthing center complaining of
vaginal bleeding that began one hour ago. The nurse’s assessment reveals
approximately 30 ml of bright red vaginal bleeding, FHR of 130 to 140 beats/min,
no contraction, and no complaints of pain. What is the most likely case of this
client’s bleeding?
placenta previa
A pregnant woman in the first trimester of pregnancy has a Hb 8.6 mg/dL and HCT
25.1%. What food should the nurse encourage this client to include in her diet?
Chicken
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the
assistance of a nurse-midwife. Two days later, the client calls the clinic to ask if it is
necessary to see the healthcare provider since the infant is healthy, and she is not
having any complications. The woman's history indicates that both previously born
infants were Rh-negative. Which response should the nurse provide?
The newborn's blood type should be tested to determine the need for RhoGAM .
Following the vaginal delivery of a 10 pound infant, the nurse assess a new mothers
vaginal bleeding and finds that she has saturated two pads in 30 min and has a boggy
uterus. What action should the nurse implement first?
Perform fundal massage until firm.
The mother of a breastfeeding 24 hr old infant is very concerned about the
techniques involved in breastfeeding. She calls the nurse with each feeding to
seek reassurance that she is “doing it right.” She tells the nurse, “I just know my
daughter is not getting enough to eat.” What response would be best for the
nurse to make?
if your baby's urine is straw-colored, she is getting enough milk*
