Maternity Exam 2 hesi All Answers Correct 2023

Maternity Exam 2 hesi All Answers Correct 2023 The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction should the nurse provide? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. Ans- C The nurse has performed a nonstress test on pregnant client and is reviewing the fetal monitor strip. The nurse interprets the test as reactive. How should the nurse document this finding? A. Normal B. Abnormal C. The need for further evaluation D. That findings were difficult to interpret Ans- A The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction? A. Variability B.Accelerations C. Early decelerations D. Variable decelerations Ans- D The nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal monitor, what is the next nursing action? A. Identify the types of accelerations. B. Assess the baseline fetal heart rate. C. Determine the intensity of the contractions. D .Determine the frequency of the contractions. Ans- B The nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. What is the client's primary physiological need at this time? A. Ambulation B. Rest between contractions C. Change positions frequently D. Consume oral food and fluids Ans- B The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with this syndrome? A.Length of 19 inches B. Abnormal palmar creases C. Birth weight of 6 lb, 14 oz 4. D. Head circumference appropriate for gestational age Ans- B The nurse administers erythromycin ointment (0.5%) to the eyes of a newborn and the mother asks the nurse why this is performed. Which explanation is best for the nurse to provide about neonatal eye prophylaxis? A. Protects the newborn's eyes from possible infections acquired while hospitalized. B. Prevents cataracts in the newborn born to a woman who is susceptible to rubella. C. Minimizes the spread of microorganisms to the newborn from invasive procedures during labor. D. Prevents an infection called ophthalmia neonatorum from occurring after delivery in a newborn born to a woman with an untreated gonococcal infection. Ans- D The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should be included in the plan of care? Select all that apply A. Avoid stimulation. B. Decrease fluid intake. C. Expose all of the newborn's skin. D. Monitor skin temperature closely. E. Reposition the newborn every 2 hours. F. Cover the newborn's eyes with eye shields or patches. Ans- D, E, F The nurse is planning care for a newborn of a mother with diabetes mellitus. What is the priority nursing consideration for this newborn? A. Developmental delays because of excessive size B. Maintaining safety because of low blood glucose levels C. Choking because of impaired suck and swallow reflexes D. Elevated body temperature because of excess fat and glycogen Ans- B The nurse prepares to administer a vitamin K injection to a newborn, and the mother asks the nurse why her infant needs the injection. What best response should the nurse provide? A. "Your newborn needs vitamin K to develop immunity." B. "The vitamin K will protect your newborn from being jaundiced." C. "Newborns have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel. " D. "Newborns are deficient in vitamin K, and this injection prevents your newborn from bleeding." AnsD The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. Which assessment finding would cause the nurse to immediately discontinue the oxytocin infusion? A. Fatigue B. Drowsiness C. Uterine hyperstimulation D. Early decelerations of the fetal heart rate Ans- C The nurse is teaching a postpartum client about breast-feeding. Which instruction should the nurse include? A. The diet should include additional fluids. B. Prenatal vitamins should be discontinued. C. Soap should be used to cleanse the breasts. D. Birth control measures are unnecessary while breast-feeding. Ans- A The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statement(s)? Select all that apply. A. "I should wear a bra that provides support." B. "Drinking alcohol can affect my milk supply." C. "The use of caffeine can decrease my milk supply." D. "I will start my estrogen birth control pills again as soon as I get home." E. "I know if my breasts get engorged I will limit my breast-feeding and supplement the baby." F. "I plan on having bottled water available in the refrigerator so I can get additi