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HESI RN OB V2 100% VERFIED 2022 E-BOOK

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7. A nurse is assessing a 1-day postpartum woman who had her baby by cesarean section. Which of the following should the nurse report to the surgeon? a) Fundus at the umbilicus. b) Nodular breasts. c) Pulse rate 60 bpm. d) Pad saturation every 30 minutes. 8. The nurse is assessing the midline episiotomy on a postpartum client. Which of the following findings should the nurse expect to see? a) Moderate serosanguinous drainage. b) Well-approximated edges. c) Ecchymotic area distal to the episiotomy. d) An area of redness adjacent to the incision. 9. A client, G1P1, who had an epidural, has just delivered a daughter, Apgar 9/9, over a mediolateral episiotomy. The physician used low forceps. While recovering, the client states, “I’m a failure. I couldn’t stand the pain and couldn’t even push my baby out by myself!” Which of the following is the best response for the nurse to make? a) “You’ll feel better later after you have had a chance to rest and to eat.” b) “Don’t say that. There are many women who would be ecstatic to have that baby.” c) “I am sure that you will have another baby. I bet that it will be a natural delivery.” d) “To have things work out differently than you had planned is disappointing.” 10. The nurse is developing a standard care plan for postpartum clients who have had midline episiotomies. Which of the following interventions should be included in the plan? a) Assist with stitch removal on third postpartum day. b) Administer analgesics every four hours per doctor orders. c) Teach client to contract her buttocks before sitting. d) Irrigate incision twice daily with antibiotic solution. 11. A client, G1P1001, 1-hour postpartum from a spontaneous vaginal delivery with local anesthesia, states that she needs to urinate. Which of the following actions by the nurse is appropriate at this time? a) Provide the woman with a bedpan. b) Advise the woman that the feeling is likely related to the trauma of delivery. c) Remind the woman that she still has a catheter in place from the delivery. d) Assist the woman to the bathroom. 12. A nurse is assessing the fundus of a client during the immediate postpartum period. Which of the following actions indicates that the nurse is performing the skill correctly? a) The nurse measures the fundal height using a paper centimeter tape. b) The nurse stabilizes the base of the uterus with his or her dependent hand. c) The nurse palpates the fundus with the tips of his or her fingers. d) The nurse precedes the assessment with a sterile vaginal exam. 13. A 1-day postpartum woman states, “I think I have a urinary tract infection. I have to go to the bathroom all the time.” Which of the following actions should the nurse take? a) Assure the woman that frequent urination is normal after delivery. b) Obtain an order for a urine culture. c) Assess the urine for cloudiness. d) Ask the woman if she is prone to urinary tract infections. 14. The nurse is assessing the laboratory report on a 2-day postpartum G1P1001. The woman had a normal postpartum assessment this morning. Which of the following results should the nurse report to the primary health care provider? a. White blood cells—12,500 cells/mm3. b. Red blood cells—4,500,000 cells/mm3. c. Hematocrit—26%. d. Hemoglobin—11 g/dL 15. A bottle-feeding woman, 11⁄2 weeks postpartum from a vaginal delivery, calls the obstetric office to state that she has saturated 2 pads in the past 1 hour. Which of the following responses by the nurse is appropriate? a) “You must be doing too much. Lie down for a few hours and call back if the b

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HESI RN OB V1




HESI RN OB V1
HESI RN OB V1

, 1. One hour after delivery, the nurse is unable to palpate the uterine fundus 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?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate

2. At 40-week gestation, a laboring client who is lying is a supine position tells the nurse that she has
finally found a comfortable position. What action should the nurse take?
A. Place a pillow under the client’s head and knees.
B. Place a wedge under the client’s right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.

3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to
help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast
milk.
What action should the nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet

4. A young adult female presents at the emergency center with acute lower abdominal pain. Which
assessment finding is most important for the nurse to report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a “9” on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.

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