OB HESI V2 EXAM 2023

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? - Move about every hour 2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? - Tachycardia and a feeling of nervousness 3. When do the anterior and posterior fontanels close? - anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month 4. When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes? - 30 weeks gestation 5. The nurse should encourage the laboring client to begin pushing when: - The cervix is completely dilated 6. The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take? - Have the client breathe into her cupped hands 7. Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the periosteum and skull which does not cross the suture line is a newborn variation known as.. - A cephalohematoma, caused by forceps trauma and may last up to 8 weeks 8. When does the head return to its normal shape? - 7-10 days 9. What did Nurse theorist Reva Rubin describe? - The initial postpartum period as the "taking-in phase," which is characterized by maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families and the newborn. 10.A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider for a fertility workup and a hysterosalpingography is scheduled Which post procedure complaint indicates that the fallopian tubes are patent? - Shoulder pain11.Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" - Lying prone with a pillow on the abdomen 12.A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the therapeutic drug level has been achieved? - A decreased in respiratory rate from 24 to 16 13.Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action should the nurse take? - Place woman in a lateral position 14.A client at 28-weeks gestation calls the antepartum clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide? - Come to the clinic today for an ultrasound 15.A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to provide this client? - Complete bedrest decreases oxygen needs and demands on the heart muscle tissue 16.The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern? - Edema, basilar rates, and an irregular pulse 17.A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? - Describe diet changes that can improve the management of her diabetes 18.A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first? - Raise the foot of the bed 19.What is the normal bilirubin at 1 day old? - The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life 20.How do we lower the levels if they are not severe? - This infant's bilirubin is beginning to climb, and the infant should be monitored to prevent further complications. Breast milk provides calories and enhances Gl motility, which will assist the bowel in eliminating bilirubin