QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+ (SCORE 1292) HESI OB WEEK 13 FOR 2024
HESI MATERNITY OB EXAMS.
A primipara has delivered a stillborn fetus at 30-weeks gestation. To
assist the parents with the grieving process, which intervention is most
important for the nurse to implement? - ANSWER >>>> Provide an
opportunity for the parents to hold their infant in privacy.
What is the priority nursing assessment immediately following the birth
of an infant with esophageal atresia and a tracheoesophageal (TE)
fistula? - ANSWER >>>> Body temperature
What is the most important assessment for the nurse to conduct
following the administration of epidural anesthesia to a client who is at
40-weeks gestation? - ANSWER >>>> a. Maternal blood pressure.
A 34-week primigravida woman with preeclampsia is receiving
Lactated Ringer's 500ml with magnesium sulfate 20 grams at the rate
of 3g/hr. How many ml/hr should the nurse program the infusion
pump? (Enter numeric value only.) - ANSWER >>>> 75ml/hr
A 6-year-old with heart failure (HF) gained 2 pounds in the last 24
hours. Which intervention is more important for the nurse to
implement? - ANSWER >>>> c. Assess bilateral lung sounds.
6. A mother of a 3-year-old boy has just given birth to a new baby girl.
The little boy asks the nurse, "Why is my baby sister eating my
mommy's breast?" How should the nurse respond? (Select all that
apply.) - ANSWER >>>> Explain that newborns get milk from their
mothers in this way.
Reassure the older brother that is does not hurt his mother.
Remind him that his mother breastfed him too.
,The nurse is examining an infant for possible cryptorchidism. Which
exam technique should be used? - ANSWER >>>> d. Place the infant
in a warm room and use a calm approach.
8. The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory
syndrome? - ANSWER >>>> a. Betamethasone (Celestone) 12mg
deep IM.
Insulin therapy is initiated for a 12-year-old child who is admitted with
diabetic ketoacidosis (DKA). Which action is most important for the
nurse it include in the child's plan of care? - ANSWER >>>> Monitor
serum glucose for adjustment in infusion rate of regular insulin
(Novolin R)
A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4hrs to prevent urinary retention. The home health
nurse notes that the child has developed episodes of sneezing,
urticarial, watery eyes, and a rash in the diaper area. What action is
most important for the nurse to take? - ANSWER >>>> b. Change to
latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs
for a child who weighs 22 pounds. The available suspension is
labeled, Amoxicillin Suspension 250mg/5ml. The recommended
maximum dose is 50mg/kg/24hr. How many ml should the nurse
administer in a single dose based on the child's weight? (Enter
numerical value only. If rounding is required, round to the whole
number.) - ANSWER >>>> 10mL
The nurse is caring for a female client, a primigravida with
preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg,
facial and hand swelling, complaints of blurry vision and a sever
frontal headache. Which medication should the nurse anticipate for
this client? - ANSWER >>>> d. Magnesium sulfate
, A client at 35 weeks gestation complains of a "pain whenever the
baby moves." On assessment, the nurse notes the client's
temperature to be 101.2 F (38.4 C), with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are
indicative of what condition? - ANSWER >>>> Chorioamnionitis
A 4-year-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most
important for the nurse to focus on during the initial teaching? -
ANSWER >>>> a. Lower legs become progressively weaker, causing
a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to
the clinic by his mother who tells the nurse that the child refuses to
drink anything. The nurse determines that the child has a weak cry
with no tears. Which prescription is more important to implement? -
ANSWER >>>> b. Infuse normal saline intravenously.
After administering varicella vaccine to a 5-year-old child, which
instruction should the nurse provide the child's parent? - ANSWER
>>>> d. Apply a cool pack to the injection site to reduce discomfort.
The nurse is planning care for a 4-year-old girl who is diagnosed as
having a developmental disability. What should be the primary focus
of treatment for this child? - ANSWER >>>> d. Help her achieve her
maximum potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in
place. What nursing intervention should the nurse plan to implement?
- ANSWER >>>> Remove restraints one at a time to provide range of
motion exercises
...to the clinic because they are concerned that she is not....did. Which
developmental characteristics should the nurse expect the patient
exhibit? - ANSWER >>>> a. Sits alone unsupported.