OB Hesi Lpn Exam Questions With All Correct Answers

OB Hesi Lpn Exam Questions With All Correct Answers A newborn infant, diagnosed with developmental dysplasia of the hip (DDH), is being prepared for discharge. Which nursing intervention should be included in this infant's discharge teaching plan? - ANSWER- Observe the parents applying a Pavlik harness. The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of tingling fingers and dizziness. Which action should the nurse take? - ANSWER- Have the client breathe into her cupped hands. A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis has the highest priority? - ANSWER- Impaired bowel motility related to pain medication and immobility. Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized swelling on the right side of his head. In a newborn, what is the most likely cause of this accumulation of blood between the periosteum and skull that does not cross the suture line? - ANSWER- Cephalhematoma, which is caused by forceps trauma A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is getting lighter in color and asks when the flow will stop. How should the nurse respond? - ANSWER- When the placental site has healed The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and determines that the infant is demonstrating marked nasal flaring, an audible expiratory grunt, and just visible intercostal and xiphoid retractions. Using this scale, which score should the nurse assign? - ANSWER- 5 On admission to the prenatal clinic, a client tells the nurse that her last menstrual period began on February 15 and that previously her periods were regular (28-day cycle). Her pregnancy test is positive. What is this client's expected date of birth (EDB)? - ANSWER- November 22 An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority? - ANSWER- Put baby to breast immediately. A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower extremities? - ANSWER- Move about ever hour. Which statement made by the client indicates that the mother understands the limitations of breastfeeding her newborn? - ANSWER- "Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period." A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting motions and will not grasp the nipple. Which intervention should the nurse implement? - ANSWER- Encourage the mother to stop feeding for a few minutes and comfort the infant. Six hours after an oxytocin (Pitocin) induction was begun and 2 hours after spontaneous rupture of the membranes, the nurse notes several sudden decreases in the fetal heart rate with quick return to baseline, with and without contractions. Based on this fetal heart rate pattern, which intervention is best for the nurse to implement? - ANSWERPlace the client in a slight Trendelenburg position. In developing a teaching plan for expectant parents, the nurse decides to include information about when the parents can expect the infant's fontanels to close. Which statement is accurate regarding the timing of closure of an infant's fontanels that should be included in this teaching plan? - ANSWER- The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end of the second month. The nurse is preparing a laboring client for an amniotomy. Immediately after the procedure is completed, it is most important for the nurse to obtain which information? - ANSWER- Fetal heart rate (FHR) A primigravida, when returning for the results of her multiple marker screening (triple screen), asks the nurse how problems with her baby can be detected by the test. What information will the nurse give to the client to describe best how the test is interpreted? - ANSWER- If MSAFP and estriol levels are low and the hCG level is high, results are positive for a possible chromosomal defect. A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head." Which response by the nurse is best? - ANSWER- "That is normal. The head will return to a round shape within 7 to 10 days." The nurse calls a client who is 4 days postpartum to follow up about her transition with her newborn son at home. The woman tells the nurse, "I don't know what is wrong. I love my son, but I feel so let down. I seem to cry for no reason!" Which adjustment phase should the nurse determine the client is experiencing? - ANSWER- Postpartum blues Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time? - ANSWER- Her arms and hands receive the infant and she then traces the infant's profile with her fingertips. A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to baseline after the contraction. Which action should the nurse implement? - ANSWER- Increase the rate of the oxytocin (Pitocin) infusion A 26-year-old gravida 2, para 1 client is admitted to the hospital at 28 weeks of gestation in preterm labor. She is given three doses of terbutaline sulfate (Brethine), 0.25 mg subcutaneously, to stop her labor contractions. What are the primary side effects of terbutaline sulfate? - ANSWER- Tachycardia and a feeling of nervousness