HESI Practice Maternity V1
. A 24-hour-vintage, full-term neonate is showing signs of feasible sepsis. The nurse
is helping the number one fitness care provider with a lumbar puncture on this neonate.
What should the nurse do to assist in this manner? Select all that apply.
1. Administer the IV antibiotic.
2. Hold the neonate regular in the suitable role.
Three. Ensure a patent airway.
4. Maintain a sterile discipline. - ANS-2,three,four. Holding the neonate steady and inside the
right position will assist make sure a
safe and accurate lumbar puncture. The neonate is normally held in a "C" position to open
the areas between the vertebral column. This position puts the neonate at hazard for
airway obstruction. Thus, making sure the patency of the airway is the primary priority, and
the
nurse should look at the neonate for good enough air flow. Maintaining a sterile discipline is
critical to keep away from infection within the neonate. It is not necessary to manage
antibiotics
or reap a serum glucose degree at some stage in the technique.
1. A purchaser has acquired Plan B (levonorgestrel zero.75 mg, 2 drugs) as emergency
contraception. After unprotected sex, the customer calls the hospital to ask questions
about taking the contraceptives. The nurse realizes the client wishes further rationalization
when she makes which of the following responses?
1. "I can wait 3 to 4 days after intercourse to start taking those to save you
pregnancy."
2. "My boyfriend should purchase Plan B from the pharmacy if he's over 18 years antique."
3. "The delivery manipulate works via stopping ovulation or fertilization of the egg."
four. "I may sense nauseated and feature breast tenderness or a headache after the use of
the
contraceptive." - ANS-1. Plan B is a sequence of contraceptive capsules similar in
composition to start control
tablets which have been used for the past 30 years. Plan B is the logo name for
levonorgestrel zero.Seventy five mg. Pills are handiest if taken right away after unprotected
intercourse and on the other hand 12 hours later. Males can purchase this contraceptive as
lengthy
as they're over 18 years of age. Common aspect outcomes encompass nausea, breast
tenderness, vertigo, and stomach ache.
CN: Physiological version; CL: Evaluate
10. A 22-year-antique nulligravid client tells the nurse that she and her husband have
been thinking about the usage of condoms for own family planning. Which of the subsequent
commands need to the nurse encompass approximately the use of condoms as a technique
for circle of relatives
planning?
1. Using a spermicide with the condom offers delivered protection towards pregnancy.
2. Natural pores and skin condoms shield in opposition to sexually transmitted sicknesses.
,3. The standard failure rate for couples the use of condoms is ready 25%.
4. Condom customers usually file penile gland sensitivity. - ANS-1. The ordinary failure fee of
a condom is about 12% to 14%. Adding a
spermicide can lower this capacity failure price as it offers additional
safety against pregnancy. Natural skin condoms do no longer provide the identical safety
towards sexually transmitted diseases caused by viruses as latex condoms do. Unlike
latex condoms, herbal skin (membrane) condoms do now not save you the passage of
viruses.
Most condom users record reduced penile gland sensitivity. However, some users do
document an elevated sensitivity or allergic reaction (including a rash) to latex,
necessitating the use of any other approach of own family making plans or a transfer to a
herbal pores and skin
condom.
CN: Health promotion and preservation; CL: Apply
eleven. Which of the following would the nurse encompass in the coaching plan for a 32-
year-vintage lady consumer asking for facts approximately using a diaphragm for circle of
relatives
making plans?
1. Douching with an acidic solution after intercourse is suggested.
2. Diaphragms need to not be used if the consumer develops acute cervicitis.
Three. The diaphragm ought to be washed in a vulnerable answer of bleach and water.
Four. The diaphragm ought to be left in area for 2 hours after sex. - ANS-. 2. The teaching
plan have to consist of a warning that a diaphragm should now not be
used if the purchaser develops acute cervicitis, possibly aggravated by means of touch with
the
rubber of the diaphragm. Some studies have additionally associated diaphragm use with
accelerated prevalence of urinary tract infections. Douching after use of a diaphragm and
sex isn't encouraged due to the fact pregnancy should occur. The diaphragm should
be inspected and washed with moderate cleaning soap and water after each use. A
diaphragm ought to
be left in area for at least 6 hours but now not than 24 hours after intercourse. More
spermicidal jelly or cream need to be used if sex is repeated at some point of this era.
CN: Reduction of risk ability; CL: Create
12. After being examined and outfitted for a diaphragm, a 24-12 months-old purchaser
receives
instructions about its use. Which of the subsequent customer statements shows a want for
in addition teaching?
1. "I can continue to use the diaphragm for about 2 to a few years if I hold it blanketed
in the case."
2. "If I get pregnant, I will have to be refitted for another diaphragm after
childbirth."
three. "Before putting the diaphragm, I have to coat the rim with contraceptive jelly."
four. "If I benefit or lose 20 lb (9.1 kg), I can nevertheless use the identical diaphragm." -
ANS-. Four. The purchaser would need additional instructions when she says that she can
nevertheless
use the same diaphragm if she profits or loses 20 lb (nine.1 kg). Gaining or losing more than
15 lb (6.Eight kg) can alternate the pelvic and vaginal contours to this kind of diploma that
the
, diaphragm will now not guard the patron in opposition to pregnancy. The diaphragm may be
used for 2 to 3 years if it is cared for and properly included in its case. The consumer should
be refitted for some other diaphragm after being pregnant and childbirth because weight
modifications
and physiologic adjustments of pregnancy can alter the pelvic and vaginal contours,
therefore
affecting the effectiveness of the diaphragm. The purchaser have to use a spermicidal jelly
or
cream earlier than putting the diaphragm.
CN: Reduction of threat capacity; CL: Evaluate
thirteen. A 22-yr-antique patron tells the nurse that she and her husband are trying to
conceive a infant. When coaching the patron about reducing the occurrence of neural tube
defects, the nurse might emphasize the want for increasing the consumption of which of the
following ingredients? Select all that practice.
1. Leafy inexperienced veggies.
2. Strawberries.
Three. Beans.
4. Milk.
Five. Sunflower seeds.
6. Lentils. - ANS-1,2,3,5,6. The being pregnant requirement for folic acid is 600 mcg/day.
Major
assets of folic acid consist of leafy green greens, strawberries and oranges, beans,
specifically black and kidney beans, sunflower seeds, and lentils. Milk and fat comprise
no folic acid.
CN: Health promoting and protection; CL: Apply
14. A couple is inquiring about vasectomy as a permanent technique of contraception.
Which coaching statement would the nurse encompass inside the coaching plan?
1. "Another technique of contraception is needed until the sperm count is 0."
2. "Vasectomy is without problems reversed if youngsters are desired inside the destiny."
three. "Vasectomy is contraindicated in adult males with previous records of cardiac
sickness."
four. "Vasectomy calls for best a yearly follow-up once the method is finished." - ANS-1.
Another method of contraception is wanted until all sperm has been cleared
from the body. The quantity of ejaculates for this to occur varies with the individual and
laboratory analysis is needed to determine whilst that has been performed.
Vasectomy is taken into consideration a everlasting sterilization procedure and calls for
microsurgery
for anastomosis of the vas deferens to be completed. Studies have shown that there's no
connection among cardiac ailment in men and vasectomy. There is not any need for
follow-up after verification that there may be no sperm in the machine.
CN: Physiological edition; CL: Create
15. A 39-yr-antique multigravid consumer asks the nurse for statistics about girl
sterilization with a tubal ligation. Which of the subsequent patron statements indicates
powerful teaching?
1. "My fallopian tubes could be tied off via a small stomach incision."
2. "Reversal of a tubal ligation is easily achieved, with a pregnancy success price of
80%."
3. "After this manner, I should abstain from intercourse for at least three weeks."
. A 24-hour-vintage, full-term neonate is showing signs of feasible sepsis. The nurse
is helping the number one fitness care provider with a lumbar puncture on this neonate.
What should the nurse do to assist in this manner? Select all that apply.
1. Administer the IV antibiotic.
2. Hold the neonate regular in the suitable role.
Three. Ensure a patent airway.
4. Maintain a sterile discipline. - ANS-2,three,four. Holding the neonate steady and inside the
right position will assist make sure a
safe and accurate lumbar puncture. The neonate is normally held in a "C" position to open
the areas between the vertebral column. This position puts the neonate at hazard for
airway obstruction. Thus, making sure the patency of the airway is the primary priority, and
the
nurse should look at the neonate for good enough air flow. Maintaining a sterile discipline is
critical to keep away from infection within the neonate. It is not necessary to manage
antibiotics
or reap a serum glucose degree at some stage in the technique.
1. A purchaser has acquired Plan B (levonorgestrel zero.75 mg, 2 drugs) as emergency
contraception. After unprotected sex, the customer calls the hospital to ask questions
about taking the contraceptives. The nurse realizes the client wishes further rationalization
when she makes which of the following responses?
1. "I can wait 3 to 4 days after intercourse to start taking those to save you
pregnancy."
2. "My boyfriend should purchase Plan B from the pharmacy if he's over 18 years antique."
3. "The delivery manipulate works via stopping ovulation or fertilization of the egg."
four. "I may sense nauseated and feature breast tenderness or a headache after the use of
the
contraceptive." - ANS-1. Plan B is a sequence of contraceptive capsules similar in
composition to start control
tablets which have been used for the past 30 years. Plan B is the logo name for
levonorgestrel zero.Seventy five mg. Pills are handiest if taken right away after unprotected
intercourse and on the other hand 12 hours later. Males can purchase this contraceptive as
lengthy
as they're over 18 years of age. Common aspect outcomes encompass nausea, breast
tenderness, vertigo, and stomach ache.
CN: Physiological version; CL: Evaluate
10. A 22-year-antique nulligravid client tells the nurse that she and her husband have
been thinking about the usage of condoms for own family planning. Which of the subsequent
commands need to the nurse encompass approximately the use of condoms as a technique
for circle of relatives
planning?
1. Using a spermicide with the condom offers delivered protection towards pregnancy.
2. Natural pores and skin condoms shield in opposition to sexually transmitted sicknesses.
,3. The standard failure rate for couples the use of condoms is ready 25%.
4. Condom customers usually file penile gland sensitivity. - ANS-1. The ordinary failure fee of
a condom is about 12% to 14%. Adding a
spermicide can lower this capacity failure price as it offers additional
safety against pregnancy. Natural skin condoms do no longer provide the identical safety
towards sexually transmitted diseases caused by viruses as latex condoms do. Unlike
latex condoms, herbal skin (membrane) condoms do now not save you the passage of
viruses.
Most condom users record reduced penile gland sensitivity. However, some users do
document an elevated sensitivity or allergic reaction (including a rash) to latex,
necessitating the use of any other approach of own family making plans or a transfer to a
herbal pores and skin
condom.
CN: Health promotion and preservation; CL: Apply
eleven. Which of the following would the nurse encompass in the coaching plan for a 32-
year-vintage lady consumer asking for facts approximately using a diaphragm for circle of
relatives
making plans?
1. Douching with an acidic solution after intercourse is suggested.
2. Diaphragms need to not be used if the consumer develops acute cervicitis.
Three. The diaphragm ought to be washed in a vulnerable answer of bleach and water.
Four. The diaphragm ought to be left in area for 2 hours after sex. - ANS-. 2. The teaching
plan have to consist of a warning that a diaphragm should now not be
used if the purchaser develops acute cervicitis, possibly aggravated by means of touch with
the
rubber of the diaphragm. Some studies have additionally associated diaphragm use with
accelerated prevalence of urinary tract infections. Douching after use of a diaphragm and
sex isn't encouraged due to the fact pregnancy should occur. The diaphragm should
be inspected and washed with moderate cleaning soap and water after each use. A
diaphragm ought to
be left in area for at least 6 hours but now not than 24 hours after intercourse. More
spermicidal jelly or cream need to be used if sex is repeated at some point of this era.
CN: Reduction of risk ability; CL: Create
12. After being examined and outfitted for a diaphragm, a 24-12 months-old purchaser
receives
instructions about its use. Which of the subsequent customer statements shows a want for
in addition teaching?
1. "I can continue to use the diaphragm for about 2 to a few years if I hold it blanketed
in the case."
2. "If I get pregnant, I will have to be refitted for another diaphragm after
childbirth."
three. "Before putting the diaphragm, I have to coat the rim with contraceptive jelly."
four. "If I benefit or lose 20 lb (9.1 kg), I can nevertheless use the identical diaphragm." -
ANS-. Four. The purchaser would need additional instructions when she says that she can
nevertheless
use the same diaphragm if she profits or loses 20 lb (nine.1 kg). Gaining or losing more than
15 lb (6.Eight kg) can alternate the pelvic and vaginal contours to this kind of diploma that
the
, diaphragm will now not guard the patron in opposition to pregnancy. The diaphragm may be
used for 2 to 3 years if it is cared for and properly included in its case. The consumer should
be refitted for some other diaphragm after being pregnant and childbirth because weight
modifications
and physiologic adjustments of pregnancy can alter the pelvic and vaginal contours,
therefore
affecting the effectiveness of the diaphragm. The purchaser have to use a spermicidal jelly
or
cream earlier than putting the diaphragm.
CN: Reduction of threat capacity; CL: Evaluate
thirteen. A 22-yr-antique patron tells the nurse that she and her husband are trying to
conceive a infant. When coaching the patron about reducing the occurrence of neural tube
defects, the nurse might emphasize the want for increasing the consumption of which of the
following ingredients? Select all that practice.
1. Leafy inexperienced veggies.
2. Strawberries.
Three. Beans.
4. Milk.
Five. Sunflower seeds.
6. Lentils. - ANS-1,2,3,5,6. The being pregnant requirement for folic acid is 600 mcg/day.
Major
assets of folic acid consist of leafy green greens, strawberries and oranges, beans,
specifically black and kidney beans, sunflower seeds, and lentils. Milk and fat comprise
no folic acid.
CN: Health promoting and protection; CL: Apply
14. A couple is inquiring about vasectomy as a permanent technique of contraception.
Which coaching statement would the nurse encompass inside the coaching plan?
1. "Another technique of contraception is needed until the sperm count is 0."
2. "Vasectomy is without problems reversed if youngsters are desired inside the destiny."
three. "Vasectomy is contraindicated in adult males with previous records of cardiac
sickness."
four. "Vasectomy calls for best a yearly follow-up once the method is finished." - ANS-1.
Another method of contraception is wanted until all sperm has been cleared
from the body. The quantity of ejaculates for this to occur varies with the individual and
laboratory analysis is needed to determine whilst that has been performed.
Vasectomy is taken into consideration a everlasting sterilization procedure and calls for
microsurgery
for anastomosis of the vas deferens to be completed. Studies have shown that there's no
connection among cardiac ailment in men and vasectomy. There is not any need for
follow-up after verification that there may be no sperm in the machine.
CN: Physiological edition; CL: Create
15. A 39-yr-antique multigravid consumer asks the nurse for statistics about girl
sterilization with a tubal ligation. Which of the subsequent patron statements indicates
powerful teaching?
1. "My fallopian tubes could be tied off via a small stomach incision."
2. "Reversal of a tubal ligation is easily achieved, with a pregnancy success price of
80%."
3. "After this manner, I should abstain from intercourse for at least three weeks."
