HESI OB MATERNITY EXAM 2 REVISED QUESTIONS WITH SOLUTIONS

HESI OB MATERNITY EXAM 2 REVISED QUESTIONS WITH SOLUTIONS A loading dose of terbutaline (Brethine) 250 mcg IV prescribed for a client in preterm labor. Brethine 20 mg is added to 1,000 ml D5W. How many ml of the solution should the nurse administer? 12.5 ml. 3. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings of the last vaginal exam performed 1 hour ago, were cm cervical dilation, 60% effacement, and a -2 station. What action should the nurse implement first? A. Determine current cervical dilation. 4. The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicate that the infant is transitioning well to extrauterine life? B. Cries vigorously when stimulated. 5. The newborn nursery admission protocol includes a prescription for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2 mg/ml. How many ml should the nurse administer? 0.25 ml. 6. A new mother is having trouble breastfeeding her newborn son. He is making frantic rooting motions and will not gasp the nipple. What intervention would be most helpful to this mother? B. Ask the mother to stop feeding, comfort the infant, and the assist the mother to help the baby latch on. 9. A 4-day postpartum client calls the clinic and reports her nipples are so sore that she does not know if she can continue to breastfeed her infant. What instruction is the best for the nurse to provide? C. Apply hot packs just before each feeding. ??? ICE PACKS 10. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The baseline fetal heart rate (FHR) is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a button attached to the fetal monitor each time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. Which outcome indicates a reactive NST? C. Two FHR accelerations of 15 beats/minute x 15 seconds are recorded. 11. Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid. What intervention has the greatest priority? D. Have a meconium aspirator available at delivery. 12. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for the nurse