Podcast
Questions and Answers
What action should the nurse take first upon learning that the client drank coffee before a scheduled C-Section?
What action should the nurse take first upon learning that the client drank coffee before a scheduled C-Section?
- Inform the anesthesia care provider (correct)
- Inform the obstetrician immediately
- Continue with the admission process as usual
- Administer a headache medication
Prior to the anesthesiologist's arrival, what should the nurse do when caring for a postpartum client exhibiting symptoms of a spinal headache?
Prior to the anesthesiologist's arrival, what should the nurse do when caring for a postpartum client exhibiting symptoms of a spinal headache?
- Prepare to administer IV fluids
- Assist the client with breastfeeding
- Notify the family immediately
- Place procedure equipment at the bedside (correct)
Based on the newborn's physical findings, what condition should the nurse prioritize assessment for?
Based on the newborn's physical findings, what condition should the nurse prioritize assessment for?
- Hypoglycemia (correct)
- Respiratory distress syndrome
- Sepsis
- Jaundice
What complication should the nurse suspect in a 35-week gestation infant with a respiratory rate of 72 breaths per minute, nasal flaring, grunting, and retractions?
What complication should the nurse suspect in a 35-week gestation infant with a respiratory rate of 72 breaths per minute, nasal flaring, grunting, and retractions?
In a 42-week gestation client who has progressed rapidly after initiating oxytocin infusion, what should the nurse do next?
In a 42-week gestation client who has progressed rapidly after initiating oxytocin infusion, what should the nurse do next?
What is the purpose of testing the newborn's blood type?
What is the purpose of testing the newborn's blood type?
What condition did the nurse observe about the infant's delivery?
What condition did the nurse observe about the infant's delivery?
Why is it important for the nurse to call these findings to the attention of the pediatrician?
Why is it important for the nurse to call these findings to the attention of the pediatrician?
In what scenario would oxytocin drip be prescribed?
In what scenario would oxytocin drip be prescribed?
What is the significance of a woman being Rh-negative in relation to her newborn?
What is the significance of a woman being Rh-negative in relation to her newborn?
Which assessment finding is most crucial for monitoring during active labor with hypotonic dystocia?
Which assessment finding is most crucial for monitoring during active labor with hypotonic dystocia?
What condition is the client likely experiencing based on the symptoms described?
What condition is the client likely experiencing based on the symptoms described?
What advice should the nurse give to a client who is breastfeeding and using the same diaphragm as before pregnancy?
What advice should the nurse give to a client who is breastfeeding and using the same diaphragm as before pregnancy?
What is the priority nursing action for a primigravida who delivered a 9-pound infant vaginally after a 30-hour labor?
What is the priority nursing action for a primigravida who delivered a 9-pound infant vaginally after a 30-hour labor?
What is the most appropriate action if a client reports using the same diaphragm postpartum?
What is the most appropriate action if a client reports using the same diaphragm postpartum?
What could be the consequence of a client continuing to use the same diaphragm postpartum?
What could be the consequence of a client continuing to use the same diaphragm postpartum?
Why is it important for a breastfeeding mother to use an alternative form of birth control until obtaining a new diaphragm?
Why is it important for a breastfeeding mother to use an alternative form of birth control until obtaining a new diaphragm?
How many factors related to contractions are mentioned in the text?
How many factors related to contractions are mentioned in the text?
What aspect of contractions is discussed regarding intensity?
What aspect of contractions is discussed regarding intensity?
Which factor refers to the duration of contractions?
Which factor refers to the duration of contractions?
What is interval in the context of contractions?
What is interval in the context of contractions?
Which factor relates to how close or far apart contractions are?
Which factor relates to how close or far apart contractions are?
What intervention should the nurse implement when contractions are occurring every 5 minutes with a 20-second duration?
What intervention should the nurse implement when contractions are occurring every 5 minutes with a 20-second duration?
What makes the nurse realize a primigravida client is not in labor?
What makes the nurse realize a primigravida client is not in labor?
What action should the nurse take after observing regular contractions with cervical changes post misoprostol administration?
What action should the nurse take after observing regular contractions with cervical changes post misoprostol administration?
How many ml/hr should the nurse program the infusion pump to deliver when using Lactated Ringers 1,000 ml with Pitocin 20 units for a multigravida client?
How many ml/hr should the nurse program the infusion pump to deliver when using Lactated Ringers 1,000 ml with Pitocin 20 units for a multigravida client?
After a fetus dies in utero at 32 weeks gestation, what is the most important action for the nurse to take?
After a fetus dies in utero at 32 weeks gestation, what is the most important action for the nurse to take?
What should be done for a client at 36 weeks gestation following a minor vehicle collision?
What should be done for a client at 36 weeks gestation following a minor vehicle collision?
What is the correct dosage of phytonadione (Vitamin K1) in ml should the nurse administer to a newborn based on the information provided?
What is the correct dosage of phytonadione (Vitamin K1) in ml should the nurse administer to a newborn based on the information provided?
Why should the nurse withhold methylergonovine maleate (Methergine) from a postpartum client with a blood pressure of 149/90?
Why should the nurse withhold methylergonovine maleate (Methergine) from a postpartum client with a blood pressure of 149/90?
Which activity would be most beneficial for a 16-year-old with juvenile rheumatoid arthritis (JRA) to strengthen and mobilize joints?
Which activity would be most beneficial for a 16-year-old with juvenile rheumatoid arthritis (JRA) to strengthen and mobilize joints?
What is the fetal heart rate and contraction pattern observed through the external fetal heart monitor in the presented case?
What is the fetal heart rate and contraction pattern observed through the external fetal heart monitor in the presented case?
What instruction would be most appropriate for the nurse to give to the family of a child with a lacerated forehead before suturing?
What instruction would be most appropriate for the nurse to give to the family of a child with a lacerated forehead before suturing?
In what scenario would a nurse encourage a client to include chicken in her diet?
In what scenario would a nurse encourage a client to include chicken in her diet?
The nurse is administering methylergonovine maleate (Methergine) to a postpartum client. What finding would indicate that the nurse should withhold the drug?
The nurse is administering methylergonovine maleate (Methergine) to a postpartum client. What finding would indicate that the nurse should withhold the drug?
Which medication is used as a tocolytic to decrease contractions in premature deliveries?
Which medication is used as a tocolytic to decrease contractions in premature deliveries?
What is the recommended physical therapy regimen to strengthen and mobilize joints and surrounding muscles in a 16-year-old with juvenile rheumatoid arthritis (JRA)?
What is the recommended physical therapy regimen to strengthen and mobilize joints and surrounding muscles in a 16-year-old with juvenile rheumatoid arthritis (JRA)?
When should the nurse encourage a postpartum client to use Butorphanol (Stadol)?
When should the nurse encourage a postpartum client to use Butorphanol (Stadol)?
For which assessment finding should the nurse prioritize care in a postpartum client receiving Betamethasone (Celestone)?
For which assessment finding should the nurse prioritize care in a postpartum client receiving Betamethasone (Celestone)?
What joint strengthening method should be avoided in a 16-year-old with juvenile rheumatoid arthritis (JRA)?
What joint strengthening method should be avoided in a 16-year-old with juvenile rheumatoid arthritis (JRA)?
Why would a breastfeeding infant, screened for congenital hypothyroidism, have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH)?
Why would a breastfeeding infant, screened for congenital hypothyroidism, have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH)?
What should the nurse do first when a full-term infant in the nursery regurgitates and turns cyanotic?
What should the nurse do first when a full-term infant in the nursery regurgitates and turns cyanotic?
When is the best time to administer a rubella vaccine to a client who is non-immune at 6-weeks’ gestation?
When is the best time to administer a rubella vaccine to a client who is non-immune at 6-weeks’ gestation?
What is the most important assessment for a client receiving oxytocin to augment early labor each time the infusion rate is increased?
What is the most important assessment for a client receiving oxytocin to augment early labor each time the infusion rate is increased?
Which lunch choice made by a mother for her child taking digitalis and a diuretic for heart failure indicates understanding of the best diet?
Which lunch choice made by a mother for her child taking digitalis and a diuretic for heart failure indicates understanding of the best diet?
Which finding confirms to the nurse that a client is not in labor at a particular time?
Which finding confirms to the nurse that a client is not in labor at a particular time?
In a child admitted with diabetic ketoacidosis demonstrating Kussmaul respiration, what acid-base alteration is the increased respiratory rate compensating for?
In a child admitted with diabetic ketoacidosis demonstrating Kussmaul respiration, what acid-base alteration is the increased respiratory rate compensating for?
What action should the nurse prioritize if a 3-month-old infant's head circumference has increased significantly since birth?
What action should the nurse prioritize if a 3-month-old infant's head circumference has increased significantly since birth?
For a 5-year-old child with Reye's syndrome, what is the primary goal of treatment?
For a 5-year-old child with Reye's syndrome, what is the primary goal of treatment?
In a client whose labor is being augmented with oxytocin and requests an epidural for pain control, what should the nurse do first?
In a client whose labor is being augmented with oxytocin and requests an epidural for pain control, what should the nurse do first?
What is the most crucial assessment for a 16-year-old client admitted with eclampsia but not currently convulsing?
What is the most crucial assessment for a 16-year-old client admitted with eclampsia but not currently convulsing?
What acid-base alteration is a client with Kussmaul respiration likely experiencing?
What acid-base alteration is a client with Kussmaul respiration likely experiencing?
What should be a priority intervention discussed with parents who have an autosomal dominant disorder and are concerned about future children inheriting the disorder?
What should be a priority intervention discussed with parents who have an autosomal dominant disorder and are concerned about future children inheriting the disorder?
In a client with vomiting leading to the risk of metabolic alkalosis, what should be monitored closely?
In a client with vomiting leading to the risk of metabolic alkalosis, what should be monitored closely?
If a child is exhibiting chorea or temporary movements, what is the most important advice regarding discipline?
If a child is exhibiting chorea or temporary movements, what is the most important advice regarding discipline?
What action may be necessary if a pregnant mother exhibits signs of metabolic alkalosis due to vomiting?
What action may be necessary if a pregnant mother exhibits signs of metabolic alkalosis due to vomiting?
What lifestyle change is recommended to promote safety in the home for a child experiencing decreased muscle tension?
What lifestyle change is recommended to promote safety in the home for a child experiencing decreased muscle tension?
Why are fine motor skill projects encouraged in children with decreased muscle tension?
Why are fine motor skill projects encouraged in children with decreased muscle tension?
Study Notes
Maternity and Pediatric Nursing
Herpes Simplex Virus
- Recognize symptoms of herpes simplex virus: shallow small vesicles on pubis, labia, and perineum
Birth Control
- Use alternative form of birth control until new diaphragm can be obtained
Respiratory and Metabolic Acidosis
- Kussmaul respiration is a compensatory mechanism for metabolic acidosis
- Vomiting can lead to metabolic alkalosis related to loss of hydrochloric acid
Pediatric Nursing
- Goal of treatment for Reye's syndrome: reduce cerebral edema and lower intracranial pressure
- Promote kidney perfusion and normal blood pressure in Reye's syndrome
Labor and Delivery
- Action to take when client is not in labor: contractions stop when client is walking
- Action to take when client is in labor: administer oxytocin (Pitocin) 4 hours later
- Priority nursing action after delivering a 9-pound infant vaginally: massage the fundus Q 4 hours
Postpartum Care
- Importance of holding and spending time with the baby after fetus died in utero
- Response to Rh-negative client: test newborn's blood type to determine need for RhoGAM
Pediatric Assessment
- Abnormal head/chest ratio: call findings to the attention of the pediatrician
- Action to take with hypotonic dystocia: monitor intensity, interval, and length of contractions
Newborn Care
- Importance of Vitamin K1 administration: 0.5 mg IM to newborns upon admission
- Action to take with transient tachypnea of the newborn: recognize respiratory rate of 72 breaths/minute, nasal flaring, grunting, and retractions
Medication Administration
- When to withhold methylergonovine maleate (Methergine): blood pressure of 149/90
- Importance of phytonadione (Vitamin K1) administration: 0.5 mg IM to newborns upon admission
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Description
Prepare for the HESI OB Maternity Version 1 exam with this set of brand new questions and answers, including screenshots. The material comes from a test taken on March 7th, 2022, and is designed to help you achieve a high score.
