HESI OB Assignment quiz The mother of a neonate asks the nurse why it is so important to keep the infant warm. What information should the nurse provide?
- The kidneys and renal function are not fully developed.
- Warmth promotes sleep so the infant will grow quickly.
- A large body surface area favors heat loss to the environment.
- The thick layer of subcutaneous fat is inadequate for insulation.(Answer) -
Thermoregulation, heat regulation, is critical to the survival of a neonate because the newborn's larger surface area (C) per unit of weight predisposes to heat loss.While keeping the infant warm may help the infant to sleep, it promotes transitional homeostasis, not growth (B). (A) is unrelated to cold stress of the newborn. (D) does not support the metabolic cascade that results from neonatal heat loss.The nurse prepares to administer an injection of vitamin K to a newborn infant.The mother tells the nurse, "Wait..." Which response what be best for the nurse to make?(Answer) - Explore mother's concerns about infant receiving vitaK The nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provides examples of different positional techniques used during the second stage of labor. Which position should the nurse address that provides the best advantage of gravity during delivery?Lithotomy.Kneeling.Squatting.Walking.(Answer) - Squatting (B) helps to align the fetus with the pelvic outlet and allows gravity to assist in fetal descent and gives the client an adventitious position for birth.A primigravida at 12-weeks gestation who just moved to the United States indicates she has not received any immunizations. Which immunization(s) should the nurse administer at this time? (Select all that apply.) Hepatitis B.Chickenpox.Rubella.Tetanus.Diphtheria.(Answer) - Tetanus.Diphtheria. 1 / 2
Hepatitis B.The father of a newborn tells the nurse, "My son just died." How should the nurse respond?"I understand how you feel." "I am sorry for your loss." "There is an angel in heaven." "You can have other children."(Answer) - "I am sorry for your loss." A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse determines the uterus is boggy and is displaced above and to the right of the umbilicus. Which action should the nurse implement next?Observe maternal vital signs.Document the color of the lochia.Notify the healthcare provider.Assist the client to the bathroom.(Answer) - Fundus displacement commonly occurs in the early hours of the postpartum period due to urinary retention, so assisting the client to the bathroom (C) to void should be implement next.An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after a 30-minute second stage. The nurse identifies petechiae over the face and upper back of the newborn. What information should the nurse provide the parents about this finding?The pinpoint spots are benign and disappear within 48 hours.Further assessment is indicated.Petechiae occurs with forceps delivery.An increased blood volume causes broken blood vessels.(Answer) - The pinpoint spots are benign and disappear within 48 hours.The uterine contractions of a woman early in the active phase of labor are assessed by an internal uterine pressure catheter (IUPC). The nurse notes that the intrauterine pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting tone range is 6 to 10 mm Hg. The uterine contractions occur every
- to 4 minutes and last an average of 55 to 60 seconds. On the basis of this
information, the nurse should:(Answer) - Document the findings, because they
reflect the expected contraction pattern for the active phase of labor.What action should the nurse implement to prevent conductive heat loss in a newborn?(Answer) - Placing a blanket on the scale provides a barrier to prevent conductive heat loss
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