HESI PN MATERNAL NEWBORN OB EXAM

HESI PN MATERNAL NEWBORN OB EXAM

VERSION 4

• A nurse is caring for a client who has uterine atony & is experiencing postpartum

hemorrhage. Which of the following actions is the nurse’s priority?Massage the client’s fundus.

• A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of

the following findings contraindications the initiation of the oxytocin infusion & should be reported to the provider? Late decelerations.

• A nurse is assessing a client who has severe preeclampsia. Which of the following

manifestations should the nurse expect?Blurred vision.

• A nurse is assessing a client who is 1 day postpartum & has a vaginal hematoma. Which

of the following manifestations should the nurse expect?Vaginal pressure.

• A nurse is caring for a client who is at 36 weeks of gestation & has a positive contraction

stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?Biophysical profile.

• A nurse is providing teaching for a client who has a new prescription for combined oral

contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? Depression.

• A nurse is caring for a postpartum client who is receiving heparin via a continuous IV

infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?Maintain the client on bed rest.

• A nurse is providing teaching to a client who is at 40 weeks of gestation & has a new

prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?“I can administer oxytocin 4 hours after the insertion of the medication.”

• A nurse is assessing four newborns. Which of the following findings should the nurse

report to the provider?A newborn who is 18 hr old & has an axillary temperature of 37.7 o

C (99.9

o F).

• A nurse is caring for a client who is at 30 weeks of gestation & has a prescription for 1 / 2

magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?Respiratory rate 10/min.

• A nurse is teaching a client who is at 10 weeks of gestation about nutrition during

pregnancy. Which of the following statements by the client indicates an understanding of the teaching? “I should take 600 micrograms of folic acid each day.”

• A nurse is assessing a late preterm newborn. Which of the following manifestations is an

indication of hypoglycemia? Respiratory distress.

• A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients

should the nurse see first? A client who is at 11 weeks of gestation & reports abdominal cramping.

• A nurse is demonstrating to a client how to bathe her newborn. In which order should

the nurse perform the following actions? Wipe the newborn's eyes from the inner canthus outward. Wash the newborn's neck by lifting the newborn's chin. Cleanse the skin around the newborn's umbilical cord stump. Wash the newborn's legs & feet.Clean the newborn's diaper area.

• A nurse is teaching a newly licensed nurse about collecting a specimen for the universal

newborn screening. Which of the following statements should the nurse include in the teaching? “Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen.”

• A nurse is creating a plan of care for a client who is postpartum & adheres to traditional

Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? Protect the client’s head & feet from cold air.

• A nurse is assessing a newborn who was born at 26 weeks of gestation using the New

Ballard Score. Which of the following findings should the nurse expect? Minimal arm recoil.

• A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, & just had

an amniocentesis. Which of the following interventions is the nurse’s priority following the procedure? Monitor the FHR.

• A nurse is assessing a newborn who is 16 hr old. Which of the following findings should

the nurse report to the provider? Substernal retractions.

• A nurse is performing a physical assessment of a newborn upon admission to the

nursery. Which of the following manifestations should the nurse expect? (SATA) Acrocyanosis. Positive Babinksi reflex. Two umbilical arteries visible.

• A nurse is caring for a client who is experiencing preeclampsia & has a new prescription

for IV magnesium sulfate. Which of the following medications should the nurse

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