HESI PN MATERNAL NEWBORN PROCTORED EXAM
VERSION 9
- A nurse is assisting with an amniotomy for a client who is in active labor.
- Assess the fetal heart rate before and after the procedure
- Monitor the client’s temperature every 4 hours after procedure
- Medicate the client for pain 30 min prior to the procedure
- Perform cervical assessments every 2 hr after the procedure
Which of the following actions should the nurse take?
Rationale: A. The nurse should assess the fetal heart rate for the presence of
variable declarations or bradycardia, which can occur after rupturing of the membranes if the umbilical cord has prolapsed. (Amniotomy is artificial rupture of membranes).
- An adolescent reports abdominal cramping due to dysmenorrhea. Which of
- Fentanyl
- Acetaminophen and oxycodone
- Acetaminophen and hydrocodone
- Ibuprofen
the following analgesics should the nurse expect the provider to prescribe?
Rationale: D To treat dysmenorrhea, provides prescribe NSAIDs such as
ibuprofen and naproxen. Providers also recommend exercise and dietary changes such as reducing salt and sugar intake and following a low-fat, vegetarian diet.
- A nurse is caring for a client at 34 weeks’ gestation who presents with
- Uterine tone
- Fetal heart rate
- Blood pressure
- Amount of bleeding
vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or abruptio placenta?
Rationale: A. The uterus will be relaxed, soft, and painless if the bleeding is
caused by placenta previa. With abruptio placenta, the uterus will be firm and board-like, the client will complain of pain.
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