OB HESI V2 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods should the nurse encourage the client to eat?1 Liver and raisins
Cheese and broccoli 3 Eggs and lean meats 4 Whole-wheat breads and cereals - Correct Answers cheese and broccoli need calcium A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity?1Oxygen 2Naloxone
3Calcium gluconate 4Suction equipment - Correct Answers calcium gluconate The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction equipment may be necessary if the client has excessive secretions after a seizure. The priority intervention is trying to prevent a seizure. 1 / 2
A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is prescribed. For what therapeutic effect should the nurse monitor the client?1increased blood pressure and pulse 2Reduction of pain in the perineal area 3Gradual cervical dilation as labor progresses
4Decreased frequency and duration of contractions - Correct Answers decreased frequency and duration of contractions Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the uterus to reduce contractility, which in turn inhibits dilation and the frequency and duration of contractions. Although terbutaline may increase blood pressure and pulse, this is a side, not a therapeutic, effect requiring frequent assessments. Terbutaline is not an analgesic. It should stop cervical dilation rather than increase it.greenish amniotic fluid indicates - Correct Answers meconium in amniotic fluid and dr should be notified immediately pt on magnesium sulfide, what base line assessment is needed - Correct Answers repsiration rate LOC is also affected but do not need a baseline hydatidiform mole - Correct Answers causes extra large utereus lepolds maneuver on patient with placental previa expects - Correct Answers high floating, presenting part A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are observed on the monitoring strip. What does the nurse suspect as the cause of this change?
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