HESI OB 2023/ 2024 EXAM QUESTIONS AND ANSWERS

HESI OB 2023/ 2024 EXAM QUESTIONS AND ANSWERSWhat nursing action should be implemented when intermittently gavage-feeding a preterm infant? Allow formula to flow by gravity. Avoid letting infant suck on tube. Insert feeding tube through nares.Apply steady pressure to syringe.Rationale Gavage feeding is commonly used to feed preterm infants who are born at less than 32-weeks gestation, infants who weigh less than 1500 grams, or infants who are unable to tolerate oral feedings. The feeding should flow by gravity (A) to avoid over-distention and a sudden sensation of fullness that may cause vomiting. Allowing the infant to suck on the tube, not (B), permits observation of the sucking response. The feeding tube should be inserted orally, since nasal insertion (C) impedes obligatory nose breathing and may irritate delicate nasal mucosa. (D) can result in vomiting if the rate of administration is too fast. A client is receiving an oxytocin infusion for induction of labor. When the client begins active labor, the fetal heart rate (FHR) slows at the onset of several contractions with subsequent return to baseline before each contraction ends. What action should the nurse implement? Insert an internal monitor device.Change the woman's position. Discontinue the oxytocin infusion. Document the finding in the client record.Rationale Early FHR decelerations are a normal finding during active labor that occurs due to fetal head compression, so the finding should be documented in the client record (D). Although the client's status should be monitored continuously, this is a reassuring FHR pattern, so (A, B, and C) are not indicated. The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? Avoid alcohol because it is excreted in breast milk. Avoid spicy foods to prevent infant colic. Increase caloric intake by approximately 500 calories/day. Double prenatal milk intake to improve Vitamin D transfer to the infant. Rationale