Hesi ob (hesi) notes - chamberlain college of nursing
Questions With Complete Solutions
A female client with insulin-dependent diabetes arrives at
the clinic seeking a plan to get pregnant in approximately 6
months. She tells the nurse that she wants to have an
uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
"Maintain blood sugar levels in a constant range within normal
limits during pregnancy."
An expectant father tells the nurse he fears that his wife "is
losing her mind." He states she is constantly rubbing her
abdomen and talking to the baby, and that she actually
reprimands the baby when it moves too much. What
recommendation should the nurse make to this expectant
father?
Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother feels fetal
movement.
In evaluating the respiratory effort of a one-hour-old infant
using the Silverman-Anderson Index, the nurse determines
the infant has synchronized chest and abdominal movement,
just visible lower chest retractions, just visible xiphoid
retractions, minimal and transient nasal flaring, and an
expiratory grunt heard only on auscultation. What
,Silverman-Anderson score should the nurse assign to this
infant? (Enter numeral value only.)
4
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
Onset of uterine contractions.
The nurse is assessing a 3-day old infant with a
cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the healthcare
provider?
Yellowish tinge to the skin.
When explaining "postpartum blues" to a client who is 1
day postpartum, which symptoms should the nurse include
in the teaching plan? (Select all that apply.)
Mood swings
Tearfulness
Feeling low
Emotional
Fatigued
A client at 30-weeks gestation, complaining of pressure over
the pubic area, is admitted for observation. She is
contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
, Obtain a specimen for urine analysis.
A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which response is
best for the nurse provide?
"Your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day."
The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which
infectious organism will this treatment prevent from
harming the infant?
Gonorrhea.
A 4-week-old premature infant has been receiving epoetin
alfa (Epogen) for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
Changes in apical heart rate from the 180s to the 140s.
A client at 32-weeks gestation is diagnosed with
preeclampsia. Which assessment finding is most indicative of
an impending convulsion?
Epigastric pain.
A client in active labor is admitted with preeclampsia.
Which assessment finding is most significant in planning this
client's care?
Patellar reflex 4+.
Questions With Complete Solutions
A female client with insulin-dependent diabetes arrives at
the clinic seeking a plan to get pregnant in approximately 6
months. She tells the nurse that she wants to have an
uncomplicated pregnancy and a healthy baby. What
information should the nurse share with the client?
"Maintain blood sugar levels in a constant range within normal
limits during pregnancy."
An expectant father tells the nurse he fears that his wife "is
losing her mind." He states she is constantly rubbing her
abdomen and talking to the baby, and that she actually
reprimands the baby when it moves too much. What
recommendation should the nurse make to this expectant
father?
Let him know that these behaviors are part of normal
maternal/fetal bonding which occur once the mother feels fetal
movement.
In evaluating the respiratory effort of a one-hour-old infant
using the Silverman-Anderson Index, the nurse determines
the infant has synchronized chest and abdominal movement,
just visible lower chest retractions, just visible xiphoid
retractions, minimal and transient nasal flaring, and an
expiratory grunt heard only on auscultation. What
,Silverman-Anderson score should the nurse assign to this
infant? (Enter numeral value only.)
4
A client is admitted with the diagnosis of total placenta
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately?
Onset of uterine contractions.
The nurse is assessing a 3-day old infant with a
cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the healthcare
provider?
Yellowish tinge to the skin.
When explaining "postpartum blues" to a client who is 1
day postpartum, which symptoms should the nurse include
in the teaching plan? (Select all that apply.)
Mood swings
Tearfulness
Feeling low
Emotional
Fatigued
A client at 30-weeks gestation, complaining of pressure over
the pubic area, is admitted for observation. She is
contracting irregularly and demonstrates underlying uterine
irritability. Vaginal examination reveals that her cervix is
closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
, Obtain a specimen for urine analysis.
A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which response is
best for the nurse provide?
"Your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day."
The nurse is teaching care of the newborn to a group of
prospective parents and describes the need for administering
antibiotic ointment into the eyes of the newborn. Which
infectious organism will this treatment prevent from
harming the infant?
Gonorrhea.
A 4-week-old premature infant has been receiving epoetin
alfa (Epogen) for the last three weeks. Which assessment
finding indicates to the nurse that the drug is effective?
Changes in apical heart rate from the 180s to the 140s.
A client at 32-weeks gestation is diagnosed with
preeclampsia. Which assessment finding is most indicative of
an impending convulsion?
Epigastric pain.
A client in active labor is admitted with preeclampsia.
Which assessment finding is most significant in planning this
client's care?
Patellar reflex 4+.
