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Exam (elaborations)

OB HESI PRACTICE QUESTIONS

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OB HESI PRACTICE QUESTIONS 1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving process, which intervention is most important for the nurse to implement? Provide an opportunity for the parents to hold their infant in privacy 2. A one-day-old neonate develops a cephalhematoma. The nurse should closely assess this neonate for which common complication? Jaundice 3. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation? KNOW TYPES OF ANESTHESIA Maternal blood pressure 4. The nurse is caring for a female client, a primigravida, with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a severe frontal headache. Which medication should the nurse anticipate for this client? Mag Sulfate 6. A client at 35 weeks gestation complains of a “pain whenever the baby moves.” On assessment, the nurse notes the client’s temperature to be 101.2 F, with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? Chorioamnionitis 7. While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heart rate pattern that falls and rises abruptly with a “v” shaped appearance. What action should the nurse take first? Change maternal position (for U shaped too) 8. The parents of a newborn tell the nurse that their newborn is already trying to walk. How should the nurse respond?

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