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Exam (elaborations)

OB HESI Exam with Correct Answers

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OB HESI Exam with Correct Answers

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OB HESI Exam with Correct Answers

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Terms in this set (72)


1. A 38-week primigravida Move about every hour
who works as a secretary
and sits at a computer for
8 hours each day tells the Pooling of blood in the lower extremities results from
nurse that her feet have the enlarged uterus exerting pressure on the pelvic
begun to swell. Which veins. Moving about every hour will straighten out the
instruction would be most pelvic veins and increase venous return.
effective in preventing
pooling of blood in the
lower extremities?

A 24-hour-old newborn documented the findings in the infant's record
has a pink papular rash Erythema toxicum (or erythema neonatorum) is a
with vesicles newborn rash that is commonly referred to as "flea
superimposed on the bites," but is a normal finding that is documented in
thorax, back, and the infant's record.
abdomen. What action
should the nurse
implement?

,A 26-year-old, gravida 2, Tachycardia and a feeling of nervousness
para 1 client is admitted to
the hospital at 28-weeks
gestation in preterm labor.
She is given 3 doses of Terbutaline sulfate (Brethine), a beta-
terbutaline sulfate sympathomimetic drug, stimulates beta-adrenergic
(Brethine) 0.25 mg receptors in the uterine muscle to stop contractions.
subcutaneously to stop The beta-adrenergic agonist properties of the drug
her labor contractions. The may cause tachycardia, increased cardiac output,
nurse plans to monitor for restlessness, headache, and a feeling of
which primary side effect "nervousness".
of terbutaline sulfate?

Extend the leg and dorsiflex the foot
A 28-year-old client in
active labor complains of
Dorsiflexing the foot by pushing the sole of the foot
cramps in her leg. What
forward or by standing (if the client is capable) and
intervention should the
putting the heel of the foot on the floor is the best
nurse implement?
means of relieving leg cramps.

A 30-year-old gravida 2, Monitoring maternal and fetal heart rates is most
para 1 client is admitted to important when terbutaline is being administered.
the hospital at 26-weeks'
gestation in preterm labor. Terbutaline acts as a sympathomimetic agent that
She is given a dose of stimulates both beta 1 receptors (causing tachycardia,
terbutaline sulfate a side effect of the drug) and stimulation of beta 2
(Brethine) 0.25 mg receptors (causing uterine relaxation, a desired effect
subcutaneous. Which of the drug).
assessment is the highest
priority for the nurse to
monitor during the
administration of this
drug?

, A 42-week gestational Transition labor with contractions every 2 minutes,
client is receiving an lasting 90 seconds each.
intravenous infusion of
oxytocin (Pitocin) to Contraction pattern describes hyperstimulation and
augment early labor. The an inadequate resting time between contractions to
nurse should discontinue allow for placental perfusion.
the oxytocin infusion for
which pattern of
contractions?

After each feeding, a 3- Similac® Soy Isomil® Formula is a soy protein-based
day-old newborn is formula that contains sucrose
spitting up large amounts The nurse should explain that the newborn's feeding
of Enfamil® Newborn intolerance may be related to the lactose found in
Formula, a nonfat cow's cow's milk formula and is being replaced with the soy-
milk formula. The pediatric based formula that contains sucrose, which is well-
healthcare provider tolerated in infants with milk allergies and lactose
changes the neonate's intolerance.
formula to Similac® Soy
Isomil® Formula, a soy
protein isolate based
infant formula. What
information should the
nurse provide to the
mother about the newly
prescribed formula?

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