OB Maternity HESI Assignment BSN 346 Exam

OB Maternity HESI Assignment BSN 346 Exam At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention? - Answer-A. Uterine cramping A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathroom every five minutes." Which explanation should the nurse provide to this client? - Answer-D. The growing uterus is putting pressure on the bladder. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based on these findings, which action should the nurse take first? - Answer-C. Assess the infant's blood glucose level An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority nursing intervention? - Answer-B. Begin humidified oxygen via hood When assessing a newborn infant's heart rate, which technique is most important for the nurse to use? - Answer-C. Count the heart rate for at least one full minute The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to make? - Answer-B. Explore the mother's concerns about the infant receiving an injection of vitamin K The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? - Answer-A. Avoid alcohol because it is excreted in breast milk Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor? - Answer-D. Encourage early initiation of breast of formula feeding A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect (CHD) in her baby. Which response best explains when a CHD may occur? - Answer-D. The heart develops in the third to fifth weeks after conception A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. What information should the nurse provide? - Answer-B. The fetus in utero is capable of hearing and does respond to the mother's voice A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby jumped in response to the noise. What information should the nurse provide? - Answer-B. The fetus can respond to sound by 24-weeks gestation A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is in early pregnancy. What information supports the explanation that the nurse should provide? - Answer-C. Secretes both estrogen and progesterone Which cardiovascular findings should the nurse assess further in a client who is at 20- weeks gestation? - Answer-A. Decrease in pulse rate A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not sleeping well. The client's physical examination and ultrasound do not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive pregnancy test results? - Answer-B. Using an anticonvulsant for epilepsy Which gastrointestinal findings should the nurse be concerned about in a client at 28- weeks gestation? - Answer-A. PICA During a preconception counseling session for women trying to get pregnant in 3 to 6 months, what information should the nurse provide? - Answer-B. Make sure to include adequate folic acid in the diet Which statement by a client who is pregnant indicates to the nurse an understanding of the role of protein during pregnancy? - Answer-A. "Protein helps the fetus grow while I am pregnant." A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner. How should the nurse respond to the client? - Answer-D. Abstinence is strongly recommended throughout the pregnancy A female client who wants to deliver at home asks the nurse to explain the role of a nurse-midwife in providing obstetric care. What information should the nurse provide? - Answer-B. The pregnancy should progress normally and be considered low risk When discussing birth in a home setting with a group of pregnant women, which situation should the nurse include about the safety of a home birth? - Answer-D. Medical backup should be available quickly in case of complications The nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provides examples of different positional techniques used during the second stage of labor. Which position should the nurse address the best advantage of gravity during delivery? - Answer-B. Squatting A client in the first stage of labor is using a shallow pattern of rapid breaths that is twice the normal adult breathing rate. The client complains of feeling light headed, dizzy, and states that her fingers are tingling. What action should the nurse implement? - AnswerB. Help her breathe into a paper bag