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Exam (elaborations)

MATERNITY OB / HESI EXIT VERSION 2 QUESTIONS AND CORRECT SOLUTIONS 2024/2025 GRADED A+.

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MATERNITY OB / HESI EXIT VERSION 2 QUESTIONS AND CORRECT SOLUTIONS 2024/2025 GRADED A+. 2 / 6 1. During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods should the nurse encourage the client to eat? 1 Liver and raisins Cheese and broccoli3 Eggs and lean meats4 Whole-wheat breads and cereals: cheese and broccoli need calcium 2. A pregnant client with severe preeclampsia is receiving IV magnesium sul- fate. What should the nurse keep at the bedside to prepare for the possibilityof magnesium sulfate toxicity? 1Oxygen 2Naloxone 3Calcium gluconate 4Suction equipment: calcium gluconate The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffectiveif the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction equipment may be necessary if the client has excessivesecretions after a seizure.The priority intervention is trying to prevent a seizure. 3. A client arrives at the clinic in preterm labor, and terbutaline (Brethine) isprescribed. For what therapeutic effect should the nurse monitor the client? 1increased blood pressure and pulse 2Reduction of pain in the perineal area 3Gradual cervical dilation as labor progresses 3 / 6 4 Decreased frequency and duration of contractions: decreased frequency and duration of contractions Terbutaline sulfate (Brethine) is a ²-mimetic that acts on the smooth muscles of the uterus to reduce contractility, which in turn inhibits dilation and the frequency and duration of contractions. Although terbutaline may increase blood pressure and pulse, this is a side, not a therapeutic, effect requiring frequent assessments. Terbutaline is not an analgesic. It should stop cervical dilation rather than increaseit. 4. greenish amniotic fluid indicates: meconium in amniotic fluid and dr should benotified immediately 5. pt on magnesium sulfide, what base line assessment is needed: repsirationrate LOC is also affected but do not need a baseline 6. hydatidiform mole: causes extra large utereus 7. lepolds maneuver on patient with placental previa expects: high floating,presenting part 8. A client's membranes rupture during labor.The nurse immediately assessesthe electronic fetal heart rate. Variable decelerations lasting more than 90 seconds,followed by bradycardia, are observed on the monitoring strip.Whatdoes the nurse suspect as the cause of this change? 1Fetal acidosis 2Prolapsed cord 3Head compression 4uteroplacental insufficiency: prolapsed cord This variable pattern with bradycardia is an ominoussign;it isindicative of cord com-pression, which can result in fetal hypoxia.Immediate intervention is required. Fetalacidosis occurs with uteroplacental insufficiency, not in response to a prolapsed cord. Early decelerations are associated with head compression and are benign. Late decelerations and tachycardia are associated with uteroplacental insufficiency,not a prolapsed cord. 4 / 6 9. heart burn while pregnant: don't take antacids with sodium 10. A 36-year-old woman comes to the emergency department complaining ofsevere abdominal cramping and heavy bleeding. She informs the nurse that

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Uploaded on
March 15, 2024
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Written in
2023/2024
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