Hesi Study Guide And Hesi Maternity peds

One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM × 1. What action should the nurse take immediately? Contact the healthcare provider and question the prescription Methergine is contraindicated for clients with elevated blood pressure, so thenurse should contact the healthcare provider and question the prescription • A client at 32-weeks’gestation is diagnosed with preeclampsia. Which assessmentfinding is most indicative of an impending convulsion? 3+ deep tendon reflexes and hyper clonus • A client at 32-weeks’gestation comes to the prenatal clinic with complaints of pedaledema, dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this client? Do you have a history of rheumatic fever? Clients with a history of rheumatic fever may develop mitral valve prolapse, which increases the risk for cardiac decompensation due to the increased blood volume thatoccurs during pregnancy, so obtaining information about this client's health history is a priority. • After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil® Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the neonate's formula to Similac® Soy Isomil® Formula, a soy protein isolate based infant formula. What information should the nurse provide to the motherabout the newly prescribed formula? Similac® Soy Isomil® Formula is a soy protein-based formula that contains sucrose The nurse should explain that the newborn's feeding intolerance may be related to the lactose found in cow's milk formula and is being replaced with the soy-based formula that contains sucrose, which is well-tolerated in infants with milk allergies and lactose intolerance. • The nurse is performing a gestational age assessment on a full-term newborn during the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40-weeks.What findings should the nurse identify to determine if the neonate is small for gestational age (SGA)? (Select all that apply.) Frontal occipital circumference of 12.5 inches (31.25 cm)Head to heel length of 17 inches (42.5 cm) Admission weight of 4 pounds, 15 ounces (2244 grams) The normal full-term, appropriate for gestational age (AGA) newborn should fall between the measurement ranges of weight, 6-9 pounds (2700- 4000 grams); length, 19-21 inches (48-53 cm); FOC, 13-14 inches (33-35 cm). This neonate's parameters plot below the 10% percentile, which indicate that the infant is SGA.