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Exam (elaborations)

MATERNITY HESI EXIT NEWEST COMPLETE 190 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS

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The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition? gestational diabetes 2. When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes? 30 weeks gestation 3. When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? Mood swings. Tearfulness. 4. A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusion. Which assessment data would indicate to the nurse that the client is experiencing magnesium sulfate toxicity? Urine output 90mL / 4 hours 5. The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement? C. monitor bleeding from IV sites. 6. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. Which assessment finding would provide the nurse the earliest indication that the client is experiencing primary side effects of terbutaline sulfate? Tachycardia and a feeling of nervousness.

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MATERNITY HESI EXIT NEWEST 2024-2025 COMPLETE 190 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED A
SWERS
Study online at https://quizlet.com/_g3w21r

1. The healthcare provider prescribes terbutaline gestational dia-
(Brethine) for a client in preterm labor. Before initiat- betes
ing this prescription, it is most important for the nurse
to assess the client for which condition?

2. When assessing a client who is at 12-weeks gestation, 30 weeks gesta-
the nurse recommends that she and her husband con- tion
sider attending childbirth preparation classes. When
is the best time for the couple to attend these classes?

3. When explaining "postpartum blues" to a client who is Mood swings.
1 day postpartum, which symptoms should the nurse Tearfulness.
include in the teaching plan?

4. A 35-year-old primigravida client with severe Urine output 90mL
preeclampsia is receiving magnesium sulfate via con- / 4 hours
tinuous IV infusion. Which assessment data would
indicate to the nurse that the client is experiencing
magnesium sulfate toxicity?

5. The nurse assesses a client admitted to the labor C. monitor bleed-
and delivery unit and obtains the following data: dark ing from IV sites.
red vaginal bleeding, uterus slightly tense between
contractions, BP 110/68, FHR 110 beats/minute, cervix
1 cm dilated and uneffaced. Based on these assess-
ment findings, what intervention should the nurse im-
plement?

6. A 26-year-old, gravida 2, para 1 client is admitted to the Tachycardia and a
hospital at 28-weeks gestation in preterm labor. She feeling of nervous-
is given 3 doses of terbutaline sulfate (Brethine) 0.25 ness.
mg subcutaneously to stop her labor contractions.
Which assessment finding would provide the nurse
the earliest indication that the client is experiencing
primary side effects of terbutaline sulfate?

7. A client who is attending antepartum classes asks It is difficult to con-
the nurse why her healthcare provider has prescribed sume 18 mg of ad-


, MATERNITY HESI EXIT NEWEST 2024-2025 COMPLETE 190 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED A
SWERS
Study online at https://quizlet.com/_g3w21r
iron tablets. The nurse's response is based on what ditional iron by diet
knowledge? alone.

8. The nurse is teaching care of the newborn to a group Gonorrhea.
of prospective parents and describes the need for
administering antibiotic ointment into the eyes of the
newborn. Which infectious organism will this treat-
ment prevent from harming the infant?

9. A client is admitted with the diagnosis of total pla- Onset of uterine
centa previa. Which finding is most important for the contractions.
nurse to report to the healthcare provider immediate-
ly?

10. One hour after giving birth to an 8-pound infant, a Call the healthcare
client's lochia rubra has increased from small to large provider to ques-
and her fundus is boggy despite massage. The client's tion the prescrip-
pulse is 84 beats/minute and blood pressure is 156/96. tion
The healthcare provider prescribes Methergine 0.2 mg
IM X 1. What action should the nurse take immediate-
ly?

11. The nurse is preparing a client with a term pregnancy A sterile glove.
who is in active labor for an amniotomy. What equip- An amnihook.
ment should the nurse have available at the client's Lubricant.
bedside?

12. A 28-year-old G1 P0 client who is currently 32 weeks Respiratory dis-
pregnant is started on IV magnesium sulfate after tress.
being diagnosed with severe preeclampsia. After de-
termining the serum magnesium level to be 15 mEq/L,
the nurse should expect which of the following mani-
festations in the client?

13. A healthcare provider informs the charge nurse of a Dark, red vaginal
labor and delivery unit that a client is coming to the bleeding.A rigid
unit with suspected abruptio placentae. What findings abdomen

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