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Exam (elaborations)

OB HESI V2 Exam Correctly Answered 2024

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OB HESI V2 Exam Correctly Answered 2024 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 broccoli 3 Eggs and lean meats 4 Whole-wheat breads and cereals - Answer -cheese and broccoli need calcium A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity? 1Oxygen 2Naloxone 3Calcium gluconate 4Suction equipment - Answer -calcium gluconateThe antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction equipment may be necessary if the client has excessive secretions after a seizure. The priority intervention is trying to prevent a seizure. A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is prescribed. 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 4Decreased frequency and duration of contractions - Answer -decreased frequency and duration of contractions Terbutaline sulfate (Brethine) is a β-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 increase it. greenish amniotic fluid indicates - Answer -meconium in amniotic fluid and dr should be notified immediately pt on magnesium sulfide, what base line assessment is needed - Answer -repsiration rate LOC is also affected but do not need a baseline hydatidiform mole - Answer -causes extra large utereus lepolds maneuver on patient with placental previa expects - Answer -high floating, presenting part

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