OB HESI Final Exam: OB HESI Final Exam Study Guide: Questions & Answers: Updated

The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is A. January 14-15 B. January 22-23 C. January 30-31 D. February 6-7 ( >- Correct Answer: C Ovulation occurs 14 days before the first day of the menstrual period. The nurse caring for a laboring client encourages her to void at least q2h, and records each time the client empties her bladder. What is the primary reason for implementing this nursing intervention? A. Emptying the bladder during delivery is difficult because of the position of the presenting fetal part B. An over-distended bladder could be traumatized during labor, as well as prolong the progress of laborC. Urine specimens for glucose and protein must be obtained at certain intervals throughout labor D. Frequent voiding minimizes the need for catheterization which increases the chance of bladder infection ( >- Correct Answer: B A full bladder can impair the efficacy of the uterine contractions and impede descent of the fetus during labor A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? A. Describe diet changes that can improve the management of her diabetes B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy C. Demonstrate how to administer insulin D. Evaluate the client's ability to do glucose monitoring ( >- Correct Answer: ADiet modifications are effective in managing this type of diabetes during pregnancy. The other answers should be implemented but are not a PRIORITY A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the nurse is best?