Maternity HESI Exam Study Guide | Latest 2023/24 | Updated & Verified | Guaranteed Success | 22 Pages

The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease (GTD) two days ago. Which information is most important for the nurse to include in this client's teaching plan? - Oral contraceptive use for at least one year. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? - Betamethasone (Celestone) 12 mg deep IM. The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nurse provide the client about this fiding? - Both the lower uterine segment and the fundus must be massaged Which instruction should the nurse include in the discharge teaching plan of a 7-year-old girl with a history of frequent urinary tract infections? - Monitor for changes in urinary odor. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her diet? - Chicken. The newborn nursery admission protocol includes a prescption for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2 mg/ml. How many ml should the nurse administer? - 0.3 The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum client. Based on what assessment finding should the nurse withhold the drug? - Blood pressure 149/90. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and a 12-yearold sibling are the child bedside. Which instruction best supports this family?