Hesi Obstetrics/Maternity Assignment Quiz

Hesi Obstetrics/Maternity Assignment Quiz A nulliparous client telephones the labor and delivery unit to report that she is in labor. What action should the nurse implement? - ANS-Ask the client to describe why she thinks she is in labor. A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse assess first for signs of internal hemorrhage? - ANS-Changes in fetal heart rate patterns. Which finding indicates to the nurse that a 4-day old infant is receiving adequate breast milk? - ANS-Saturates 6 to 8 diapers per day. A client at 35-weeks gestation visits the clinic for prenatal check-up. Which complaint by the client warrants further assessment by the nurse? - ANS-Periodic abdominal pain A multigravida client at 40+ weeks gestation is induced using oxytocin (Pitocin). An intrauterine pressure catheter (IUPC) is in place when the client's membranes rupture after 5 hours of active labor. Which finding should require the nurse to implement further action? - ANS-Intensity of contractions is 130 mm Hg The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? (select all that apply) - ANS-Chest breathing with nasal flaring Diaphragmatic with chest retraction Grunting heard with a stethoscope A primigravida at 12-weeks gestation tells the nurse that she does not like dairy products. Which food should the nurse recommend to increase the client's calcium intake? - ANS-Canned sardines The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who delivers the infant 90 minutes later. What medication should the nurse anticipate administering to the infant? - ANS-Naloxone (Narcan) A client at 8-weeks gestation ask the nurse about the risk for a congenital heart defect (CHD) in her baby. Which response best explains when a CHD may occur? - ANS-The heart develops in the 3rd - 5th weeks after conception An infant born at 37-weeks gestation, weighing 4.1 kg (9.02 lbs) is 2 hours old and appears large for the gestational age, flushed, and tremulous. What procedure should the nurse follow to implement a glucose screening? - ANS-1. Wrap the infant's foot with a heel warmer for 5 minutes. 2. Collect a spring-loaded automatic puncture device. 3. Restrain the newborn's foot with your free hand CONTINUES....