HESI PN Obstetrics/Maternity Practice Exam (100% solved)

After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additional finding should the PN observe in the newborn? correct answers Tremors of the hands during crying. Which information should the practical nurse (PN) provide the parents about the purpose of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. correct answers Prophylactic treatment for gonorrheal and chlamydia infection. What is the most important action by the practical nurse (PN) in preventing neonatal infection? correct answers Hand washing. a client who took iron supplements during pregnancy delivers and infant by cesarean section. On the second postpartum day, the client reports having a constipated stool that is greenish-black in color. Which action should the practical nurse (PN) implement? correct answers Record color and consistency of the stool. A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She asks what she should be concerned about during the weeks before her first visit. Which signs and symptoms should the practical nurse (PN) tell the client to report immediately to the healthcare provider? (select all that apply) correct answers A. Vaginal bleeding D. Membrane rupture E. Severe headaches A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6 pound and 15 ounces. Which action should the practical nurse take? correct answers Document the weight loss Which medication is prescribed for the prevention of ophthalmia neonatorum? correct answers Erythromycin (iilotycin) A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurse implement at this time? correct answers Assess the fetal heart rate (FHR) and pattern. The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is most important for the PN to implement? correct answers Continue to massage the fundus until firm. Which client should the practical nurse (PN) closely monitor for severe after pains? correct answers A multigravida who is breastfeeding.