OB HESI V2
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 - ANScheese 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 - ANScalcium gluconate
The 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 - ANSdecreased 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 - ANSmeconium in amniotic fluid and dr should be notified
immediately
pt on magnesium sulfide, what base line assessment is needed - ANSrepsiration rate
LOC is also affected but do not need a baseline
hydatidiform mole - ANScauses extra large utereus
lepolds maneuver on patient with placental previa expects - ANShigh floating, presenting part
A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal
heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are
observed on the monitoring strip. What does the nurse suspect as the cause of this change?
1Fetal acidosis
2Prolapsed cord
3Head compression
4uteroplacental insufficiency - ANSprolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord compression,
which can result in fetal hypoxia. Immediate intervention is required. Fetal acidosis occurs with
uteroplacental insufficiency, not in response to a prolapsed cord. Early decelerations are
associated with head compression and are benign. Late decelerations and tachycardia are
associated with uteroplacental insufficiency, not a prolapsed cord.
heart burn while pregnant - ANSdon't take antacids with sodium
A 36-year-old woman comes to the emergency department complaining of severe abdominal
cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical
examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of
miscarriage is the client experiencing?
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 - ANScheese 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 - ANScalcium gluconate
The 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 - ANSdecreased 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 - ANSmeconium in amniotic fluid and dr should be notified
immediately
pt on magnesium sulfide, what base line assessment is needed - ANSrepsiration rate
LOC is also affected but do not need a baseline
hydatidiform mole - ANScauses extra large utereus
lepolds maneuver on patient with placental previa expects - ANShigh floating, presenting part
A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal
heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are
observed on the monitoring strip. What does the nurse suspect as the cause of this change?
1Fetal acidosis
2Prolapsed cord
3Head compression
4uteroplacental insufficiency - ANSprolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord compression,
which can result in fetal hypoxia. Immediate intervention is required. Fetal acidosis occurs with
uteroplacental insufficiency, not in response to a prolapsed cord. Early decelerations are
associated with head compression and are benign. Late decelerations and tachycardia are
associated with uteroplacental insufficiency, not a prolapsed cord.
heart burn while pregnant - ANSdon't take antacids with sodium
A 36-year-old woman comes to the emergency department complaining of severe abdominal
cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical
examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of
miscarriage is the client experiencing?
