HESI Maternity OB exam #1 2024

HESI Maternity OB exam #1 2024 When explaining "postpartum blues" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select all that apply) A. Mood swings B. Panic attacks C. Tearfulness D. Decreased need for sleep E. Disinterest in the infant Correct Answers: A,C "Postpartum blues" is a common emotional response related to the rapid decrease in placental hormones after delivery and include mood swings, teaefulness, feeling low, emotional, and fatigued. B,D, and E indicate "Postpartum Depression" One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2 mg IM x 1. Which action should the nurse take immediately? A. Give the medication as prescribed and monitor for efficacy B. Encourage the client to breastfeed rather than bottle feed C. Have the client empty her bladder and massage her fundus D. Call the HP to question the prescription Correct Answer: D Methergine is contraindicated for clients with elevated BP, so the nurse should contact the HP and question the prescription. The nurse should encourage the laboring patient to begin pushing when A. there is only an anterior or posterior lip of cervix left B. the client describes the need to have a BM C. the cervix is completely dilated C. the cervix is completely effaced Correct Answer: C Pushing begins with the second stage of labor (i.e. when the cervix is completely dilated at 10 cm). Pushing before this point could case the cervix to become edematous = operative delivery.