OB HESI V2 EXAM WITH COMPLETE
SOLUTIONS
During rthe rpostpartum rperiod ra rclient rtells ra rnurse rthat rshe rhas rbeen rhaving rleg
rcramps. rWhich rfoods rshould rthe rnurse rencourage rthe rclient rto reat?
1
Liver rand rraisins
r
Cheese rand rbroccoli
3
Eggs rand rlean rmeats
4
Whole-wheat rbreads rand rcereals r- rcorrect ranswers r-cheese rand rbroccoli
need rcalcium
A rpregnant rclient rwith rsevere rpreeclampsia ris rreceiving rIV rmagnesium rsulfate.
rWhat rshould rthe rnurse rkeep rat rthe rbedside rto rprepare rfor rthe rpossibility rof
rmagnesium rsulfate rtoxicity?
, 1Oxygen
2Naloxone
r
3Calcium rgluconate
4Suction requipment r- rcorrect ranswers r-calcium rgluconate
The rantagonist rof rmagnesium rsulfate ris rcalcium rgluconate. rOxygen ris rineffective rif
rthe raction rof rmagnesium ris rnot rreversed. rNaloxone ris runnecessary; rit ris ran ropioid
rantagonist. rSuction requipment rmay rbe rnecessary rif rthe rclient rhas rexcessive
rsecretions rafter ra rseizure. rThe rpriority rintervention ris rtrying rto rprevent ra rseizure.
A rclient rarrives rat rthe rclinic rin rpreterm rlabor, rand rterbutaline r(Brethine) ris
rprescribed. rFor rwhat rtherapeutic reffect rshould rthe rnurse rmonitor rthe rclient?
1increased rblood rpressure rand rpulse
2Reduction rof rpain rin rthe rperineal rarea
3Gradual rcervical rdilation ras rlabor rprogresses
r
4Decreased rfrequency rand rduration rof rcontractions r- rcorrect ranswers r-decreased
rfrequency rand rduration rof rcontractions
Terbutaline rsulfate r(Brethine) ris ra rβ-mimetic rthat racts ron rthe rsmooth rmuscles rof
rthe ruterus rto rreduce rcontractility, rwhich rin rturn rinhibits rdilation rand rthe rfrequency
rand rduration rof rcontractions. rAlthough rterbutaline rmay rincrease rblood rpressure rand
rpulse, rthis ris ra rside, rnot ra rtherapeutic, reffect rrequiring rfrequent rassessments.
rTerbutaline ris rnot ran ranalgesic. rIt rshould rstop rcervical rdilation rrather rthan rincrease
rit.
greenish ramniotic rfluid rindicates r- rcorrect ranswers r-meconium rin ramniotic rfluid rand
rdr rshould rbe rnotified rimmediately
pt ron rmagnesium rsulfide, rwhat rbase rline rassessment ris rneeded r- rcorrect ranswers r-
repsiration rrate
LOC ris ralso raffected rbut rdo rnot rneed ra rbaseline
hydatidiform rmole r- rcorrect ranswers r-causes rextra rlarge rutereus
lepolds rmaneuver ron rpatient rwith rplacental rprevia rexpects r- rcorrect ranswers r-high
rfloating, rpresenting rpart
SOLUTIONS
During rthe rpostpartum rperiod ra rclient rtells ra rnurse rthat rshe rhas rbeen rhaving rleg
rcramps. rWhich rfoods rshould rthe rnurse rencourage rthe rclient rto reat?
1
Liver rand rraisins
r
Cheese rand rbroccoli
3
Eggs rand rlean rmeats
4
Whole-wheat rbreads rand rcereals r- rcorrect ranswers r-cheese rand rbroccoli
need rcalcium
A rpregnant rclient rwith rsevere rpreeclampsia ris rreceiving rIV rmagnesium rsulfate.
rWhat rshould rthe rnurse rkeep rat rthe rbedside rto rprepare rfor rthe rpossibility rof
rmagnesium rsulfate rtoxicity?
, 1Oxygen
2Naloxone
r
3Calcium rgluconate
4Suction requipment r- rcorrect ranswers r-calcium rgluconate
The rantagonist rof rmagnesium rsulfate ris rcalcium rgluconate. rOxygen ris rineffective rif
rthe raction rof rmagnesium ris rnot rreversed. rNaloxone ris runnecessary; rit ris ran ropioid
rantagonist. rSuction requipment rmay rbe rnecessary rif rthe rclient rhas rexcessive
rsecretions rafter ra rseizure. rThe rpriority rintervention ris rtrying rto rprevent ra rseizure.
A rclient rarrives rat rthe rclinic rin rpreterm rlabor, rand rterbutaline r(Brethine) ris
rprescribed. rFor rwhat rtherapeutic reffect rshould rthe rnurse rmonitor rthe rclient?
1increased rblood rpressure rand rpulse
2Reduction rof rpain rin rthe rperineal rarea
3Gradual rcervical rdilation ras rlabor rprogresses
r
4Decreased rfrequency rand rduration rof rcontractions r- rcorrect ranswers r-decreased
rfrequency rand rduration rof rcontractions
Terbutaline rsulfate r(Brethine) ris ra rβ-mimetic rthat racts ron rthe rsmooth rmuscles rof
rthe ruterus rto rreduce rcontractility, rwhich rin rturn rinhibits rdilation rand rthe rfrequency
rand rduration rof rcontractions. rAlthough rterbutaline rmay rincrease rblood rpressure rand
rpulse, rthis ris ra rside, rnot ra rtherapeutic, reffect rrequiring rfrequent rassessments.
rTerbutaline ris rnot ran ranalgesic. rIt rshould rstop rcervical rdilation rrather rthan rincrease
rit.
greenish ramniotic rfluid rindicates r- rcorrect ranswers r-meconium rin ramniotic rfluid rand
rdr rshould rbe rnotified rimmediately
pt ron rmagnesium rsulfide, rwhat rbase rline rassessment ris rneeded r- rcorrect ranswers r-
repsiration rrate
LOC ris ralso raffected rbut rdo rnot rneed ra rbaseline
hydatidiform rmole r- rcorrect ranswers r-causes rextra rlarge rutereus
lepolds rmaneuver ron rpatient rwith rplacental rprevia rexpects r- rcorrect ranswers r-high
rfloating, rpresenting rpart