OB HESI practice 2024

A multiparous client has been in labor for 8 hours when her membranes rupture. Which action should the nurse implement first? Prepare the client for imminent birth. Assess the fetal heart rate and pattern. Document the characteristics of the fluid. Notify the client's primary healthcare provider. - answer-Assess the fetal heart rate and pattern. A primigravida at 37 weeks gestation tells the nurse that her "bag of water" has broken. While inspecting the client's perineum, the nurse notes the umbilical cord protruding from the vagina. Which action should the nurse implement first? Administer 10 L of oxygen via face mask. Give the healthcare provider a status report. Place the client in the knee-chest position. Wrap the cord with gauze soaked in saline. - answer-Place the client in the knee-chest position. The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurse take? Ask the mother why she won't look at the infant. Observe the mother for other bonding behaviors. Examine the newborn's eyes for the ability to focus. Recognize this as a common reaction in new mothers. - answer-Observe the mother for other bonding behaviors. A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathroom every five minutes." Which explanation should the nurse provide to this client? The client may have a bladder or kidney infection. Bladder capacity increases during pregnancy. During pregnancy, a woman is especially sensitive to body functions. The growing uterus is putting pressure on the bladder. - answer-The growing uterus is putting pressure on the bladder. Which nursing action should be implemented when intermittently gavage-feeding a preterm infant? Allow the formula to flow by gravity. Avoid letting the infant suck on the tube. Insert feeding tube through nares. Apply steady pressure to the syringe. - answer-Allow the formula to flow by gravity. A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner. How should the nurse respond to the client?