RN HESI Maternity Save
Terms in this set (129)
,A 3-month-old with C. Change to latex-free gloves when handling infant
myelomeningocele and
atonic bladder is
catheterized every 4
hours to prevent urinary
retention. The home
health nurse notes that
the child has developed
episodes of sneezing,
urticaria, watery eyes, and
a rash in the diaper area.
What action is most
important for the nurse to
take?
A. Auscultate the lungs for
respiratory pneumonia.
B. Draw blood to analyze
for streptococcal
infection
C. Change to latex-free
gloves when handling
infant
D. Apply zinc oxide to
perineum with each
diaper change
,d ape c a ge
A 4-day postpartum client Apply hot packs just before each feeding.
calls the clinic and
reports that her nipples
are so sore that she does
not know if she can
continue to breastfeed
her infant. What
instruction is best for the
nurse to provide?
, A 6-month old child who D. remove restraints one at a time to provide ROM
had a cleft-lip repair has exercises
elbow restraints in place.
What nursing intervention
should the nurse plan to
implement?
A. remove restraints q4h
for 30 minutes and place
gloves on the child's
hands
B. record observations of
the restraints q2h and
ensure that they are in
place at all times
C. obtain the HCP advice
as to when the restraints
should be removed
D. remove restraints one
at a time to provide ROM
exercises
Terms in this set (129)
,A 3-month-old with C. Change to latex-free gloves when handling infant
myelomeningocele and
atonic bladder is
catheterized every 4
hours to prevent urinary
retention. The home
health nurse notes that
the child has developed
episodes of sneezing,
urticaria, watery eyes, and
a rash in the diaper area.
What action is most
important for the nurse to
take?
A. Auscultate the lungs for
respiratory pneumonia.
B. Draw blood to analyze
for streptococcal
infection
C. Change to latex-free
gloves when handling
infant
D. Apply zinc oxide to
perineum with each
diaper change
,d ape c a ge
A 4-day postpartum client Apply hot packs just before each feeding.
calls the clinic and
reports that her nipples
are so sore that she does
not know if she can
continue to breastfeed
her infant. What
instruction is best for the
nurse to provide?
, A 6-month old child who D. remove restraints one at a time to provide ROM
had a cleft-lip repair has exercises
elbow restraints in place.
What nursing intervention
should the nurse plan to
implement?
A. remove restraints q4h
for 30 minutes and place
gloves on the child's
hands
B. record observations of
the restraints q2h and
ensure that they are in
place at all times
C. obtain the HCP advice
as to when the restraints
should be removed
D. remove restraints one
at a time to provide ROM
exercises
