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blank test - 2022HESIOBMATERNITYV2.2022 HESI OB/MATERNITY V 2 c) Discontinue the medication only after the analgesia is
completely absorbed.
1. The nurse is caring for a client who had an emergency cesarean d) Return the unused portion of medication to the narcotics
section, with her husband in attendance the day before. The baby’s cabinet.
Apgar was 9/9. The woman and her partner had attended childbirth
education classes and had anticipated having a water birth with family
present. Which of the following comments by the nurse is
appropriate?
a) “Sometimes babies just don’t deliver the way we expect
them to.”
b) “With all of your preparations, it must have been
disappointing for you to have had a cesarean.”
c) “I know you had to have surgery, but you are very lucky
that your baby was born healthy.”
d) “At least your husband was able to be with you when the baby
was born.”
2. A nurse has brought a 2-hour-old baby to a mother from the
nursery. The nurse is going to assist the mother with the first
breastfeeding experience. Which of the following actions should the
nurse perform first?
a) Compare mother’s and baby’s identification bracelets.
b) Help the mother into a comfortable position.
c) Teach the mother about a proper breast latch.
d) Tickle the baby’s lips with the mother’s nipple.
3. The obstetrician has ordered that a post-op cesarean section
client’s patient-controlled analgesia (PCA) be discontinued. Which of
the following actions by the nurse is appropriate?
a) Discard the remaining medication in the presence of another
nurse.
b) Recommend waiting until her pain level is zero to discontinue
the medicine.
,blank test - 2022HESIOBMATERNITYV2.
the medicine.
d) The woman’s newborn may become addicted to
4. A client is receiving an epidural infusion of a narcotic for pain the medication.
relief after a cesarean section. The nurse would report to the
anesthesiologist if which of the following were assessed?
a) Respiratory rate 8 rpm.
b) Complaint of thirst.
c) Urinary output of 250 cc/hr.
d) Numbness of feet and ankles.
5. A client, 2 days postoperative from a cesarean section, complains
to the nurse that she has yet to have a bowel movement since the
surgery. Which of the following responses by the nurse would be
appropriate at this time?
a) “That is very concerning. I will request that your
physician order an enema for you.”
b) “Two days is not that bad. Some patients go four days or
longer without a movement.”
c) “You have been taking antibiotics through your
intravenous. That is probably why you are constipated.”
d) “Fluids and exercise often help to combat constipation. Take
a stroll around the unit and drink lots of fluid.”
6. A post–cesarean section, breastfeeding client, whose subjective
pain level is 2/5, requests her as needed (prn) narcotic analgesics
every 3 hours. She states, “I have decided to make sure that I feel as
little pain from this experience as possible.” Which of the following
should the nurse conclude in relation to this woman’s behavior?
a) The woman needs a stronger narcotic order.
b) The woman is high risk for severe constipation.
c) The woman’s breast milk volume may drop while taking
, blank test - 2022HESIOBMATERNITYV2.
7. A nurse is assessing a 1-day postpartum woman who had her baby a) Assist with stitch removal on third postpartum day.
by cesarean section. Which of the following should the nurse report b) Administer analgesics every four hours per doctor orders.
to the surgeon? c) Teach client to contract her buttocks before sitting.
a) Fundus at the umbilicus.
b) Nodular breasts.
c) Pulse rate 60 bpm.
d) Pad saturation every 30 minutes.
8. The nurse is assessing the midline episiotomy on a postpartum
client. Which of the following findings should the nurse expect to
see?
a) Moderate serosanguinous drainage.
b) Well-approximated edges.
c) Ecchymotic area distal to the episiotomy.
d) An area of redness adjacent to the incision.
9. A client, G1P1, who had an epidural, has just delivered a daughter,
Apgar 9/9, over a mediolateral episiotomy. The physician used low
forceps. While recovering, the client states, “I’m a failure. I couldn’t
stand the pain and couldn’t even push my baby out by myself!”
Which of the following is the best response for the nurse to make?
a) “You’ll feel better later after you have had a chance to rest
and to eat.”
b) “Don’t say that. There are many women who would be
ecstatic to have that baby.”
c) “I am sure that you will have another baby. I bet that it will
be a natural delivery.”
d) “To have things work out differently than you had planned
is disappointing.”
10. The nurse is developing a standard care plan for postpartum clients
who have had midline episiotomies. Which of the following
interventions should be included in the plan?
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