At 14 weeks gestation, a clientC. increase the rate of IV fluids arrives at the EC complaining of a dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a sho...
a clientc increase the rate of iv fluids arrives at the ec complaining of a dull pain in the right lower quadrant of her abdomen the nurse obtains a blood sample and initiates
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OB HESI 2021
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OB HESI 2021
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Terms in this set (110)
At 14 weeks gestation, a clientC. increase the rate of IV fluids
arrives at the EC complaining of a dull pain in the right lower quadrant of
her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty
minutes after admission, the client reports feeling a sharp abdominal
pain and a shoulder pain. Assessment findings include diaphoresis, a
heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
check the hematocrit results
administer pain medication
increase the rate of IV fluids D. monitor
client for contractions
OB HESI 2021
,1) During a prenatal visit, theB. lower birth weights nurse
discusses with a client the effects of smoking on the fetus.
When compared with nonsmokers, mothers who smoke
during pregnancy tend to produce infants who have
lower Apgar scores.
lower birth weights.
respiratory distress.
a higher rate of congenitalanomalies.
1) Which action should theA. Have the client empty her bladder nurse
implement when preparing to measure the fundal height of a pregnant client?
Have the client empty herbladder.
Request the client lie on herleft side.
Perform Leopold'smaneuvers first.
Give the client some coldjuice to drink.
OB HESI 2021
, 1) The nurse identifies crepitusB. Observe for an asymmetrical Moro (startle) reflex) when
examining the chest of a newborn who was delivered vaginally. Which further assessment should
the nurse perform?
Elicit a positive scarf sign onthe affected
side.
Observe for an asymmetricalMoro
(startle) reflex.
Watch for swelling of fingerson the
affected side.
Note paralysis of affectedextremity and
muscles.
OB HESI 2021
, 1) One hour after giving birth toD. Call the healthcare provider to question the an 8-pound
infant, a client'sprescription
lochia rubra has increased from small to
large and her fundus is boggy despite
massage. The client's pulse is 84
beats/minute and blood pressure is
156/96. The healthcare provider
prescribes Methergine 0.2 mg IM Å~ 1.
What action should the nurse take
immediately?
Give the medication asprescribed and
monitor for efficacy.
Encourage the client tobreastfeed
rather than bottle feed.
Have the client empty herbladder and
massage the fundus.
Call the healthcare providerto question
the prescription.
OB HESI 2021
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