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Exam (elaborations)

OB HESI V2 (already graded A+) 2024/2025
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  • OB Maternity HESI EXIT 2024

OB HESI V2 (already graded A+) 2024/2025

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Document information

  • April 15, 2024
  • 7
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ob maternity hesi exit 2024
  • during the postpartum period a client tells a nurs
  • 1oxygen 2naloxone 3calcium gluconate 4suction
  • a client arrives at the clinic in preterm labor a

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  • OB Maternity HESI EXIT 2024
  • OB Maternity HESI EXIT 2024

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OB HESI V2

During the postpartum period a client tells a nurse that she has been having leg cramps. Which
foods should the nurse encourage the client to eat?

1
Liver and raisins

Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals - ANScheese and broccoli

need calcium

A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the
nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity?

1Oxygen

2Naloxone

3Calcium gluconate

4Suction equipment - ANScalcium gluconate

The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the action of
magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction
equipment may be necessary if the client has excessive secretions after a seizure. The priority
intervention is trying to prevent a seizure.

A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is prescribed. For what
therapeutic effect should the nurse monitor the client?

1increased blood pressure and pulse

2Reduction of pain in the perineal area

3Gradual cervical dilation as labor progresses

, 4Decreased frequency and duration of contractions - ANSdecreased frequency and duration of
contractions

Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the uterus to
reduce contractility, which in turn inhibits dilation and the frequency and duration of contractions.
Although terbutaline may increase blood pressure and pulse, this is a side, not a therapeutic,
effect requiring frequent assessments. Terbutaline is not an analgesic. It should stop cervical
dilation rather than increase it.

greenish amniotic fluid indicates - ANSmeconium in amniotic fluid and dr should be notified
immediately

pt on magnesium sulfide, what base line assessment is needed - ANSrepsiration rate

LOC is also affected but do not need a baseline

hydatidiform mole - ANScauses extra large utereus

lepolds maneuver on patient with placental previa expects - ANShigh floating, presenting part

A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal
heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are
observed on the monitoring strip. What does the nurse suspect as the cause of this change?

1Fetal acidosis

2Prolapsed cord

3Head compression

4uteroplacental insufficiency - ANSprolapsed cord

This variable pattern with bradycardia is an ominous sign; it is indicative of cord compression,
which can result in fetal hypoxia. Immediate intervention is required. Fetal acidosis occurs with
uteroplacental insufficiency, not in response to a prolapsed cord. Early decelerations are
associated with head compression and are benign. Late decelerations and tachycardia are
associated with uteroplacental insufficiency, not a prolapsed cord.

heart burn while pregnant - ANSdon't take antacids with sodium

A 36-year-old woman comes to the emergency department complaining of severe abdominal
cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical
examination reveals heavy bleeding; the cervical os is open and tissue is present. Which type of
miscarriage is the client experiencing?

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