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OB/MATERNITY HESI EXAM 2023/2024 LATEST UPDATE 2 DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN)GUARANTEED PASS$17.99
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OB/MATERNITY HESI EXAM 2023/2024 LATEST UPDATE 2 DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN )GUARANTEED PASS A women with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? A. Describe diet changes that can im prove the management of her diabetes B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy C. Demonstrate self -administration of insulin D. Evaluate the client's ability to do glucose monitoring A. Describe diet changes that c an improve the management of her diabetes Diet modifications are effective in managing Type 2 diabetes during pregnancy, and describing the necessary diet changes is the most important intervention for the nurse to implement with this client. A healthcar e provider informs the charge nurse of a labor and delivery unit that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select all that apply) A. Dark, red vaginal ble eding B. Lower back pain C. Premature rupture of membranes D. Increased uterine irritability E. Bilateral pitting edema F. A rigid abdomen A. Dark, red vaginal bleeding D. Increased uterine irritability F. A rigid abdomen The nurse caring for a laboring client encourages her to void at least q2h, and records each time the client empties her bladder. What is the primary reason for implementing this nursing intervention? A. Emptying the bladder during delivery is difficult be cause of the position of the presenting fetal part B. An over -distended bladder could be traumatized during labor, as well as prolong the progress of labor C. Urine specimens for glucose and protein must be obtained at certain intervals throughout labor D. Frequent voiding minimizes the need for catheterization which increases the chance of bladder infection B. An over -distended bladder could be traumatized during labor, as well as prolong the progress of labor A full bladder can impair the efficiency of the uterine contractions and impede descent of the fetus during labor. Also, because of the close proximity of the bladder to the uterus, the bladder can be traumatized by the descent of the fetus. The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform? A. Elicit a positive scarf sign on the affected side B. Observe for an asymmetrical Moro (startle) reflex C. Watch for swelling of fingers on the affected side D. Note paralysis of affected extremity and muscles B. Observe for an asymmetrical Moro (startle) reflex The most common neonatal birth trauma due to a vaginal delivery is fracture of the clavicle. Although an infant may be asymptomatic, a fractured clav icle should be suspected if an infant has limited use of the affected arm, malposition of the arm, an asymmetric Moro reflex, crepitus over the clavicle, focal swelling or tenderness, or cries when the arm is moved. A 30 -year-old gravida 2, para 1 client i s admitted to the hospital at 26 -weeks gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of this drug? A. Materna blood pressu re and respirations B. Maternal and fetal heart rates C. Hourly urinary output D. Deep tendon relfexes B. Maternal and fetal heart rates Monitoring maternal and fetal heart rates is most important when terbutaline is being administered. Terbutaline acts a s a sympathomimetic agent that stimulates both beta 1 receptors (causing tachycardia, a side effect of the drug) and stimulation of beta 2 receptors (causing uterine relaxation, a desired effect of the drug). A 26 -year-old, gravida 2, para 1 client is admi tted to the hospital at 28 -weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate? A. Dr owsiness and bradycardia B. Depressed reflexes and increased respirations C. Tachycardia and a feeling of nervousness D. A flushed, warm feeling and a dry mouth C. Tachycardia and a feeling of nervousness Terbutaline sulfate (Brethine), a beta -sympathomi metic drug, stimulates beta -adrenergic receptors in the uterine muscle to stop contractions. The beta -adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of "nervousness". A newbo rn, whose mother is HIV positive, is scheduled for follow -up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is A. shortness of breath B. joint pain C. a persistent cold D. organomegaly C. a persistent cold Respiratory tract infections commonly occur in the pediatric population. However, the child with AIDS has a decreased ability to defend the body against these infections and often the presenting symptom of a child with AIDS is a persistent cold. A wo man who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response appropriate? A. "A home pregnancy test can be used right after your missed period." B. "These tests are most accurate after you have missed your second period." C. "Home pregnancy tests often give false positives and should not be trusted." D. "The test can provide accurate information when used right after ovulation." A. "A home pregnancy test can be used r ight after your missed period." Twenty minutes after a con tinuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action will the nurse take? A. Notify the healthcare provider or anesthesiologist immediately B. Continue to assess the blood pressure q5 minut es
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