Nursing MISC OB Hesi Questions & Answers Latest 2021,100% CORRECT

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Nursing MISC OB Hesi Questions & Answers Latest 2021 1. The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease (GTD) two days ago. Which i... nformation is most important for the nurse to include in this client’s teaching plan? Oral contraceptive use for at least one year. 2. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? Betamethasone (Celestone) 12 mg deep IM. 3. The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nurse provide the client about this finding? Both the lower uterine segment and the fundus must be massaged. 4. A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a hematocrit of 25.1%. What food should the nurse encourage this client to include in her diet? Chicken. 5. The newborn nursery admission protocol includes a prescription for phytonadione (Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2 mg/ml. How many ml should the nurse administer? 0.3 6. The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum client. Based on what assessment finding should the nurse withhold the drug? Blood pressure 149/90. 7. A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not labor at this time? Contractions decrease with walking. 8. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding? The TSH is high because of the low production of T4 by the thyroid. 9. A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. What should the nurse do first? Stimulate the infant to cry. 10. At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client? Early postpartum, within 72 hours of delivery. 11. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for the nurse to obtain each time the infusion rate is increased? Contraction pattern. 12. One day after vaginal delivery of a full-term baby, a postpartum client’s white blood cell count is 15,000/mm3. What action should the nurse take first? Check the differential, since the WBC is normal for this client. 13. A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding after the IV Pitocin is infused. When notifying the healthcare provider of the client’s condition, what information is most important for the nurse to provide? Maternal blood pressure. 14. A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly? Offer information about ultrasonography and genotyping to determine sex assignment. 15. During a 26-week gestation prenatal exam, a client reports occasional dizziness and lightheadness when she is lying down. What intervention is best for the nurse to recommend to this client. Elevate the head with two pillows while sleeping. 16. The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74. What action should the nurse implement? Document the vital signs in the record. 17. A 4-day postpartum client 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? Apply hot packs just before each feeding. 18. A loading dose of terbutaline (Bretine) 250 mcg IV is prescribed for a client in preterm labor. Brethine 20 mg is added to 1000 ml D5W. How many ml of the solution should the nurse administer? (Enter numeric value only) 13 19. The mother of a 5-week-old tells the nurse that her baby has acne and asks if she can use her teenage son’s acne cream, benzoyl peroxide, on the baby’s face. Which answer should the nurse to provide? “ Your baby may be showing signs of a systemic disease and needs to be seen by a healthcare provider” 20. A 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate (FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute. What action should the nurse implement first? obtain written consent for an emergency cesarean section. 21. A laboring client’s membranes rupture spontaneously. The nurse notices that the amniotic fluid is greenish- brown. What intervention should the nurse implement first? Assess the fetal heart rate 22. A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving Ringer’s Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion pump? (Enter numeric value only) 75 23. Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid. What intervention has the greatest priority? Have a meconium aspirator available at delivery. 24. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm cervical dilatation, 60% effacement, and a -2 station. What action should the nurse implement first? Determine current cervical dilation. 25. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The baseline fetal heart rate (FHR) is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a button attached to the fetal monitor each time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. Which outcome indicates a reactive NST? Two FHR accelerations of 15 beats/minute x 15 seconds are recorded. 26. A newborn who was a breech presentation is admitted to the nursery. Which assessment procedure is a priority for the nurse to perform? Babinski’s reflex. 27. The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life? Cries vigorously when stimulated. 28. A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client’s nursing care plan? Keep airway equipment at the bedside 29. What goal is most important for the nurse to include in the plan of care for a client with gestational diabetes? Restrict carbohydrate intake. 30. A new mother is having trouble breastfeeding her newborn son. He is making frantic rooting motions and will not grasp the nipple. What intervention would be most helpful to this mother? Ask the mother to stop feeding, comfort the infant, and then assist the mother to help the baby latch on. 31. The nurse is interacting with a female client who is diagnosed with postpartum depression. Which finding should the nurse document as an objective signs of depression? (Select all that apply.) Avoids eye contact. Interacts with a flat affect. Reports feeling sad. Expresses suicidal thoughts. Has a disheveled appearance. 32. A pregnant woman with hypermesis gravidarium, what is the best nurse intervention. Administered prescribed IV solution. [Show More]

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