HESI OB PRACTICE EXAM/ Latest 2022/Q&A

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At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding r... equires immediate intervention? -uterine cramping -abdominal tenderness -systolic bp <100 mmHg -intermittent nausea (ANS- A. Uterine cramping A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathroom every five minutes." Which explanation should the nurse provide to this client? -the client may have a bladder or kidney infection -bladder capacity increases during pregnancy -during pregnancy a woman is especially sensitive to body functions -the growing uterus is putting pressure on the bladder (ANS- D. The growing uterus is putting pressure on the bladder. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based on these findings, which action should the nurse take first? -check the infant's ABGs -notify the pediatrician of the infants VS -assess the infant's blood glucose level -encourage the infant to take the breast or sugar water (ANS- C. Assess the infant's blood glucose level An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority nursing intervention? -evaluate the blood pH -begin humidified oxygen via hood -stimulate infant crying -place the infant under a radiant warmer (ANS- B. Begin humidified oxygen via hood When assessing a newborn infant's heart rate, which technique is most important for the nurse to use? -quiet the infant before counting the HR -listen at the apex of the heart -count the HR for at least one full minute -palpate the umbilical cord (ANS- C. Count the heart rate for at least one full minute The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to make? -inform the mother that the injection was prescribed by the HCP -explore the mother's concerns about the infant receiving an injection of vitamin K -explain that vitamin K is required by state law and compliance is mandatory -remind the mother that all babies receive this shot and it is relatively painless (ANS- B. Explore the mother's concerns about the infant receiving an injection of vitamin K The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? -avoid alcohol bc it is excreted in breast milk -avoid spicy foods to prevent infant colic -increase caloric intake by approx. 500 calories/day -double prenatal milk intake to improve vitamin D transfer to the infant (ANS- A. Avoid alcohol because it is excreted in breast milk [Show More]

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