OB Maternity HESI FINAL 2023-2024 Test Bank |Questions With Complete Solution + Rationale

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OB Maternity HESI FINAL 2023-2024 Test Bank A client with severe preeclampsia is admitted to the maternity department. Which room assignment would be most appropriate for this client? A. A priva... te room across from the elevator B. A semiprivate room across from the nurses' station C. A private room two doors away from the nurses' station D. A semiprivate room with another client who enjoys watching television The nurse provided discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate that further teaching is necessary? A. "I'll check his temperature." B. "I'll give him medication so he'll be comfortable." C. "I'll check his voiding to be sure there's no problem." D. "I'll let him decide when to return to his play activities." Cryptorchidism is a condition in which one or both testes fail to descend through the inguinal canal into the scrotal sac. Surgical correction may be necessary. All vigorous activities should be restricted for 2 weeks after surgery to promote healing and prevent injury. This prevents dislodging of the suture, which is internal. Normally, 2-year-olds want to be active; allowing the child to decide when to return to his play activities may prevent healing and cause injury. The parents should be taught to monitor the temperature, provide analgesics as needed, and monitor the urine output. The nurse caring for a client with a diagnosis of subinvolution should understand that which is a primary cause of this diagnosis? A. Afterpains B. Increased estrogen levels C. Increased progesterone levels D. Retained placental fragments from delivery Retained placental fragments and infections are the primary causes of subinvolution. When either of these processes is present, the uterus has difficulty contracting. The presence of afterpains is an expected finding following delivery. Options 2 and 3 are not causes of subinvolution The nurse has provided instructions about measures to clean the penis to a mother of a male newborn who is not circumcised. Which statement, if made by the mother, indicates an understanding of how to clean the newborn's penis? A. "I should retract the foreskin and clean the penis every time I change the diaper." B. "I need to retract the foreskin and clean the penis every time I give my infant a bath." C. "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." D. "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning." In male newborn infants, the prepuce is continuous with the epidermis of the glans and is not retractable. If retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation to occur naturally, which usually occurs between 3 years and puberty. Most foreskins are retractable by 3 years of age and should be pushed back gently at this time for cleaning. Options that identify actions that address retraction of the foreskin are therefore incorrect. The nurse in the newborn nursery is preparing to complete an initial assessment on a newborn infant who was just admitted to the nursery. The nurse should place a warm blanket on the examining table to prevent heat loss in the infant caused by which method? A. Radiation B. Convection C. Conduction D. Evaporation Heat loss occurs by four different mechanisms. In conduction, heat loss occurs when the infant is on a cold surface, such as a table. Radiation occurs when heat from the body surface radiates to the surrounding environment. In convection, air moving across the infant's skin transfers heat to the air. Evaporation of moisture from a wet body surface dissipates heat along with the moisture. The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction? A. Variability B. Accelerations C. Early decelerations D. Variable decelerations Variable decelerations occur if the umbilical cord becomes compressed, reducing blood flow between the placenta and the fetus. Variability refers to fluctuations in the baseline fetal heart rate. Accelerations are a reassuring sign and usually occur with fetal movement. Early decelerations result from pressure on the fetal head during a contraction. The health care provider prescribes patching for a child with strabismus of the right eye, and the nurse instructs the mother regarding this procedure. What should the nurse include in the instructions? A. Place the patch on both eyes. B. Place the patch on the left eye. C. Place the patch on the right eye. D. Alternate the patch from the right to the left eye hourly. Patching may be used in the treatment of strabismus ( AKA lazy eye) to strengthen the weak eye. In this treatment, the better functioning eye is patched. This encourages the child to use the weaker eye. It is most successful when done during the preschool years. The schedule for patching is individualized and is prescribed by the ophthalmologist. [Show More]

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