HESI RN Maternity Q&A Latest Verified Version 2024

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A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urtica... rial, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take? A. Auscultate the lungs for respiratory pneumonia. B. Draw blood to analyze for streptococcal infection C. Change to latex-free gloves when handling infant D. Apply zinc oxide to perineum with each diaper change - /nC. Change to latex-free gloves when handling infant 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? - /n Apply hot packs just before each feeding. A 6-month old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention should the nurse plan to implement? A. remove restraints q4h for 30 minutes and place gloves on the child's hands B. record observations of the restraints q2h and ensure that they are in place at all times C. obtain the HCP advice as to when the restraints should be removed D. remove restraints one at a time to provide ROM exercises - /nD. remove restraints one at a time to provide ROM exercises [Show More]

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