Maternity HESI 2023 Quizlet

Maternity HESI 2023 Quizlet Related

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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?

  • A. Alert the neonatal team and prepare for neonatal resuscitation
  • B. Notify the healthcare provider from the client's bedside
  • C. Obtain written consent for an emergency cesarean section
  • D. Draw a blood sample for stat hemoglobin and hematocrit
Correct Answer: B

Rationale: In this scenario, the priority action for the nurse is to notify the healthcare provider from the client's bedside. The clinical presentation of severe abdominal pain, bright red vaginal bleeding, rigid and tender abdomen, along with fetal bradycardia (FHR 90 bpm) and maternal tachycardia (120 bpm) indicates an urgent need for medical intervention. Notifying the healthcare provider promptly allows for immediate assessment and decision-making to address the critical condition and ensure timely and appropriate management for both the mother and fetus.

You may also like to solve these questions

The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, notes that the FOC has increased by 5 cm since birth, and observes that the child's head appears large in relation to body size. Which action is most important for the nurse to take next?

  • A. Measure the infant's head-to-heel length
  • B. Observe the infant for sunsetting eyes
  • C. Palpate the anterior fontanel for tension and bulging
  • D. Plot the measurement on the infant's growth chart
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil® Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the neonate's formula to Similac® Soy Isomil® Formula, a soy protein isolate-based infant formula. What information should the LPN/LVN provide to the mother about the newly prescribed formula?

  • A. The new formula is a coconut milk formula used with babies with impaired fat absorption.
  • B. Enfamil® Formula is a demineralized whey formula that is needed with diarrhea.
  • C. The new formula is a casein protein source that is low in phenylalanine.
  • D. Similac® Soy Isomil® Formula is a soy-based formula that contains sucrose.
Correct Answer: D

Rationale: The LPN/LVN should inform the mother that Similac® Soy Isomil® Formula is a soy-based formula containing sucrose. This formula is suitable for infants with cow's milk protein allergy or intolerance, which may be the reason for the newborn spitting up large amounts of the previous cow's milk formula.

Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client?

  • A. The client's readiness to learn.
  • B. The client's educational background.
  • C. The order in which the information is presented.
  • D. The extent to which the pregnancy was planned.
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A one-day-old neonate develops a cephalohematoma. The nurse should closely assess this neonate for which common complication?

  • A. Jaundice.
  • B. Poor feeding.
  • C. Brain injury.
  • D. Hypoglycemia.
Correct Answer: A

Rationale: A cephalohematoma is a collection of blood between the skull and the periosteum. As the blood breaks down, there is an increased risk of jaundice due to the release of bilirubin from the breakdown of red blood cells. Jaundice is a common complication associated with cephalohematoma in neonates. Therefore, the nurse should closely monitor the neonate for signs of jaundice and manage it accordingly.

When teaching a gravid client how to perform kick (fetal movement) counts, which instruction should the nurse include?

  • A. If 10 kicks are not felt within one hour, drink orange juice and count for another hour.
  • B. Count the movements once daily, for one hour, before breakfast.
  • C. Avoid caffeinated drinks for 24 hours before conducting the kick test.
  • D. Exercise for 15 minutes before starting the counting to help increase fetal movement.
Correct Answer: A

Rationale: When teaching a gravid client about kick (fetal movement) counts, the nurse should instruct them that if 10 kicks are not felt within one hour, they should drink orange juice and continue counting for another hour. This instruction is crucial as a drop in fetal movements could indicate potential issues with fetal well-being, and taking action such as rechecking after food intake is recommended to monitor the situation closely.

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