HESI MATERNAL NEWBORN PRACTICE B ASSESSMENT 100 QUESTIONS AND ANSWERS 2023-2024 UPDATE A+ GRADED

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HESI MATERNAL NEWBORN PRACTICE B ASSESSMENT 100 QUESTIONS AND ANSWERS 2023-2024 UPDATE A+ GRADED A nurse is reviewing the medical record of a client who is one day postpartum. The client had ... a vaginal birth with a 4th degree perineal laceration. The nurse should contact the provider regarding which of the ff prescriptions? a. Docusate sodium 100mg PO TID b. Sitz bath 2 to 3x/day PRN for pain c. Bisacodyl rectal suppository PRN for constipation d. Ibuprofen 600mg PO q6h PRN for pain - ANSWER>>c. Bisacodyl rectal suppository PRN for constipation R: Should not administer a rectal suppository or enema to a client who has 4th degree perineal laceration. These can cause separation of suture line, bleeding, or infection. A nurse is preparing to administer Hep B immune globulin to a newborn. The rx states, "Administer 5mcg IM qday." Available is 5mL w/ 10mcg/mL. How many mL should the nurse administer? - ANSWER>>0.5mL A nurse is teaching a client who is at 8 wks of gestation about exercise. Which of the ff instructions should the nurse include in the teaching? a. Increase weight bearing exercises as pregnancy progresses b. Lie on your back to rest for 5 mins after exercising c. Take pulse every 20mins while you are exercising d. Exercise for 30 mins each day. - ANSWER>>d. Exercise for 30 mins each day R: Engage in 30 min of moderate exercise every day to improve muscle tone throughout her pregnancy A nurse is assessing a client who is in labor and notes early decels on the fetal monitor. Which of the ff findings should the nurse identify as a possible cause of the early decels? a. prolapsed umbilical cord b. placenta previa c. fetal head compression d. maternal hypotension - ANSWER>>c. fetal head compression R: Early decels are an expected fetal pattern caused by the fetal head compression due to uterine contractions, fundal pressure, and vaginal examinations. *Prolapsed umbilical cord: variable decels *Placenta previa and maternal hypotension: late decels A nurse is caring for a client and her partner who have experience a fetal death. Which of the ff actions should the nurse take? a. Take photos of the newborn to give to the parents b. Tell parents that they can consider organ donation c. Encourage the parents to avoid allowing older children to visit them in the hospital d. Explain to the parents the need to name the newborn. - ANSWER>>a. Take photos of the newborn to give to the parents R: Parents should create a memory box that includes mementos of the newborn (photos, newborn's ID bands, hat, and blanket) A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the ff actions by the mother should the nurse recognize as a positive parenting behavior? a. lays the newborn across across her lap and gently sways. b. places newborn in the crib in a prone position c. offers the newborn a pacifier dipped in formula d. prepares bottle of formula mixed w/ rice cereals - ANSWER>>a. lays the newborn across across her lap and gently sways. R: This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of security for the newborn A nurse on an antepartum unit is caring for 4 clients. Which of the ff clients should the nurse identify as a priority? a. client who has gestational diabetes and a fasting blood glucose level of 120mg/dL b. client who is at 34 wks of gestation and reports epigastric pain c. client who is at 28 wks gestation and has an hgb of 10.4g/dL d. client who is at 39 wks gestation and reports urinary frequency and dysuria - ANSWER>>b. client who is at 34 wks of gestation and reports epigastric pain R: Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which is an urgent finding. A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the ff findings is an indication for the administration of the meds? Select all that apply. a. Flaccid uterus b. Cervical laceration c. Excess vaginal bleeding d. Increased afterbirth cramping e. Increased maternal temperature - ANSWER>>a. Flaccid uterus c. Excess vaginal bleeding R: Oxytocin increases the contractility of the uterus and also decreases vaginal bleeding A nurse is teaching a new mother about newborn safety. Which of the ff instructions should the nurse include in the teaching? a. You can share your room w/ your baby for the next few weeks b. Cover baby w/ a light blanket while sleeping c. Check temp of the baby's bath water with you hand d. Baby can nap in her car seat during the daytime. - ANSWER>>a. You can share your room w/ your baby for the next few weeks [Show More]

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