OB Hesi 2022 Flashcards

The father of a 3 day old infant who is breastfeeding calls the postpartum help line to report that his wife is acting strangely she is irritable cannot cope with the baby and frequent cries for no apparent reason which information is most important for the nurse to provide this father

A client at 38 weeks gestation presents to the labor and delivery unit in active labor based on which assessment finding should the nurse notify the surgery team to prepare for a primary caesaren section

The nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago the nurse oserves the infants respiratory rate is 72 breaths minute with nasal flaring grunting and retractions the nurse should recognize these findings indicate which complications

A newborn with a respiratory rate of 40 breaths minute at one minute after birth is demonstrating cyanosis of the hands and feet what action should the nurse take

The nurse is providing anticipatory guidance for an African- American who is at 24 weeks gestastion which prenatal laboratory assessment prescribed at28 weeks should the nurse include in the client teaching

A client at 31 weeks gestastion with a fundal height measurement of 25cm is scheduled for a series of ultrasounds to be performed every two weeks which explanation should the nurse provide to the client for the ultrasound

A term multigravida who is recieving oxytocin for labor augmentation is requesting pain medication review the of the clients records indicates that she was medicated 30 mins ago with butorphanol tartrate 2 mg and promethazine 25 mg IV push vaginal examination reveals that the clients cervical dilation is 3cm 70% effaced and at a 0 station which action should the nurse implement

The nurse is preparing to administer methylergonovine maleate to a postpartum client based on which assessment finding should the nurse withhold the drug

The nurse recieves change of shift report for four newborns the nurse should monitor closely which newborn for an increased risk for developing neonatal sepsis

A new mother asks the nurse why her infant son has a needle mark on his leg which response is best for the nurse to provide this mother

during a routine prenatal visit a client at 32 weeks gestastion complains that urinary frequency has increased during the day as well as at night the nurse determines the client is having irregular uterine contactions what action should the nurse implement

In assessing a 1 - day old male newborn the nurse observes that the scrotal sac is large swollen smooth and taut what assessment technique should the nurse perform to determine if the newborn has a hydrocele

the nurse is reviewing the genetic test report for a pregnant client with a history of several spontaneous abortions the results show the client has a heterozygous x- linked dominant inheritance disorder how should the nurse explain the results to the client

a primigravida client who is 33 weeks gestastion presents to the labor and delivery unit with complaints of a headache the initial assessment findings include blood pressure 144/96 mmHg facial edema and 3+ pitting edema in lower extremities which assessment should the nurse perform next

a multiparous woman who us 2 months postpartum reports not feeling like herself not wanting to care for her children and not desiring to sleep all the time how should the nurse respond

A client with a history of substance abuse is attempting to breastfeed at 24- hours postpartum the nurse observes the infant is irritable with a high pitched cry exhibits nasal stuffiness and is having trouble latching which toxicology screening result would indicate these infant behaviors

a postpartum client who is Rh- negative refuses to recieve Rho(D) immune globulin after delivery of an infant who is Rh- positive which information should the nurse provide this client

a client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control findings of the last vaginal exam performed 1 hour ago were 3cm cervical dilation 60% effacement and a -2 station which action should the nurse implement

a one week old full term infant is readmitted to the newborn nursery for hyperbilirubinemia which supplies should the nurse gather in preparation for this infants treatment plan

An oxytocin induction was started for a gravid client 6 hours ago when assessing the fetal heart rate on the electronic fetal monitor the nurse notes a U - shaped pattern occuring with the peak of the contraction which intervention should the nurse implement first

a client who is 12 weeks pregnant has type 1 diabetes mellitus which instruction should the nurse provide related to to insulin dosages

A client at 40 weeks gestastion recieves an anticholinergic atropine 0.4mg IM as an adjunct to inhalation anesthesia for a scheduled cesarean delivery which finding should the nurse identify as a therapeutic response to the injection

the nurse is caring for a client following an emergency cesarean delivery under general anesthesia which assessment finding occurring in the first 8 hours after delivery is most critical and requires immediate intervention

a client at 32 weeks gestastions presents with extreme abdominal tenderness and a small amount of bright red vaginal bleeding her blood pressure is 95/65 mmHg respiratory rate is 24 breaths/min and her heart rate is 116 breaths/min she is dizzy with cold clammy skin which prescription has the highest priority

in preparing a gravid client for a triple screen analysis which action should the nurse take

a client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misopostol a synthetic prostaglandin E drug how should the nurse respond

a breastfeefding woman who delivered her infant two weeks ago develops mastitis in her left breast a cephalosporin anitbiotic is prescribed after consultation with the infants pediatrician which instruction regarding breastfeeding should the nurse provide

a woman is brought and delivery unit after delivering a term infant and the placenta in the the hospital parking lot 10 mins ago which action should the nurse perform first

a single woman is scheduled for a thyroid scan using radioactive iodine she confides in the nurse that she may be pregnant and plans to have an abortion right away if the pregnancy is confirmed she insists that the nurse keep the information confidential which action should the nurse take

prior to performing a postpartum assessment the client tells the nurse i have pain in my stitches the nurse knows that the client has a mid line episiotomy which action should the nurse take

a primigravida client is in the fourth stage of labor after the delivery of a newborn male infant which information should the nurse provide

the nurse is assessing a pregnant client who reports that she smokes one pack of cigarettes per day the client believes she is six months pregnant but is unsure of the date of her last menstrual period which method of assessment provides the best estimate of gestastional age

while on the delivery table a primipara tells the nurse that she wishes to breastfeed her infant to assist the new mother with her goal which intervention is best for the nurse to implement

after placing a 36 week gestation newborn in an isolette and drying the infant with several blankets what should the nurse implement next

which content should the nurse plan to include in a nutrition class for pregnent asolescents SATA

the current vital signs for a primipara who delivered vaginally during the previous shift are temp 100.4 heart rate 58 beats/min respiratory rate 16 breaths/min and blood pressure 130/74 mmHg what action should the nurse implement

a client who is positive for neisseria gonorhoea vaginally delivered a newborn which medication should the nurse administer

following an amniocentesis a client verbalizes several complaints what reported finding indicates to the nurse the client is experiencing a complication from the amniocentesis

a client who is 14 days postpartum arrives to the clinic for a follow up examination the nurse is unable to palpate the uterine fundus which action should the nurse take

a client states I think my water just broke the nurse notes that the umblical cord is on the perineum what action should the nurse perform first

the nurse is assessing a client is 29 weeks gestastion which assessment method would provide the most determination of fetal position

in assessing a client diagnosed with preeclampsia who is receiving magnesuim sulfate the nurse dtermines that her deep tendon reflexes are 1+ respiratory rate is 12 breaths/ min urinary output is 90mL in 4 hours magnesium sulfate level 9 mEg/L based on these findings what intervention should the nurse implement

the nurse is preparing to draw blood from a newborn to obtain hemoglobin and hematocrit levels what is best method to obtain this blood sample

a client who is human immunodeficiency virus positive (HIV+) is receiving zidovudine during labor which information should the nurse provide to the client

a community health nurse visits a family in which a 16 year old unmarried daughter is pregnant with her first child and is 32 weeks gestastion the client tells the nurse that she has been having intermittent back pain since the night before what is the priority nursing intervention

a client delivers a viable infant but begins to have excessive uncontrolled vaginal bleeding after the IV oxytocin is infused when notifying the healthcare provider of the clients condition which information is most important for the nurse to provide

following a minor vehicle collision a client at 36 weeks gestation is brought to the emergency center she is lying supine on a backboard is awake and denies any complaints her blood pressure is 80/50 mmHg heart rate is 130beats/min which action should the nurse implement first

a primigravida client with gestastional hypertension and a bishop score of 3 is scheduled for induction of labor the nurse administers misoprostol at 0700 then observes regular contractions with cervical changes at 0900 which action should the nurse take

a woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3 cm. the nurse's assessment findings and electronic fetal monitoring are consistent with hypotonic dystocia the healthcare provider prescribes an oxytocin drip. which data is most important for the nurse to monitor?

A newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm). The nurse notes that this infant has no molding, and was at breech presentation delivery by c section. What action should the nurse take based on these data?

A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the assistance of a nurse-midwife. Two days later, the client calls the clinic to ask if it is necessary to see the healthcare provider since the infant is healthy, and she is not having any complications. The woman's history indicates that both previously born infants were Rh-negative. Which response should the nurse provide?

A new mother who is breastfeeding her 4 week old infant has type 1 diabetes, reports that her insulin needs have decreased after the birth of her child. What action should the nurse implement?

The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period?

A woman who is trying to get pregnant tells the nurse that she was very disappointed several months ago when she was informed that her positive pregnancy test was a false positive. which method of provides the greatest degree of accuracy?

At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client?

Upon admission to the nursery, the nurse places a newborn supine under radiant warmer , an external heat source. What should the nurse implement first to ensure safe thermoregulation?

a newborn's assessment reveals spina bifida occulta which maternal factor should the nurse identify as having the greatest impact on the development of this

An ambulatory client at 39 weeks gestation presents to the emergency center with an obvious injury to her arm that occurred as a result of a fall Which concurrent symptom is a priority for the nurse?

the nurse notes on the fetal monitor that laboring client has a variable deceleration. which action should the nurse implement first

A women who is 38-weeks gestation is receiving magnesium sulfate for severe preeclampsia. Which assessment finding warrants immediate intervention from the nurse ?

a pregnant client presents to the antepartal clinic complaining of brownish vaginal bleeding. the nurse notes a greatly enlarged uterus and is complaining of severe nausea. the client reports that period was about 2 and a half months ago vital signs are temperature 98.7 based on these findings what laboratory value should the nurse review?

A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis af eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan?

the nurse is preparing to administer phytonadione to a newborn. which statement made by the parents indicates understanding why the nurse is administering this medication?

An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who delivered a 7-pound infant 12 hours ago is reporting a severe headache.The client's blood pressure is 110/70 mm hg, respiratory rate is 18 breaths/minute,heart rate is 74 bpm, and temperature is 96.6F (37C). The client's fundus is firm and one fingerbreadth above the umbilicus. Which action should the charge nurse implement first

A client at 35 weeks gestation complains of a "pain whenever the baby moves."On assessment, the nurse notes the client's temperature to be 101.2 F, with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition?

A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture line. How should the nurse respond?

Following a minor vehicle collision, a client 36 weeks gestation is brought to the emergency center. She is lying supine on a backboard , is awake , denies any complaints. Her blood pressure is 80/50 mm Hg and heart rate is 130 beats per min. What action should the nurse implement first?

The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. What action is most important for the nurse to take?

A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. The nurse should program the infusion pump to deliver how many ml/hr?

A primigravida client with gestational hypertension and bishop score of 3 is scheduled for induction of labor. the nurse administers misoprostol at 0700 then observes regular contractions with cervical changes at 0900 which action should the nurse take?

A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. the nurse applies the external fetal heart monitor and determines she is not in labor. What makes the nurse realize she is not in labor?

A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occuring every 1 minute with a 75 second duration. when nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine rest, the contractions are occuring every 5 minutes with 20 second duration. which intervention should the nurse implement?

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?

The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which action should the nurse perform?

At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?

A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority nursing action for this client?

A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client?

A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition?

the nurse is assessing a newborn who has precipitously delivered at 38 weeks gestation period the newborn is tremulous,tachycardia and ...assessment action in most important for the nurse to implement

the nurse knows that a newborn at 24 hours of age has a large cephalohematoma which intervention has the highest priority

after two miscarriages client is instructed to increase her daily intake of foods and include folic acid the client does not like .. is allergic to soy which food should the nurse suggest that the client eat to obtain folic acid

the nurse providing anti separatory guidance for an african american client who was at 24 weeks gestastion period which prenatal laboratory assessment prescribes weeks should the nurse include in client teaching

while caring for a laboring client on continuous fetal monitoring the nurse notes of fetal heart rate pattern that falls and rises abruptly which action should the nurse takr first

a young ashkenazi jewish woman is planning to become pregnant and asked the nurse if she should be tested for any genetic disorders what action should the nurse implement

the nurse is caring for a client who was 10 weeks gestation and palpation the fundus at 2 fingerbreaths above the oubic symphysis the client has scant and dark brown vaginal discharge which action should he nurse take

when assessing a pregnant woman at 39 weeks gestations who is admitted to labor and delivery which finding is most important to report

The nurse is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the nurse take?