hesi ob/peds 2 – Flashcards
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A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn?
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Infant's condition at birth and treatment received.
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In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the
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anterior fontanel closes at 12-18 months and the posterior by the end of the second month
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When assessing a client who is at 12 wks gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?
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At 30 wks gestation
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The nurse should encourage the laboring client to begin pushing when
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the cervix is completely dilated
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The nurse is counseling a coup;e who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs
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2 weeks before menstruation
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The nurse caring for a laboring client encourages her to void at least q2h, and records each time the client empties her bladder. What is the primary reason for implementing this nursing intervention?
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An over distended bladder could be traumatized during labor as well as prolong the progress of labor
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The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take?
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have the client breathe into her cupped hands
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A 28 yr old client in active labor complains of cramps in her leg. What intervention should the nurse implement?
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extend the leg and dorsiflex the foot
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When preparing a class on newborn care for expectant parents, what content should the nurse teach concerning the newborn infant born at term gestation?
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Vernix is a white, cheesy substance, predominantly located in the skin folds.
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24 hrs after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The nurse knows that in the newborn an accumulation of blood between the periosteum and skull which does not cross the suture line is a newborn variation known as
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a cephalhematoma, caused by forceps trauma and may last up to 8 wks
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An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father?
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Let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother feels fetal movement
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A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head. "Which response by the nurse is best?"
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That is normal; the head will return to a round shape within 7-10 days
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A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?"
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Your milk is sufficient if the baby is voiding pale straw-cikired yrube 6-19 times a day.
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After each feeding, a 3 day old newborn is spitting up large amounts of Enfamil. The pediatritian changes to isomil. What info should the nurse provide the family?
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Isomil is a soy based formula that contains sucrose.
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A client who gave birth to a healthy 8lb infant 3 hrs ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
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Meet the mother's physical needs and demonstrate warmth toward the infant
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Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains"?
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Lying prone with a pillow on the abdomen
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Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
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Her arms and hands receive the infant and she then traces the infant's profile with her fingertips
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On admission to the prenatal clinic, a 23yr old woman tells the nurse that her last menstrual period began on February 15, and that previously her periods were regular. Her pregnancy test is positive. EDD is
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November 22
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The nurse is counseling a woman who wants to become pregnanat. The woman tells the nurse that she has a 36 day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile perios is
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January 30-31 This woman can expect her next period to begin 36 days from the first day of her last period. the cycle begins at the first day of the cycle and continues to the first day of the next cycle. Her next period would, therefore, begin on feb 13. ovulation occurs 14 days before the first day of the period.
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A client at 32 wks gestation is hospitalized with severe pregnancy induced hypertension (pih), and mag sulfate is prescrived to control the symptoms. which assessment finding indicates the therapeutic drug level has been achieved?
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A decrease in rr from 24 to 16
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Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's bp drops from 120/80 to 90/60. What action should the nurse take?
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Place the woman in a lateral position.
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A client at 28 wks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain.
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Come to the clinic today for an ultrasound.
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An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for somone to help his wife. Which intervention has the highest priority?
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Put the newborn to breast
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A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time/" Which response is best for the nurse to provide this client?
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Complete bedrest decreases oxygen needs and demands on the heart muscle tissue
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A newborn infant is brought to the nursery from the birthing suite. The nurse notices that the infant is breathing satisfactorily but appears dusky. What action should the nurse take first?
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Check the infant's oxygen saturation rate.
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Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby". n Which intervention is best for the nurse to implement first?
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Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
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The nurse is assessing the umbilical cord of a newborn. Which finding is normal?
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Three vessels: 2 arteries and 1 vein
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The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?
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Between the time and the temperature falls and rises.
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The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?
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Edema, basilar rales, and an irregular pulse
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A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first?
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Raise the foot of the bed.
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The total bilirubin level of a 36-hr breastfeeding newborn is 14 mg/dl. based on this finding, which intervention should the nurse implement?
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Encourage the mother to breastfeed frequently.
