COMPREHENSIVE HESI RN OB MATERNITY EXAM 2 TEST BANK WITH CORRECT ANSWERS

COMPREHENSIVE HESI RN OB MATERNITY EXAM 2 TEST BANK WITH CORRECT ANSWERS
1. The nurse is caring for a client who had an emergency
cesarean section, with her husband in attendance the day
before. The baby’s Apgar was 9/9. The woman and her
partner had attended childbirth education classes and had
anticipated having a water birth with family
present. Which of the following comments by the nurse is
appropriate?
a) “Sometimes babies just don’t deliver the way we expect
them
to.”
b) “With all of your preparations, it must have been
disappointingfor you to have had a cesarean.”
c) “I know you had to have surgery, but you are very
lucky thatyour baby was born healthy.”
d) “At least your husband was able to be with you when the
baby
was born.”
2. Anurse has brought a 2-hour-old baby to a mother from the
nursery.The nurse is going to assist the mother with the first
breastfeeding experience. Which of the following actions
should the nurse perform first?
a) Compare mother’s and baby’s identification bracelets.
b) Help the mother into a comfortable position.
c) Teach the mother about a proper breast latch.
d) Tickle the baby’s lips with the mother’s nipple.
3. The obstetrician has ordered that a post-op cesarean section
client’spatient-controlled analgesia (PCA) be discontinued.
Which of the following actions by the nurse is appropriate?
a) Discard the remaining medication in the presence of
anothernurse.
b) Recommend waiting until her pain level is zero to
discontinuethe medicine.
c) Discontinue the medication only after the
analgesia iscompletely absorbed.
d) Return the unused portion of medication to the
narcoticscabinet.
4. A client is receiving an epidural infusion of a narcotic for pain
relief after a cesarean section. The nurse would report to the
anesthesiologistif which of the following were assessed?
a) Respiratory rate 8 rpm.
b) Complaint of thirst.
c) Urinary output of 250 cc/hr.
d) Numbness of feet and ankles.
5. A client, 2 days postoperative from a cesarean section,
complains to the nurse that she has yet to have a bowel
movement since the surgery.Which of the following responses
by the nurse would be appropriate atthis time?
a) “That is very concerning. I will request that your
physicianorder an enema for you.”
b) “Two days is not that bad. Some patients go four days or
longerwithout a movement.”
c) “You have been taking antibiotics through your
intravenous.That is probably why you are
constipated.”
d) “Fluids and exercise often help to combat constipation.
Take astroll around the unit and drink lots of fluid.”
6. A post–cesarean section, breastfeeding client, whose
subjective painlevel is 2/5, requests her as needed (prn)
narcotic analgesics every 3 hours. She states, “I have
decided to make sure that I feel as little painfrom this
experience as possible.” Which of the following should the
nurse conclude in relation to this woman’s behavior?
a) The woman needs a stronger narcotic order.
b) The woman is high risk for severe constipation.
c) The woman’s breast milk volume may drop while
taking themedicine.
d) The woman’s newborn may become addicted
to themedication.
7. A nurse is assessing a 1-day postpartum woman who had
her baby by cesarean section. Which of the following should
the nurse report tothe surgeon?
a) Fundus at the umbilicus.
b) Nodular breasts.
c) Pulse rate 60 bpm.
d) Pad saturation every 30 minutes.
8. The nurse is assessing the midline episiotomy on a
postpartum client. Which of the following findings should the
nurse expect to see?
a) Moderate serosanguinous drainage.
b) Well-approximated edges.
c) Ecchymotic area distal to the episiotomy.
d) An area of redness adjacent to the incision.
9. A client, G1P1, who had an epidural, has just delivered a
daughter, Apgar 9/9, over a mediolateral episiotomy. The
physician used low forceps. While recovering, the client states,
“I’m a failure. I couldn’t stand the pain and couldn’t even push
my baby out by myself!” Whichof the following is the best
response for the nurse to make?
a) “You’ll feel better later after you have had a chance to rest
and
to eat.”
b) “Don’t say that. There are many women who would be
ecstaticto have that baby.”
c) “I am sure that you will have another baby. I bet that it
will bea natural delivery.”
d) “To have things work out differently than you had planned
is
disappointing.”
10. The nurse is developing a standard care plan for postpartum
clientswho have had midline episiotomies. Which of the
following interventions should be included in the plan?
a) Assist with stitch removal on third postpartum day.
b) Administer analgesics every four hours per doctor orders.
c) Teach client to contract her buttocks before sitting.

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