HESI OB MATERNITY VERSION 1 LATEST UPDATE

HESI OB MATERNITY VERSION 1 LATEST UPDATE

1. A 3-day postpartum client, who is not immune to
rubella, is to receive the vaccine at discharge. Which of
thefollowing must the nurse include in her discharge
teaching
regarding the vaccine?
1. The woman should not become pregnant for at
least 4weeks.
2. The woman should pump and dump her breast milk
for1 week.
3. The mother must wear a surgical mask when she
caresfor the baby.
4.Passive antibodies transported across the placenta
willprotect the baby.
2. A 3-day-postpartum client questions why she is to
receive the rubella vaccine before leaving the hospital.
Which of the following rationales should guide the
nurse’sresponse?
1. The client’s obstetric status is optimal for receiving
thevaccine.
2. The client’s immune system is highly responsive
duringthe postpartum period.
3. The client’s baby will be high risk for acquiring
rubella ifthe woman does not receive the vaccine.
4.The client’s insurance company will pay for the shot
if itis given during the immediate postpartum period.
3. A patient, G2P1102, who delivered her baby 8
hours ago, now has a temperature of 100.2ºF.
Which of the following is the appropriate nursing
intervention at thistime?
1. Notify the doctor to get an order for acetaminophen.
2. Request an infectious disease consult from the
doctor.
3. Provide the woman with cool
compresses. 4. Encourage intake of
water and other fluids.
4. To prevent infection, the nurse teaches the
postpartumclient to perform which of the following
tasks?
1. Apply antibiotic ointment to the perineum
daily.2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with a povidone-iodine
solutionafter toileting.
5. A 3-day-postpartum breastfeeding woman is being
assessed. Her breasts are firm and warm to the
touch. When asked when she last fed the baby her
reply is, “I fedthe baby last evening. I let the nurses
feed him in the nursery last night. I needed to rest.”
HESI OB MATERNITY VERSION 1 2020- LATEST UPDATE
Which of the following actions should the nurse take
at this time?

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