HESI RN OB Final Exam V2; Questions

HESI RN OB Final Exam V2; Questions & Answers

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?

• "Sometimes babies just don't deliver the way we expect them to."
• "With all of your preparations, it must have been disappointing for you to

have had a cesarean."

• "I know you had to have surgery, but you are very lucky that your baby

was born healthy."

• "At least your husband was able to be with you when the baby was

born." (Ans- 2. "With all of your preparations, it must have been disappointing for you to have had a cesarean."

. A nurse 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?

• Compare mother's and baby's identification bracelets.
• Help the mother into a comfortable position.
• Teach the mother about a proper breast latch.
• Tickle the baby's lips with the mother's nipple.

(Ans- 1. Compare mother's and baby's identification bracelets. 1 / 4

The obstetrician has ordered that a post-op cesarean section client's patient controlled analgesia (PCA) be discontinued. Which of the following actions by the nurse is appropriate?

• Discard the remaining medication in the presence of another nurse.
• Recommend waiting until her pain level is zero to discontinue the

medicine.

• Discontinue the medication only after the analgesia is completely

absorbed.

• Return the unused portion of medication to the narcotics cabinet.

(Ans- 1. Discard the remaining medication in the presence of another nurse.

A client is receiving an epidural infusion of a narcotic for pain relief after a cesarean section. The nurse would report to the anesthesiologist if which of the following were assessed?

• Respiratory rate 8 rpm.
• Complaint of thirst.
• Urinary output of 250 cc/hr.
• Numbness of feet and ankles.

(Ans- 1. Respiratory rate 8 rpm.

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 at this time?

• "That is very concerning. I will request that your physician order an

enema for you." 2 / 4

• "Two days is not that bad. Some patients go four days or longer without

a movement."

• "You have been taking antibiotics through your intravenous. That is

probably why you are constipated."

• "Fluids and exercise often help to combat constipation. Take a stroll

around the unit and drink lots of fluid." (Ans- 4. "Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid."

A post-cesarean section, breastfeeding client, whose subjective pain level 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 pain from this experience as possible." Which of the following should the nurse conclude in relation to this woman's behavior?

• The woman needs a stronger narcotic order.
• The woman is high risk for severe constipation.
• The woman's breast milk volume may drop while taking the medicine.
• The woman's newborn may become addicted to the medication.

(Ans- 2. The woman is high risk for severe constipation.

. A nurse is assessing a 1-day postpartum woman who had her baby by cesarean section. Which of the following should the nurse report to the surgeon?

• Fundus at the umbilicus.
• Nodular breasts.
• Pulse rate 60 bpm.
• Pad saturation every 30 minutes. 3 / 4

(Ans- 4. Pad saturation every 30 minutes.

The nurse is assessing the midline episiotomy on a postpartum client.Which of the following findings should the nurse expect to see?

• Moderate serosanguinous drainage.
• Well-approximated edges.
• Ecchymotic area distal to the episiotomy.
• An area of redness adjacent to the incision.

(Ans- 2. Well-approximated edges.

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!" Which of the following is the best response for the nurse to make?

• "You'll feel better later after you have had a chance to rest and to eat."
• "Don't say that. There are many women who would be ecstatic to have

that baby."

• "I am sure that you will have another baby. I bet that it will be a natural

delivery."

• "To have things work out differently than you had planned is

disappointing."

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