HESI RN Care of Women and Pediatric Nursing | Nurselytic

Questions 38

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HESI RN Care of Women and Pediatric Nursing Questions

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Question 1 of 5

A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?

Correct Answer: B

Rationale: Determining current cervical dilation ' ensures appropriate epidural timing. Requesting epidural ', adjusting oxytocin ', or giving fluids ' should follow labor progress assessment.

Question 2 of 5

A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which action(s) should the nurse plan to perform? Select all that apply.

Correct Answer: A,B,D

Rationale: Standard precautions ' prevent HIV transmission. Antiviral medication ' reduces vertical transmission risk. Bottle-feeding ' prevents postnatal transmission via breast milk. Droplet precautions ' and negative pressure rooms ' are unnecessary as HIV is not airborne.

Question 3 of 5

A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?

Correct Answer: B

Rationale: Determining current cervical dilation ' ensures appropriate epidural timing. Requesting epidural ', adjusting oxytocin ', or giving fluids ' should follow labor progress assessment.

Question 4 of 5

The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?

Correct Answer: C

Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.

Question 5 of 5

A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?

Correct Answer: C

Rationale: Breastfeeding techniques ' are critical in the fourth stage to promote bonding and success. Bulb syringe ', screening tests ', and circumcision care ' are secondary at this stage.

Similar Questions

The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
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When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
The nurse reviews the assessment findings along with the healthcare provider's prescriptions. Which immediate intervention(s) would the nurse initiate? Select all that apply.
The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes. Which action is most important for the nurse to implement?

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