Maternal Newborn HESI Exam III Review

Which client statement would cause the nurse to stop the health care provider from initiating epidural anesthesia?

"I'm not exactly sure how an epidural works."

Which is the appropriate response when a client in her third trimester tells the nurse, "I want to be asleep for the birth."?

"You don't want to be awake during the birth."

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. Which is the best response by the nurse?

This antibiotic helps keep babies from contracting eye infections

A client at 6 weeks postpartum confides that she is experiencing exhaustion that is not relieved by sleep and feelings of failure as a mother because the infant "cries all of the time." When asked whether she has a support system, she replies that she lives alone. Which action would the nurse perform next?

ask the client questions, using a postpartum depression scale

Which is the most essential nursing assessment of a newborn circumcised male during the initial postoperative period?

bleeding

For which reason would the nurse limit food and oral fluids as a laboring client approaches the second stage of labor?

undigested food and fluid may cause nausea and vomiting and limit the choice of anesthesia

The nurse is preparing an injection of vitamin K for the newborn. Which dosage and route will the nurse use?

0.5 to 1 mg given IM

By which mechanism do sitz bath aid healing of an episiotomy?

promoting vasodilation

A client who has had a cesarean birth has been having difficulty breast-feeding for 2 days and now asks the nurse to bring her a bottle of formula. Which would be the nurse's initial action?

assessing the client's breastfeeding technique

Which common indication for a cesarean birth would the nurse discuss in a class for expectant parents?

cephalopelvic disproportion

A client in labor is receiving an oxytocin infusion. Which intervention is a priority for the nurse when repetitive late decelerations of the fetal heart rate observed?

discontinue the oxytocin infusion

A 1-day-old newborn has just expelled its first stool as a thick, greenish-black substance. Which would the nurse do next?

document the stool in the infant's record

Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. Which type of heat loss would the intervention prevent?

evaporation

Which is the initial nursing action when a multipara requests something for pain?

examining the client's cervix for dilation and effacement

Which factor contributes to the development of physiological jaundice in a newborn?

immature liver function

A community health nurse visits an infant who was born at home 24 hours ago. While assessing the infant the nurse identifies slight jaundice of the face and trunk. Which would the nurse do next?

obtain a stat order for a bilirubin level

How would the nurse respond to a client who, after the birth of her baby says, "I'm so cold, and I can't stop shaking"?

"I'll get you some warm blankets to help make the chill go away."

Which effect does the nurse expect after an amniotomy is performed on a client in active labor?

progressive dilation and effacement

The nurse caring for a client who gave birth to a healthy neonate evaluates the client's uterine tone 8 hours after delivery. How would the nurse determine that the uterus is demonstrating appropriate involution?

the amount of lochia rubra is moderate

The nurse is assessing a postpartum client for signs of hemorrhage by evaluating the degree of perineal pad saturation. Which other parameter can the nurse use to estimate blood loss in a postpartum client?

time elapsed between pad changes