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Samuel Merrit University Oaklands Hesi Maternity (Labor and Delivery)
Total Questions : 44
Showing 10 questions, Sign in for moreThe nurse is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the nurse take?
The nurse is preparing to administer magnesium sulfate to a laboring client whose blood pressure has increased from 110/60 mmHg to 140/90 mmHg Which nursing protocol has the highest priority?
A woman at 36-weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping. She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding. Which nursing intervention has the highest priority?
The nurse is caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus is firm and she has a moderate lochial flow. On inspection, the nurse finds that a perineal hematoma is beginning to form. Which assessment finding should the nurse obtain first?
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Which physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?
A client who is 32 weeks gestation comes to the women's health clinic and reports nausea and vomiting. On examination, the nurse notes that the client has an elevated blood pressure. Which action should the nurse implement next?
Marie Danielle: i think B is the answer ~ 7mos ago
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?
Marie Danielle: i think the answer is A ~ 7mos ago
A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?
Vishal: The Correct choice is D ~ 6mos ago
The healthcare provider prescribes oxytocin 2 milliunits/minute to induce labor for a client at 41-weeks gestation. The nurse initiates an infusion of Ringer's Lactate solution 1000 mL with oxytocin 10 units. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number)
Explanation
To solve this problem, the nurse needs to convert the units of oxytocin from units to milliunits.
One unit of oxytocin is equal to 1000 milliunits, so 10 units of oxytocin is equal to 10,000 milliunits.
- The concentration of oxytocin in the solution is 10,000 milliunits per 1000 mL, or 10 milliunits per mL.
- To deliver 2 milliunits per minute, the nurse needs to infuse 0.2 mL per minute of the solution.
- To convert from mL per minute to mL per hour, the nurse needs to multiply by 60 minutes per hour.
- Therefore, the nurse should program the infusion pump to deliver 0.2 x 60 = 12 mL per hour of the solution.
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Karla: I think A, encourage voiding is the answer. you first want to ensure that the boggy and deviated uterus is not due to a full bladder before notifying the provider since a full bladder can cause this ~ 6mos ago