A client who is in labor states, "I think my water just broke?" The nurse notes that the umbilical cord is on the perineum. Which action should the nurse perform first?
Select one answer.
Nursing Test Bank Practice
Practice HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions. Review each answer with explanations when available.
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A client who is in labor states, "I think my water just broke?" The nurse notes that the umbilical cord is on the perineum. Which action should the nurse perform first?
Select one answer.
A primigravida client at 32-weeks gestation presents to the clinic with a report of a pounding headache. The client demonstrates hyperreflexia. The nurse should recognize the client's symptoms may be caused by which condition?
Select one answer.
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Patient Data
(Select All that Apply.)
A 14-year-old female client comes into the clinic for an annual exam and expresses concern about not starting her menstrual cycle. Which finding should the nurse recognize as potential cause of delayed menstration?
Reference Range: Hemoglobin [10 to 15.5 g/dL (100 to 155 g/L)]
Select one answer.
The nurse is caring for an infant with tetralogy of Fallot. During a blood draw the nurse observes the infant becoming pale and lethargic with circumoral cyanosis and diminished peripheral pulses. Which action should the nurse take next?
Select one answer.
The nurse is developing a teaching plan for a school-aged child with AIDS. Which instruction should the nurse include in the teaching plan for the family of a school-aged child with AIDS?
Select one answer.
How many mL of urine output should the nurse document for an infant's wet diaper weight of 85 grams compared to the dry diaper weight of 50 grams? (Enter numeric value only.)
Enter the numeric answer.
The nurse is caring for a multiparous client who is in labor and observes a fetal heart rate (FHR) that decreases with the peak of a contraction and returns to baseline in 30 seconds. Which action should the nurse implement?
Select one answer.
When inspecting the ears of a toddler without the use of an otoscope, which action should the nurse take?
Select one answer.
A laboring client's membranes rupture spontaneously. The nurse notices that the amniotic fluid is greenish brown. Which intervention should the nurse implement first?
Select one answer.
A woman who delivered a 9 pound (4082 gram) baby boy by cesarean section (C-section) under spinal anesthesia is recovering in the postanesthesia care unit (PACU). Her fundus is firm, at the umbilicus, and a continuous trickle of bright red blood with no clots from the vagina is observed by the nurse. Which action should the nurse implement?
Select one answer.
When obtaining an adolescent's health history, which intervention is most important of the nurse to implement?
Select one answer.
Continue with other HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions sets when you are ready for more practice.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.
Continue with another HESI RN N404 Maternity and Pediatrics Proctored Exam Practice Questions practice set and review explanations at your own pace.