2023-2024 HESI Maternity OB Practice Exam With Answers (108 Solved Questions)

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What nursing action should be implemented when intermittently gavage-feeding apreterm infant?Allow formula toflow by gravity.Avoid letting infant suck on tube.Insert feeding tube throughnares.Apply steady pressure tosyringe.RationaleGavage feeding is commonly used to feed preterm infants who are born at lessthan 32-weeks gestation, infants who weigh less than 1500 grams, or infants whoare unable to tolerate oral feedings. The feeding shouldflow by gravity (A) toavoid over-distention and a sudden sensation of fullness that may cause vomiting.Allowing the infant to suck on the tube, not (B), permits observation of the suckingresponse. The feeding tube should be inserted orally, since nasal insertion (C)impedes obligatory nose breathing and may irritate delicate nasal mucosa. (D) canresult in vomiting if the rate of administration is too fast.Aclient is receiving an oxytocin infusion for induction of labor. When the clientbegins active labor, the fetal heart rate (FHR) slows at the onset of severalcontractions with subsequent return to baseline before each contraction ends.What action should the nurse implement?Insert an internal monitordevice.Change the woman'sposition.Discontinue the oxytocin infusion.Document thefinding in the clientrecord.RationaleEarly FHR decelerations are a normalfinding during active labor that occurs due tofetal head compression, so thefinding should be documented in the client record(D). Although the client's status should be monitored continuously, this is areassuring FHR pattern, so (A, B, and C) are not indicated.The nurse is teaching a new mother about diet and breastfeeding. Whichinstruction is most important to include in the teaching plan?Avoid alcohol because it is excreted in breast milk.Avoid spicy foods to prevent infant colic.Increase caloric intake by approximately 500 calories/day.Double prenatal milk intake to improve Vitamin D transfer to the infant.RationaleAlcohol should be avoided while breastfeeding because, when consumed by themother, it is excreted in breast milk (A). It also adversely effects the milk ejectionHESI OB 2023/ 2024 EXAM QUESTIONS ANDANSWERS

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2023-2024 HESI Maternity OB Practice Exam With Answers (108 Solved Questions)

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