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NEWEST VERSION OF MATERNITY HESI OB VERSION ACTUAL EXAM EACH EXAM CONTAINS 55 QUESTIONS AND CORRECT ANSWERS |AGRADE A 16 year old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? A. Assess temperature every hour. B. Monitor blood pressure, pulse, and respirations every 4 hours. C. Keep an airway at the bedside. D. Allow family visitation - ANSWERKeep an airway at the bedside A 17 year old client gave birth 12 hours ago she states that she doesn't know how to care for her baby. To promote parent infant attachment behaviors which intervention should the nurse implement. A. Ask if she has help to care for the baby at home. B. Provide a video on newborn safety and care. C. Explored the basis of fears with the client. D. Encourage rooming in while in the hospital. - ANSWEREncourage rooming in while in the hospital A 3-hour old male infants hands and feet as cyanotic, and has an axillary temperature of 96.5 degrees Fahrenheit 35.8 degrees centigrade a respiratory rate of 40 breaths per minute and a heart rate of 165 beats per minute what nursing action should nurse implement. A Administer oxygen by mouth at 2L/min B Gradually warm the infant under a radiant heat source. C Notify the pediatrician of the infant's vital signs D Perform a heel-stick to maintain blood glucose level - ANSWERGradually warm the infant under a radiant heat source