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Care Hope College RN HESI Maternity
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Total Questions : 55
Showing 10 questions, Sign in for moreQuestion 1:
A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.
I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?
I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?
Answer and Explanation
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Question 2:
The nurse is assessing a client who has been admitted in active labor.
The cervix is dilated to 3 cm, 50% effaced, and the presenting part is at 0 station. An hour later, the client informs the nurse that she needs to use the restroom.
What should be the nurse’s first course of action?
The cervix is dilated to 3 cm, 50% effaced, and the presenting part is at 0 station. An hour later, the client informs the nurse that she needs to use the restroom.
What should be the nurse’s first course of action?
Answer and Explanation
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Question 3:
Which type of anesthesia, when used with a laboring client, results in a loss of sensation confined to the vagina and perineum?
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Question 4:
A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse’s initial action?
Answer and Explanation
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Question 5:
A primigravida arrives at the maternity unit’s observation area because she believes she is in labor.
The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats per minute and contractions are occurring irregularly every 10 to 15 minutes.
Which assessment finding would confirm to the nurse that the client is not in labor at this time?
The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats per minute and contractions are occurring irregularly every 10 to 15 minutes.
Which assessment finding would confirm to the nurse that the client is not in labor at this time?
Answer and Explanation
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Question 6:
After breastfeeding for 10 minutes on each breast, a new mother calls the nurse to the postpartum room to assist with changing the newborn’s diaper.
As the mother begins the diaper change, the newborn regurgitates the breast milk. What should be the nurse’s first action?
Answer and Explanation
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Question 7:
A newborn, who is 4 hours old, presents with the following symptoms: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonicity, and a weak cry.
What should the nurse do based on these findings?
What should the nurse do based on these findings?
Answer and Explanation
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Question 8:
A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?
Answer and Explanation
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Question 9:
The nurse is caring for a client who delivered 6 hours ago.
The client’s uterus is boggy and is displaced above and to the right of the umbilicus. What action should the nurse take?
The client’s uterus is boggy and is displaced above and to the right of the umbilicus. What action should the nurse take?
Answer and Explanation
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Question 10:
A multiparous client with active herpes lesions has been admitted to the unit due to spontaneous rupture of membranes.
What action should the nurse take?
What action should the nurse take?
Answer and Explanation
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