HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 1 of 99
A patient is placed on bed rest at home for mild preeclampsia at 38 weeks' gestation. Which of the following must the nurse teach the patient regarding her condition?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 2 of 99
A laboring woman, G4 P3003, who was 6 cm dilated 1 hour ago cries, 'Hurry. I have to go to the bathroom to have a bowel movement.' The nurse notes that there is an increase in bloody show. Which of the following actions by the nurse is appropriate?
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Question 3 of 99
A nurse sees an overweight woman looking at the babies through the nursery window. The woman asks the nurse when the babies go to their mothers for feedings and about the location of the nearest stairwell. Which of the following replies by the nurse is most appropriate at this time?
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Question 4 of 99
The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
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Question 5 of 99
A client's amniocentesis results are reported as 45, X. How should the nurse interpret these findings?
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Question 6 of 99
The nurse is caring for a pregnant client who was sent to the hospital for a biophysical profile. She is 37 weeks gestation with her second child, has gestational diabetes, and complains of decreased fetal movement for the last 24 hours. Which action should the nurse take first?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 7 of 99
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
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Question 8 of 99
When providing contraceptive counseling to a woman, which of the following factors should the nurse consider? Select all that apply.
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Question 9 of 99
A G1 P0000 gravida, whose labor was uneventful, delivered 1 minute ago. The baby’s Apgar score at this time is 3. Which of the following actions is appropriate for the nurse to make?
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Question 10 of 99
The triage nurse is interviewing a client, 19 years old, unmarried, who states, 'I felt a hard thing on the lip of my vagina this morning. It doesn’t hurt.' Which of the following questions is most important for the nurse to ask at this time?
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Question 11 of 99
An NST is performed on a client who is G6T3P1A1L4 38 weeks gestation. After the patient has been on the external monitor for 30 minutes, the nurse sees three fetal heart rate accelerations of 15 bpm lasting 5 seconds in association with fetal movement. The nurse documents this finding as which of the following?
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Question 12 of 99
A 1-week-postpartum client calls her obstetrician’s office and states, 'I am a breastfeeding mother and my nipples are cracked and bleeding.' Which of the following comments by the nurse is appropriate at this time?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 13 of 99
A biophysical profile is performed on a pregnant patient. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. Which answer would be the correct interpretation of this test result?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 14 of 99
A nurse has provided a young woman with preconception counseling. Which of the statements by the woman indicates that the teaching was successful? Select all that apply.
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Question 15 of 99
The nurse is caring for a 45-year-old client who is scheduled to have a chorionic villus sampling. Which information is most important for the nurse to obtain from the client before the procedure?
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Question 16 of 99
A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 17 of 99
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
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Question 18 of 99
The nurse is determining the G/TPAL of a patient at her first prenatal visit. The patient informs the nurse she delivered a set of twins at 32 weeks of gestation who are now 5 years old, delivered her first child 8 years ago 1 week early, and miscarried at 2 months' gestation 3 years ago. What is this patient's Gravida [G] and Parity [P] using the G/TPAL nomenclature?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 19 of 99
Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?
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Question 20 of 99
A nurse should monitor a client who is postpartum from a forceps delivery for which of the following complications?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 21 of 99
The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 22 of 99
The nurse is working with a pregnant woman who states that she is a vegan. Which of the following actions by the nurse is appropriate?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 23 of 99
A neonate in the nursery, whose mother had no prenatal care, has been diagnosed with macrosomia. For which of the following signs/symptoms should the nurse carefully monitor this baby?
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Question 24 of 99
It is noted that a baby admitted to the nursery has translucent skin with visible veins. Because of this finding, the nurse should monitor this baby carefully for which of the following?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 25 of 99
A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 26 of 99
Using the graph below, of the following weights, how many grams would a 34-week neonate need to weigh to be labeled appropriate-for-gestational age?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 27 of 99
A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 28 of 99
A client asks the nurse to explain what luteinizing hormone (LH) does in the body. The nurse explains which of the following?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 29 of 99
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 30 of 99
A young man is planning to use the condom as a contraceptive device. The nurse should teach him that which of the following actions is needed to maximize the condom's effectiveness?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 31 of 99
The nurse is caring for a client in labor and delivery with the following history: G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early decelerations. The client states, 'I'm so scared. Please make sure the baby is OK!' Which of the following responses by the nurse is appropriate?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 32 of 99
A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?†Which of the following responses is appropriate for the nurse to make?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 33 of 99
A woman asks the nurse to recommend the best douche for use after menstruation. Which of the following responses by the nurse is appropriate?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 34 of 99
The nurse is discussing the purpose of the physical examination with a patient at the first prenatal visit. What information does the nurse include in the discussion?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 35 of 99
A mother questions the nurse about when the newborn screening tests for inborn diseases will be performed. Which of the following is an appropriate response by the nurse?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 36 of 99
When should the nurse begin discharge planning?
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Question 37 of 99
A couple has decided not to circumcise their son. Based on this decision, which of the following instructions should the nurse include in the parent teaching?
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Question 38 of 99
The nurse receives a phone call from a pregnant patient who states she has not felt the baby move. Identify the first question for the nurse to ask the patient.
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 39 of 99
Which advice to the patient is one of the most effective methods for preventing venous stasis?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 40 of 99
When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 41 of 99
A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.)
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 42 of 99
What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 43 of 99
The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks' gestation. The nurse determines that the patient understands the teaching when she states that will be collected for the initial screening process?
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Question 44 of 99
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 45 of 99
The nurse who has just performed a vaginal examination notes that the fetus is in the LOP position. Which of the following clinical assessments would the nurse expect to note at this time?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 46 of 99
A client who is 18 weeks’ gestation has been diagnosed with a hydatiform mole (gestational trophoblastic disease). In addition to vaginal loss, which of the following signs/symptoms would the nurse expect to see?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 47 of 99
A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is
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Question 48 of 99
A woman is seeking counseling regarding tubal ligation. Which of the following should the nurse include in her discussion?
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Question 49 of 99
A baby is exhibiting signs of neonatal abstinence syndrome. Which action would be appropriate for the nursery nurse to make?
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Question 50 of 99
The nurse is caring for a client with a suspected breech presentation. When the nurse performs Leopold's maneuvers, which maneuvers determine the fetal presentation? Select all that apply.
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Question 51 of 99
A nurse notes that a baby is lying in a crib in the tonic neck position. In which of the following positions is the baby lying?
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Question 52 of 99
The nurse is caring for a baby whose blood type is A+ (positive) and direct Coombs’ test is + (positive), and whose mother’s blood type is O+ (positive). Which of the following nursing diagnoses is appropriate for this baby?
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Question 53 of 99
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?
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Question 54 of 99
The nurse is completing the family assessment on a patient at 10 weeks of gestation. What data are included in the family assessment? Select all that apply.
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Question 55 of 99
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
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Question 56 of 99
An infant of a diabetic mother, 40 weeks’ gestation, weight 4,500 grams, has just been admitted to the neonatal nursery. The neonatal intensive care nurse will monitor this baby for which of the following? Select all that apply.
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Question 57 of 99
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold's maneuvers?
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Question 58 of 99
A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?
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Question 59 of 99
A nurse has just received report on 4 neonates in the newborn nursery. Which of the babies should the nurse assess first?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 60 of 99
The nurse is providing education to a patient at 16 weeks' gestation who is undecided about consenting to the quad screen. How can the nurse explain the purpose of the quad screen to the patient?
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Question 61 of 99
Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation.
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Question 62 of 99
The nurse is measuring the fundal height of a patient who is at 34 weeks of gestation. What fundal height measurement is expected for a patient who is at 34 weeks of gestation?
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Question 63 of 99
The nurse is discussing pregnancy concerns with a patient in the third trimester of pregnancy. What warning sign should the nurse teach the patient to report immediately to the health-care provider?
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Question 64 of 99
A nurse is completing a minimum data set. Which area is the nurse working?
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Question 65 of 99
At the first prenatal visit, the patient informs the nurse that the first day of her last menstrual period (LMP) was February 18, 2024. Using Naegle's Rule, calculate the patient's EDD.
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Question 66 of 99
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
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Question 67 of 99
The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
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Question 68 of 99
A male baby is born with scant amounts of vernix caseosa in his axillae and groin, scant amounts of lanugo on his shoulders, testes in his scrotum, and a strong suck. The nurse would estimate that the baby is which of the following gestational ages?
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Question 69 of 99
The doctor has ordered a contraction stress test. The nurse should interpret which of the following as a negative test?
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Question 70 of 99
Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?
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Question 71 of 99
A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
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Question 72 of 99
A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
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Question 73 of 99
Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position?
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Question 74 of 99
A client presents to Labor & Delivery for an ultrasound at 16 weeks gestation for vaginal bleeding. She asks the nurse if the procedure will harm her baby. Which is appropriate for the nurse to tell the client?
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Question 75 of 99
A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.)
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Question 76 of 99
Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?
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Question 77 of 99
A woman has been diagnosed with chlamydia. The nurse would expect the client to complain of which of the following signs/symptoms?
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Question 78 of 99
A pregnant woman is complaining of ptyalism. The nurse should teach the woman to try which of the following self-care measures?
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Question 79 of 99
A school nurse is discussing the male reproductive system with the students in a high school health class. Which of the following information about the hormone testosterone should be included in the discussion?
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Question 80 of 99
A 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?
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Question 81 of 99
The nurse is caring for a client who had a contraction stress test. Which change in assessment requires immediate notification of the health care provider?
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Question 82 of 99
The nurse is providing patient teaching to a client who plans to bottle feed her newborn infant. Which of the following information should be included in the education session?
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Question 83 of 99
A 42-week-gestation neonate is being assessed. Which of the following findings would the nurse expect to see?
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Question 84 of 99
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
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Question 85 of 99
A woman, contracting every 3 min 60 seconds, suddenly develops an amniotic fluid embolism. Which of the following signs/symptoms would the nurse observe?
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Question 86 of 99
Which of the following features would the nurse expect to be absent in an 8-week-gestation embryo?
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Question 87 of 99
On the third postpartum day a client tells the nurse that she feels sad and that she cries easily. The nurse should explain about which of the following?
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Question 88 of 99
A breastfeeding client, 6 days postdelivery, calls the postpartum unit stating, “I think I am engorged. My breasts are very hard and hot and they really hurt.†Which of the following questions should the nurse ask at this time?
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Question 89 of 99
Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?
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Question 90 of 99
A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?
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Question 91 of 99
What does a birth plan help the parents accomplish?
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Question 92 of 99
When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
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Question 93 of 99
A 36-week-gestation client is having an amniocentesis. For which of the following reasons is the test likely being conducted?
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Question 94 of 99
A client has just received synthetic prostaglandins for the induction of labor. The nurse plans to monitor the client for which of the following side effects?
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Question 95 of 99
The nurse is caring for a client being monitored for oligohydramnios. The NST is nonreactive. Which findings correlate with these results?
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Question 96 of 99
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
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Question 97 of 99
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 98 of 99
The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?
Select an option. Use Strike to cross one out.
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HESI RN · Assessment of a High Risk Pregnancy NCLEX Questions
Question 99 of 99
The nurse's role in diagnostic testing is to provide which of the following?
Select an option. Use Strike to cross one out.
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