HESI RN · Current Issues n Maternal Newborn Nursing
Question 1 of 97
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
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Question 2 of 97
When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders?
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Question 3 of 97
Which statement about GIFT (gamete intrafallopian transfer) is most accurate?
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Question 4 of 97
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
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Question 5 of 97
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 6 of 97
A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 7 of 97
A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 8 of 97
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 9 of 97
Which description of postpartum restoration or healing times is accurate?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 10 of 97
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?†Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 11 of 97
A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, 'My period is due in a few days, and my temperature has not gone up.' What is the nurse's most appropriate response?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 12 of 97
In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 13 of 97
Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 14 of 97
Which information regarding substance abuse is important for the nurse to understand?
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Question 15 of 97
While working in the prenatal clinic, nurses care for a very diverse group of clients. Which cultural factor related to health is most likely to drive acceptance of planned interventions?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 16 of 97
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 17 of 97
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 18 of 97
Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 19 of 97
A client is 5 months pregnant. On a routine ultrasound scan, the physician discovers that the fetus has a diaphragmatic herniThe woman becomes distraught and asks the nurse what she should do. Which response would be most suitable?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 20 of 97
What is the primary role of practicing nurses in the research process?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 21 of 97
Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 22 of 97
What is a risk factor for breast cancer?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 23 of 97
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What is the correct term for this process?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 24 of 97
Which type of genetic tests in clinical practice are most often offered to clients with a family history of disease?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 25 of 97
Which patient may require more help and understanding when integrating the newborn into the family?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 26 of 97
A 62-year-old woman has not been to the clinic for an annual examination for 5 years. What should the nurse do to facilitate a positive health care experience for this client?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 27 of 97
Which statement about the development of cultural competence is inaccurate?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 28 of 97
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?
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Question 29 of 97
Fibrocystic changes in the breast most often appear in women in their 20s and 30s. Although the cause is unknown, an imbalance of estrogen and progesterone may be the cause. The nurse who cares for this client should be aware that treatment modalities are conservative. Which proven modality may offer relief for this condition?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 30 of 97
Which action would be inappropriate for the nurse to perform before beginning the health history interview?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 31 of 97
A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 32 of 97
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 33 of 97
Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. Which physiologic alteration is the cause for the diaphoresis and diuresis that this client is experiencing?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 34 of 97
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 35 of 97
A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 36 of 97
Which statement is the most comprehensive description of sexual violence?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 37 of 97
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 38 of 97
A couple has been counseled for genetic anomalies. They ask you, 'What is karyotyping?' Which description is most accurate?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 39 of 97
Intervention for the sexual abuse survivor is often not attempted by maternity and women's health nurses because of the concern about increasing the distress of the woman and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the woman's care?
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Question 40 of 97
The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 41 of 97
A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 42 of 97
The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.†Which communication technique is the nurse using with this patient?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 43 of 97
What is the importance of obtaining informed consent for a number of contraceptive methods?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 44 of 97
Which factor is least likely to influence the decision to undergo genetic testing?
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Question 45 of 97
A woman will be taking oral contraceptives using a 28-day pack. What advice should the nurse provide to protect this client from an unintended pregnancy?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 46 of 97
A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicates an understanding of the teaching?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 47 of 97
At the present time, which agency governs surrogate parenting?
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Question 48 of 97
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 49 of 97
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 50 of 97
Ovarian function and hormone production decline during which transitional phase?
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Question 51 of 97
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 52 of 97
Which contraceptive method best protects against STIs and the HIV?
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Question 53 of 97
Which statement regarding the Family Systems Theory is inaccurate?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 54 of 97
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
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Question 55 of 97
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuriWhich of the following suggested foods should the nurse include in the teaching?
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Question 56 of 97
The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 57 of 97
Nurses must remember that pregnancy is a time of risk for all women. Which condition is likely the biggest risk for the pregnant client?
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Question 58 of 97
What condition is associated with advanced paternal age?
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Question 59 of 97
A 21-year-old client exhibits a greenish, copious, and malodorous discharge with vulvar irritation. A speculum examination and wet smear are performeWhich condition is this client most likely experiencing?
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Question 60 of 97
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
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Question 61 of 97
Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?
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Question 62 of 97
In the acronym BRAIDED, which letter is used to identify the key components of informed consent that the nurse must document?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 63 of 97
The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 64 of 97
Using the family stress theory as an interventional approach for working with families experiencing parenting challenges, the nurse can assist the family in selecting and altering internal context factors. Which statement best describes the components of an internal context?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 65 of 97
A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 66 of 97
Which condition is inappropriate to treat with exogenous progesterone?
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Question 67 of 97
Which key point is important for the nurse to understand regarding the perinatal continuum of care?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 68 of 97
While interviewing a 31-year-old woman before her routine gynecologic examination the nurse collects data about the client's recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?
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Question 69 of 97
Which alteration in cyclic bleeding best describes bleeding that occurs at any time other than menses?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 70 of 97
What are the most common causes for subinvolution of the uterus?
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Question 71 of 97
Which statement by the client indicates that she understands BSE?
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Question 72 of 97
The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 73 of 97
A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 74 of 97
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
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Question 75 of 97
The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
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Question 76 of 97
The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
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Question 77 of 97
What guidance should the nurse provide to a man who smokes two packs a day and is concerned about infertility?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 78 of 97
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previWhich of the following actions should the nurse plan to take?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 79 of 97
The nurse is providing care to a 75-year-old female patient diagnosed with osteoporosis. Which of the following would be the priority nursing diagnosis?
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Question 80 of 97
Which condition or treatment reduces the risk of morbidity in women with the inherited factor V Leiden disorder?
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HESI RN · Current Issues n Maternal Newborn Nursing
Question 81 of 97
The nurse is writing an expected outcome for the nursing diagnosisâ€â€acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?
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Question 82 of 97
To provide culturally competent care to an Asian-American family, which question should the nurse include during the assessment interview?
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Question 83 of 97
Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for clients. Which factor is the most concerning pitfall for nurses using this technology?
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Question 84 of 97
The nurse should understand the process by which the HIV infection occurs. Once the virus has entered the body, what is the time frame for seroconversion to HIV positivity?
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Question 85 of 97
Which resource best describes a health care service representing the tertiary level of prevention?
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Question 86 of 97
What is the primary theme of the feminist perspective regarding violence against women?
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Question 87 of 97
A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?†The nurse replies, “Yes, everything will be okay.†Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
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Question 88 of 97
Which statement best exemplifies contemporary maternity nursing?
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Question 89 of 97
Which sexually transmitted infection (STI) is the most commonly reported in American women?
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Question 90 of 97
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
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Question 91 of 97
Which condition is the most life-threatening virus to the fetus and neonate?
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Question 92 of 97
The female athlete triad includes which common menstrual disorder?
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Question 93 of 97
A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?
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Question 94 of 97
A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs). Which response by the nurse is most appropriate?
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Question 95 of 97
Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?
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Question 96 of 97
A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?
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Question 97 of 97
A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, 'The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?' What is the name of the test that gave the health care provider this information?
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