HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 1 of 98
The nurse is providing care to the 35-year-old female patient at the family practice clinic who is in the office for her annual physical examination. Which tests should the nurse recommend are the most appropriate for this patient? Select all that apply.
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 2 of 98
What is the primary difference between hospital care and home health care?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 3 of 98
Clients treated for syphilis with penicillin may experience a Jarisch-Herxheimer reaction. Which clinical presentation would be unlikely if a client is experiencing this reaction?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 4 of 98
The nurse in labor and birth is caring for a Muslim patient during the active phase of labor. The nurse notes that the patient quickly draws away when touched. Which intervention should the nurse implement?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 5 of 98
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for the administration of this medication?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 6 of 98
In what form do families tend to be the most socially vulnerable?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 7 of 98
Nurses who provide care to victims of IPV should be keenly aware of what?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 8 of 98
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 9 of 98
During which phase of the cycle of violence does the batterer become contrite and remorseful?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 10 of 98
Which condition would leuprolide acetate (Lupron) be prescribed for?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 11 of 98
Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 12 of 98
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 13 of 98
Which nursing intervention does not apply to a diagnosis of 'Deficient knowledge' related to conception?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 14 of 98
A nurse is caring for a patient who was diagnosed with urethritis. What does the nurse identify as a possible cause?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 15 of 98
Which situation is most representative of an extended family?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 16 of 98
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation for this physiologic change?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 17 of 98
Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 18 of 98
Which client should the nurse refer for further testing?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 19 of 98
Which nonpharmacologic contraceptive method has a failure rate of less than 25%?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 20 of 98
Which woman has the highest risk for endometrial cancer?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 21 of 98
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 22 of 98
Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse first take when meeting with a new client to discuss contraception?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 23 of 98
Which client would be an ideal candidate for injectable progestins such as Depo-Provera (DMPA) as a contraceptive choice?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 24 of 98
Nafarelin (Synarel) is used to treat mildtosevere endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 25 of 98
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 10 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase intake during pregnancy?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 26 of 98
A couple arrives for their first appointment at an infertility center. Which of the following is a noninvasive test performed during the initial diagnostic phase of testing?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 27 of 98
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, “Why is elective abortion considered such an ethical issue?†Which response by the nurse is most appropriate? N R I G B.C M
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 28 of 98
A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 29 of 98
In which culture is the father more likely to be expected to participate in the labor and delivery?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 30 of 98
Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 31 of 98
The secondary level of prevention is best illustrated by which example?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 32 of 98
A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 33 of 98
A woman is 16 weeks pregnant and has elected to terminate her pregnancy. Which is the most common technique used for the termination of a pregnancy in the second trimester?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 34 of 98
A nurse is assessing the knowledge of new parents of a child born with Klinefelter syndrome. Which statement accurately describes this genetic disorder?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 35 of 98
A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenomHow would the nurse explain the defining characteristics of a fibroadenoma?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 36 of 98
A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 37 of 98
Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant patient regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 38 of 98
Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 39 of 98
Which statement regarding the Family Systems Theory is inaccurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 40 of 98
What fatty acids (classified as hormones) are found in many body tissues with complex roles in many reproductive functions?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 41 of 98
The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process is most commonly known as what?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 42 of 98
The nurse is assessing a 64-year-old female patient. The patient states that she is able to reduce the risk of urinary tract infections (UTIs) by drinking a quart of cranberry juice a day. Which health condition, if present in this patient, contraindicates the use of cranberry juice?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 43 of 98
The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse, “I have not received any prenatal care because I cannot afford to go to the doctor. And, this is my third baby, so I know what to expect.†What is the nurse’s primary concern when developing the patient’s plan of care?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 44 of 98
Historically what was the justification for the victimization of women?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 45 of 98
A client is scheduled for surgery after a recent breast cancer diagnosis. The nurse is discussing the procedure with the client. To allay her fears, which explanation best describes a skin-sparing mastectomy?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 46 of 98
What type of mastectomy removes the entire breast but leaves the chest wall intact?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 47 of 98
The nurse is assessing a 42-year-old patient who presents to the gynecology office with complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health care provider has diagnosed the patient with leiomyoma of the uterus. What are the treatment options for this condition? Select all that apply.
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 48 of 98
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 49 of 98
Which statement describes a key finding of the Human Genome Project?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 50 of 98
A nurse is caring for a client who is in the transition phase of labor. Which of the following actions should the nurse take?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 51 of 98
A woman gave birth to an infant+2:230 boy 10 hours ago. Where does the nurse expect to locate this woman's fundus?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 52 of 98
What is the most common reproductive tract cancer associated with pregnancy?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 53 of 98
A charge nurse is working on a postpartum unit and discovers that one of the patients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought “the patient should just do it by herself because she will have to do this at home.†On further questioning of the nurse, it is determined that the rest of her assigned patients were provided AM care. The assigned nurse has violated which ethical principle?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 54 of 98
What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 55 of 98
Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to N R I G B.C M U S N T O have a cesarean birth�
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 56 of 98
A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 57 of 98
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 58 of 98
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 59 of 98
A nurse is assessing a newborn who is 10 hr olWhich of the following findings should the nurse report to the provider?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 60 of 98
A woman has chosen the calendar method of conception control. Which is the most important action the nurse should perform during the assessment process?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 61 of 98
The nurse should be cognizant of which postpartum physiologic alteration?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 62 of 98
With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 63 of 98
A 48-year-old woman has just had a hysterectomy for endometrial cancer. Which statement alerts the nurse that further teaching is needed?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 64 of 98
Which statement is the most complete and accurate description of medical abortions?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 65 of 98
A primipara patient asks about possible support options for her during the labor process. She is apprehensive that her family members will not be prepared to assist her during this time. Which option would be most effective for this patient?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 66 of 98
The National Quality Forum has issued a list of 'never events' specifically pertaining to maternal and child health. These include all of the following except:
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 67 of 98
A maternal-newborn nurse is caring for a mother who just delivered a baby born with Down syndrome. Which nursing diagnosis would be the most essential in caring for the mother of this infant?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 68 of 98
The nurse is assessing a 33-year-old female patient who comes to the family practice clinic with complaints of excessive menstrual bleeding with bleeding between periods for the past 6 months. The health care provider has performed an endometrial biopsy and has discontinued the patient's oral contraceptives. What is the rationale for this treatment?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 69 of 98
Which statement is most accurate regarding the reporting of IPV in the United States?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 70 of 98
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 71 of 98
Which female reproductive organ(s) is(are) responsible for cyclic menstruation?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 72 of 98
During the childbearing experience, which behavior might the nurse expect from an African-American client?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 73 of 98
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 74 of 98
Which key factors play the most powerful role in the behaviors of individuals and families?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 75 of 98
Preconception and prenatal care have become important components of women's health. What is the guiding principle of preconception care?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 76 of 98
What concern is unnecessary for the nurse to address before assisted reproductive therapy?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 77 of 98
What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 78 of 98
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans, with an estimated number of 14 million new infections each year. The highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent HPV is now available. Which statement regarding this vaccine is inaccurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 79 of 98
A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 80 of 98
The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 81 of 98
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 82 of 98
In evaluating the level of a pregnant woman's risk of having a low-birth-weight (LBW) infant, which factor is the most important for the nurse to consider?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 83 of 98
A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation. Which of the following instructions should the nurse include?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 84 of 98
Which statement is true regarding the shortage of nurses in the United States?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 85 of 98
The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal discharge, called lochiWhich statement is the most appropriate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 86 of 98
What is the nurse's most appropriate response to a concern about multiple pregnancies with Clomid?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 87 of 98
Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 88 of 98
Which statement related to the condition of endometriosis is most accurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 89 of 98
The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called what?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 90 of 98
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has the condition. The couple tells the nurse that they are having a second baby. Because their daughter has PKU, they are certain that this baby will not be affecteWhich response by the nurse is the most accurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 91 of 98
To ensure client safety, the practicing nurse must have knowledge of The Joint Commission's current 'Do Not Use' list of abbreviations. Which term is acceptable for use regarding medication administration?
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Question 92 of 98
A healthy 60-year-old African-American woman regularly receives health care at her neighborhood cliniShe is due for a mammogram. At her first visit, her health care provider is concerned about the 3-week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 93 of 98
The patient makes the statement: “I’m afraid to take the baby home tomorrow.†Which response by the nurse would be the most therapeutic?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 94 of 98
What is the goal of a long-term treatment plan for an adolescent with an eating disorder?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 95 of 98
Which statement regarding chromosomal abnormalities is most accurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 96 of 98
Which statement regarding human trafficking is correct?
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Question 97 of 98
Five different viruses (A, B, C, D, and E) account for almost all cases of hepatitis infections. Which statement regarding the various forms of hepatitis is most accurate?
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HESI RN · Ethical Issue in Maternal Newborn Nursing
Question 98 of 98
How would the physiologic process of the sexual response best be characterized?
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