External Maternal Monitoring

HESI RN · External Maternal Monitoring

Question 1 of 70

Which is equivalent to a 2 oz protein serving?

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HESI RN · External Maternal Monitoring

Question 2 of 70

A nurse is caring for a laboring person who is experiencing fetal tachycardia. What is the most appropriate intervention?

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HESI RN · External Maternal Monitoring

Question 3 of 70

A patient in labor begins to experience significant vaginal bleeding. What is the first step the nurse should take?

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HESI RN · External Maternal Monitoring

Question 4 of 70

The nurse is caring for a pregnant patient who is 22 weeks gestation and is concerned about her weight gain. Which of the following statements by the patient indicates the need for further teaching?

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HESI RN · External Maternal Monitoring

Question 5 of 70

At what point in prenatal development do the lungs begin to produce surfactant?

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HESI RN · External Maternal Monitoring

Question 6 of 70

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?

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HESI RN · External Maternal Monitoring

Question 7 of 70

A nurse is caring for a postpartum person who is experiencing excessive bleeding. What is the first step in managing postpartum hemorrhage?

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HESI RN · External Maternal Monitoring

Question 8 of 70

Which feature would be absent in a 41-week gestation fetus?

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HESI RN · External Maternal Monitoring

Question 9 of 70

A woman, 26-weeksÃ¢â‚¬â„¢ gestation, calls the triage nurse stating, 'IÃ¢â‚¬â„¢m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'

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HESI RN · External Maternal Monitoring

Question 10 of 70

A pregnant patient is at 34 weeks gestation and reports frequent headaches and visual changes. What should the nurse do first?

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HESI RN · External Maternal Monitoring

Question 11 of 70

A nurse is caring for a postpartum person who is breastfeeding. What is the most important intervention to prevent nipple trauma?

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HESI RN · External Maternal Monitoring

Question 12 of 70

A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?

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HESI RN · External Maternal Monitoring

Question 13 of 70

A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?

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HESI RN · External Maternal Monitoring

Question 14 of 70

A nurse is caring for a postpartum person who is at risk for hemorrhage. What is the most appropriate action to prevent postpartum hemorrhage?

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HESI RN · External Maternal Monitoring

Question 15 of 70

A nurse is preparing a laboring person for an epidural. What is the most important nursing action before the procedure?

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HESI RN · External Maternal Monitoring

Question 16 of 70

A 40-week pregnant woman is admitted to the labor and delivery unit and is in active labor. Her cervix is 8 cm dilated, and she is experiencing strong contractions. What is the next priority action?

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HESI RN · External Maternal Monitoring

Question 17 of 70

A pregnant patient is at 24 weeks gestation and reports occasional cramping and lower abdominal discomfort. What should the nurse do first?

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HESI RN · External Maternal Monitoring

Question 18 of 70

A pregnant patient at 36 weeks gestation reports feeling short of breath when lying flat. What is the nurse's priority action?

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HESI RN · External Maternal Monitoring

Question 19 of 70

A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?

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HESI RN · External Maternal Monitoring

Question 20 of 70

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits?

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HESI RN · External Maternal Monitoring

Question 21 of 70

A nurse is caring for a laboring person who is receiving oxytocin for labor induction. What is the priority intervention when uterine hyperstimulation occurs?

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HESI RN · External Maternal Monitoring

Question 22 of 70

What is the primary purpose of performing a vaginal examination during labor?

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HESI RN · External Maternal Monitoring

Question 23 of 70

A nurse is preparing a laboring person for a cesarean birth. What is the priority action before the procedure?

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HESI RN · External Maternal Monitoring

Question 24 of 70

What complication is associated with pica during pregnancy?

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HESI RN · External Maternal Monitoring

Question 25 of 70

The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?

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HESI RN · External Maternal Monitoring

Question 26 of 70

A pregnant patient at 36 weeks gestation reports difficulty breathing when lying flat. What should the nurse do first?

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HESI RN · External Maternal Monitoring

Question 27 of 70

A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?

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HESI RN · External Maternal Monitoring

Question 28 of 70

A pregnant patient is concerned about the safety of using over-the-counter medications for her cold symptoms. Which of the following responses is most appropriate for the nurse?

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HESI RN · External Maternal Monitoring

Question 29 of 70

A nurse is caring for a laboring person who is in the first stage of labor. What is the priority assessment during this stage?

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HESI RN · External Maternal Monitoring

Question 30 of 70

A pregnant patient is concerned about the use of caffeine during pregnancy. Which of the following statements by the nurse would be most appropriate?

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HESI RN · External Maternal Monitoring

Question 31 of 70

A nurse is caring for a laboring person and is monitoring for signs of fetal distress. Which finding is the most concerning in this situation?

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HESI RN · External Maternal Monitoring

Question 32 of 70

A nurse is caring for a laboring person who is in the third stage of labor. What is the most appropriate nursing intervention during this stage?

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HESI RN · External Maternal Monitoring

Question 33 of 70

Which statement about fetal circulation is correct?

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HESI RN · External Maternal Monitoring

Question 34 of 70

A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurseÃ¢â‚¬â„¢s best response?

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HESI RN · External Maternal Monitoring

Question 35 of 70

A woman in labor begins to experience a sudden increase in vaginal bleeding and the fetal heart rate decelerates. What is the likely cause of these symptoms?

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HESI RN · External Maternal Monitoring

Question 36 of 70

A nurse is caring for a pregnant patient who is 12 weeks gestation and reports feeling fatigued. Which of the following is the nurse's most appropriate response?

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HESI RN · External Maternal Monitoring

Question 37 of 70

The patient who has received a dose of preservative-free morphine (Duramorph) is beginning to experience pruritus. Which medication is used to treat this?

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HESI RN · External Maternal Monitoring

Question 38 of 70

A patient in labor is requesting an epidural but has a history of a previous back surgery. What is the most important assessment before proceeding with the epidural?

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HESI RN · External Maternal Monitoring

Question 39 of 70

The nurse is assessing a pregnant patient in the second trimester who is complaining of leg cramps. Which of the following interventions is most appropriate?

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HESI RN · External Maternal Monitoring

Question 40 of 70

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?

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HESI RN · External Maternal Monitoring

Question 41 of 70

The nurse is caring for a pregnant client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?

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HESI RN · External Maternal Monitoring

Question 42 of 70

The nurse is caring for a patient who is 32 weeks pregnant and is concerned about gestational diabetes. Which statement by the nurse is most appropriate?

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HESI RN · External Maternal Monitoring

Question 43 of 70

A nurse is caring for a pregnant patient who is 8 weeks gestation. The patient is asking about the safety of taking over-the-counter cold medications. Which response is most appropriate?

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HESI RN · External Maternal Monitoring

Question 44 of 70

A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.

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HESI RN · External Maternal Monitoring

Question 45 of 70

Where is the usual location for implantation of the zygote?

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HESI RN · External Maternal Monitoring

Question 46 of 70

Of what is the normal umbilical cord comprised?

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HESI RN · External Maternal Monitoring

Question 47 of 70

A nurse is administering an uterotonic medication to a birthing person who has just delivered the placenta. Which uterotonic medication is commonly used to prevent postpartum hemorrhage and promote uterine contractions?

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HESI RN · External Maternal Monitoring

Question 48 of 70

The woman's partner is lightly stroking her abdomen as an alternative to medication for pain relief in labor. What is this known as?

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HESI RN · External Maternal Monitoring

Question 49 of 70

The nurse is providing education to a pregnant patient about diet during pregnancy. Which of the following statements indicates that the patient needs further teaching?

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HESI RN · External Maternal Monitoring

Question 50 of 70

The nurse is providing prenatal education to a pregnant patient at 24 weeks gestation. Which of the following topics should the nurse prioritize during this visit?

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HESI RN · External Maternal Monitoring

Question 51 of 70

The nurse is counseling a pregnant patient who is concerned about gestational diabetes. The patient has a family history of diabetes and is overweight. Which statement by the nurse would be most appropriate?

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HESI RN · External Maternal Monitoring

Question 52 of 70

A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?

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HESI RN · External Maternal Monitoring

Question 53 of 70

The nurse is caring for a pregnant patient at 36 weeks gestation who reports sudden, severe headache and blurred vision. What is the nurse's priority action?

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HESI RN · External Maternal Monitoring

Question 54 of 70

The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?

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HESI RN · External Maternal Monitoring

Question 55 of 70

A pregnant patient at 26 weeks gestation reports frequent headaches and blurred vision. What should the nurse do first?

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HESI RN · External Maternal Monitoring

Question 56 of 70

The vessels comprising the umbilical cord are cushioned and protected by a substance called _____________ _____________.

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HESI RN · External Maternal Monitoring

Question 57 of 70

A nurse is monitoring a laboring person for signs of fetal distress. Which finding is most indicative of fetal distress?

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HESI RN · External Maternal Monitoring

Question 58 of 70

In a low-risk laboring person who is not receiving oxytocin, how often should the nurse assess the fetal heart rate during the second stage of labor?

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HESI RN · External Maternal Monitoring

Question 59 of 70

A nurse is assessing a pregnant patient at 36 weeks gestation who complains of pain in the lower abdomen and back. The nurse finds no signs of labor. Which of the following interventions should the nurse implement?

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HESI RN · External Maternal Monitoring

Question 60 of 70

A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. When is the best time for the nurse to schedule the patientÃ¢â‚¬â„¢s ultrasound?

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HESI RN · External Maternal Monitoring

Question 61 of 70

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

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HESI RN · External Maternal Monitoring

Question 62 of 70

A pregnant patient at 28 weeks gestation reports severe heartburn. What is the nurse's most appropriate recommendation?

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HESI RN · External Maternal Monitoring

Question 63 of 70

A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important intervention to prevent uterine atony?

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HESI RN · External Maternal Monitoring

Question 64 of 70

A pregnant patient at 30 weeks gestation is complaining of severe heartburn. What should the nurse recommend?

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HESI RN · External Maternal Monitoring

Question 65 of 70

What is the purpose of the Leopold's maneuver in labor and delivery?

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HESI RN · External Maternal Monitoring

Question 66 of 70

What is the purpose of initiating contractions in a contraction stress test (CST)?

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HESI RN · External Maternal Monitoring

Question 67 of 70

The nurse is educating a pregnant patient about the importance of exercise during pregnancy. Which statement by the patient indicates that the teaching has been effective?

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HESI RN · External Maternal Monitoring

Question 68 of 70

A postpartum person is breastfeeding her newborn. What is the most important factor for successful breastfeeding in the early postpartum period?

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HESI RN · External Maternal Monitoring

Question 69 of 70

A 36-week pregnant woman is admitted with ruptured membranes and a positive test for Group B Streptococcus (GBS). What is the appropriate nursing action?

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HESI RN · External Maternal Monitoring

Question 70 of 70

A pregnant patient is at 28 weeks gestation and reports occasional headaches and blurred vision. What is the nurse's priority action?

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