Maternity Heartbeat Monitor

HESI RN · Maternity Heartbeat Monitor

Question 1 of 51

A pregnant patient is asking about the risks of smoking during pregnancy. Which of the following is the most appropriate response by the nurse?

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HESI RN · Maternity Heartbeat Monitor

Question 2 of 51

A 32-week pregnant woman is admitted to the hospital in preterm labor. What is the most appropriate intervention to delay delivery?

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HESI RN · Maternity Heartbeat Monitor

Question 3 of 51

The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?

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HESI RN · Maternity Heartbeat Monitor

Question 4 of 51

A pregnant patient is at 32 weeks gestation and complains of shortness of breath, swelling of the hands, and increased weight gain. What is the nurse's priority action?

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HESI RN · Maternity Heartbeat Monitor

Question 5 of 51

A nurse is educating a birthing person about the benefits of skin-to-skin contact with their newborn immediately after birth. The nurse explains that this practice has numerous advantages. Which of the following benefits is NOT typically associated with skin-to-skin contact?

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HESI RN · Maternity Heartbeat Monitor

Question 6 of 51

During open glottis pushing, what is the laboring person instructed to do?

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HESI RN · Maternity Heartbeat Monitor

Question 7 of 51

A pregnant patient is at 24 weeks gestation and reports pain in her lower abdomen and back. What is the nurse's first priority action?

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HESI RN · Maternity Heartbeat Monitor

Question 8 of 51

The nurse is caring for a pregnant patient who is 30 weeks gestation and reports feeling faint and lightheaded. What is the most appropriate action for the nurse to take?

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HESI RN · Maternity Heartbeat Monitor

Question 9 of 51

A woman in labor begins to experience severe lower abdominal pain and is found to have a ruptured uterus. What is the first intervention the nurse should perform?

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HESI RN · Maternity Heartbeat Monitor

Question 10 of 51

A nurse is educating a pregnant patient about signs of labor. Which of the following statements by the patient indicates a need for further teaching?

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HESI RN · Maternity Heartbeat Monitor

Question 11 of 51

A nurse is caring for a laboring person who is experiencing late decelerations in fetal heart rate. What is the priority nursing intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 12 of 51

A nurse is caring for a pregnant patient at 32 weeks gestation who is diagnosed with anemia. What is the nurse's priority teaching for this patient?

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HESI RN · Maternity Heartbeat Monitor

Question 13 of 51

A nurse is caring for a laboring person who is in the second stage of labor. What is the most important action to promote fetal descent?

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HESI RN · Maternity Heartbeat Monitor

Question 14 of 51

A woman in labor begins to experience uterine rupture. What is the most important intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 15 of 51

A pregnant patient is 26 weeks gestation and reports difficulty breathing when lying flat. What should the nurse recommend?

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HESI RN · Maternity Heartbeat Monitor

Question 16 of 51

A nurse is preparing a laboring person for a cesarean birth. What is the most important intervention before the procedure?

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HESI RN · Maternity Heartbeat Monitor

Question 17 of 51

A nurse is educating a birthing person about the signs and symptoms of postpartum hemorrhage. Which of the following is an early sign of postpartum hemorrhage?

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HESI RN · Maternity Heartbeat Monitor

Question 18 of 51

A nurse is caring for a laboring person who is experiencing fetal bradycardia. What is the priority nursing intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 19 of 51

A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?

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HESI RN · Maternity Heartbeat Monitor

Question 20 of 51

A pregnant patient is at 30 weeks gestation and reports severe heartburn after eating. What is the nurse's most appropriate intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 21 of 51

A nurse is caring for a pregnant patient at 34 weeks gestation who has been diagnosed with gestational hypertension. What is the nurse's priority intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 22 of 51

A nurse is preparing a laboring person for an epidural. What is the priority nursing intervention before the procedure?

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HESI RN · Maternity Heartbeat Monitor

Question 23 of 51

A nurse is monitoring a postpartum person for signs of infection. Which finding would be most concerning in the first 24 hours after delivery?

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HESI RN · Maternity Heartbeat Monitor

Question 24 of 51

The nurse is caring for a patient who is in labor and being externally monitored. What should the nurse do after noting early decelerations of the FHR?

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HESI RN · Maternity Heartbeat Monitor

Question 25 of 51

During the third stage of labor, the nurse notes excessive bleeding. What should the nurse assess first?

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HESI RN · Maternity Heartbeat Monitor

Question 26 of 51

A nurse is assessing a laboring person and notes the presence of meconium-stained amniotic fluid. What is the priority nursing action?

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HESI RN · Maternity Heartbeat Monitor

Question 27 of 51

A pregnant patient at 34 weeks gestation is concerned about swelling in her hands, feet, and face. What is the nurse's priority action?

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HESI RN · Maternity Heartbeat Monitor

Question 28 of 51

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

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HESI RN · Maternity Heartbeat Monitor

Question 29 of 51

A pregnant patient at 32 weeks gestation reports increased pressure in the pelvic area and mild cramping. What should the nurse assess first?

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HESI RN · Maternity Heartbeat Monitor

Question 30 of 51

Five minutes after delivery of the infant, the umbilical cord is protruding more from the woman's vaginal introitus and there is a sudden gush of blood with a contracted uterus. What does this signal to the nurse?

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HESI RN · Maternity Heartbeat Monitor

Question 31 of 51

A pregnant patient at 26 weeks gestation reports dizziness and faintness when standing. Which intervention should the nurse prioritize?

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HESI RN · Maternity Heartbeat Monitor

Question 32 of 51

A nurse is educating a pregnant patient at 32 weeks gestation about safe physical activity. Which of the following recommendations should the nurse prioritize?

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HESI RN · Maternity Heartbeat Monitor

Question 33 of 51

A nurse is preparing a laboring person for an emergency cesarean birth. What is the most important nursing intervention prior to the procedure?

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HESI RN · Maternity Heartbeat Monitor

Question 34 of 51

A pregnant patient at 36 weeks gestation is experiencing swelling in her hands and feet. What is the nurse's priority action?

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HESI RN · Maternity Heartbeat Monitor

Question 35 of 51

A pregnant patient who is 18 weeks gestation reports that she has not felt her baby move for several hours. What should the nurse instruct the patient to do?

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HESI RN · Maternity Heartbeat Monitor

Question 36 of 51

A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?

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HESI RN · Maternity Heartbeat Monitor

Question 37 of 51

What is the most common cause of shoulder dystocia during delivery?

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HESI RN · Maternity Heartbeat Monitor

Question 38 of 51

A patient in labor is receiving Pitocin to augment contractions. The fetal heart rate shows late decelerations. What is the most appropriate intervention?

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HESI RN · Maternity Heartbeat Monitor

Question 39 of 51

A nurse is caring for a pregnant patient who is 26 weeks gestation and reports feeling dizzy when standing. What should the nurse recommend to the patient?

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HESI RN · Maternity Heartbeat Monitor

Question 40 of 51

A pregnant patient at 28 weeks gestation reports feeling nauseated and vomiting after meals. What is the most appropriate action for the nurse to take?

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HESI RN · Maternity Heartbeat Monitor

Question 41 of 51

The nurse is caring for a pregnant patient who is 22 weeks gestation and has a history of gestational hypertension. What should the nurse monitor most closely?

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HESI RN · Maternity Heartbeat Monitor

Question 42 of 51

A nurse is assessing a postpartum person for signs of urinary retention. What is the most common sign of urinary retention in the postpartum period?

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HESI RN · Maternity Heartbeat Monitor

Question 43 of 51

What is the priority nursing action when a postpartum person experiences a boggy uterus after delivery?

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HESI RN · Maternity Heartbeat Monitor

Question 44 of 51

A woman in labor requests an epidural. What should the nurse assess before administering the epidural?

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HESI RN · Maternity Heartbeat Monitor

Question 45 of 51

A nurse is caring for a laboring person who is receiving oxytocin for induction of labor. What is the priority assessment during oxytocin infusion?

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HESI RN · Maternity Heartbeat Monitor

Question 46 of 51

A pregnant patient at 28 weeks gestation is experiencing severe swelling in her hands and feet. Which of the following actions should the nurse take first?

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HESI RN · Maternity Heartbeat Monitor

Question 47 of 51

The nurse is monitoring her patient during labor and is aware that the only way to determine the objective measurement of uterine contractions is through the use of which modality?

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HESI RN · Maternity Heartbeat Monitor

Question 48 of 51

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about the upcoming delivery. Which of the following statements by the nurse is most appropriate?

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HESI RN · Maternity Heartbeat Monitor

Question 49 of 51

A pregnant patient is 36 weeks gestation and reports increased vaginal discharge. What is the nurse's priority action?

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HESI RN · Maternity Heartbeat Monitor

Question 50 of 51

The nurse is teaching a pregnant patient about prenatal vitamins. Which statement by the patient indicates that further teaching is needed?

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HESI RN · Maternity Heartbeat Monitor

Question 51 of 51

A pregnant patient at 12 weeks gestation is asking about safe activities during pregnancy. Which of the following responses is most appropriate?

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