Needs of a Maternal and Reproductive Health Client

HESI RN · Needs of a Maternal and Reproductive Health Client

Question 1 of 97

The nurses assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indication that the infant is transitioning well to extrauterine life?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 2 of 97

The nurse is caring for a multigravida client in active labor with continuous epidural anesthesia. When the client is 7 cm dilated, her blood pressure drops to 90/50 mm Hg, and the fetal heart rate shows signs of decelerations. What action should the nurse take first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 3 of 97

A patient in her fifth month of pregnancy asks the nurse, 'How many more calories should I be eating daily?' What is the correct response by the nurse?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 4 of 97

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 5 of 97

A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 6 of 97

A term multigravida, who is receiving oxytocin for labor augmentation is requesting pain medication. Review of the clients record indication that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and promethazine (Phenergan) 25 mg IV push. Vaginal examination reveals that the client cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 7 of 97

A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has had no abortions. Which GTPAL should the nurse document in this client's record?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 8 of 97

The nurse is teaching a client with gestational diabetes about nutrition and insulin need for pregnancy. Which content should the nurse include in this client teaching plan?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 9 of 97

The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 10 of 97

A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 11 of 97

When teaching a gravid client how to perform kick (fetal movement) counts which instruction should the nurse includes.

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 12 of 97

The home health nurse visits a client who delivered a full-term baby three days ago. The mother reports that the infant is waking up every 2 hours to bottle feed. The nurse notes white, curl-like patches on the newborns oral mucous membranes. What action should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 13 of 97

Which nursing intervention is an independent function of the professional nurse?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 14 of 97

The nurse should encourage the laboring client to begin pushing when

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 15 of 97

A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 5 cm, 90% effaced, and the fetus is at 0 station. The client's membranes rupture spontaneously, and the fluid is greenish-brown. What action should the nurse take first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 16 of 97

HESI Maternity

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 17 of 97

Regarding advanced roles of nursing, which statement related to clinical practice is the most accurate?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 18 of 97

Which patient could safely be cared for by a certified nurse-midwife?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 19 of 97

The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 20 of 97

The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 21 of 97

A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 22 of 97

Which patient has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 23 of 97

A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient's history, she has reached 8 weeks' gestation. Which recommendation would the nurse provide regarding folic acid supplementation?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 24 of 97

When assessing a pregnant woman AT 39-weeks gestation who is admitted to labor and delivery which finding is most important to report to the health care provider?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 25 of 97

Which patient would require additional calories and nutrients?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 26 of 97

Which assessment finding should the nursery nurse report to the pediatric healthcare provider?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 27 of 97

The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the nurse implement first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 28 of 97

A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 29 of 97

A patient at 8 weeks' gestation complains to the nurse, 'I feel sick almost every morning. And I throw up at least two or three times a week.' What is the nurse's best guidance for this patient?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 30 of 97

Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mothers vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus. What action should the nurse implement first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 31 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 · Needs of a Maternal and Reproductive Health Client

Question 32 of 97

Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 33 of 97

When should iron supplementation during a normal pregnancy begin?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 34 of 97

An obviously pregnant woman walks into the hospital's emergency department entrance shouting. 'Help me! Help me! My baby is coming! I'm so afraid!' The nurse determines if delivery is indeed imminent, what action is most important for the nurse to take?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 35 of 97

The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 36 of 97

A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 7 cm, 100% effaced, and the fetus is at +1 station. The client begins to push forcefully with contractions. What action should the nurse take?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 37 of 97

The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 38 of 97

A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 39 of 97

A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusion. Which assessment data indicates to the nurse that the client is experiencing magnesium sulfate toxicity?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 40 of 97

When performing daily head to toe assessment of a 1-day old newborn the nurse observes yellow tint to the skin on the forehead, sternum, and abdomen. What action should the nurse take?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 41 of 97

A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most important is most important for the nurse to provide this client?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 42 of 97

A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, 'Why must I stay in bed all the time?' Which response is best for the nurse to provide this client?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 43 of 97

The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 44 of 97

The nurse is caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus is firm, and she has a moderate lochia flow. On inspection the nurse finds that a perineal hematoma is beginning to form. Which assessment findings show the nurse obtain first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 45 of 97

A pregnant patient with significant iron-deficiency anemia is prescribed iron supplements. The patient explains to the nurse that she cannot take iron because it makes her nauseous. What is the best response by the nurse?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 46 of 97

A client at 32-weeks gestation is admitted to the labor and delivery unit with complaints of severe headache, visual disturbances, and epigastric pain. The client's blood pressure is 150/100 mm Hg. What condition should the nurse suspect?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 47 of 97

A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 48 of 97

Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching on the gravid client?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 49 of 97

In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 50 of 97

A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 51 of 97

In consideration of the historic evolution of maternity care, which treatment options were used over the past century?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 52 of 97

A client at 40-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 8 cm, 100% effaced, and the fetus is at +1 station. The client begins to push forcefully with contractions. What action should the nurse take?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 53 of 97

A 26-week gestational primigravida who is carrying twins is seen in the clinic today. Her fundal height is measured at 29 cm. Based on these findings what actions the nurse implement.

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 54 of 97

A newborn infant is receiving immunization prior discharge. Which action should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 55 of 97

Changes in the diet of the pregnant patient who has phenylketonuria would include

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 56 of 97

A pregnant, homeless woman who has received no prenatal care presents to the clinic in her third trimester because she is having vaginal bleeding but reports that she is not in pain. Ultrasound reveals a placenta previa. Which actions should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 57 of 97

The healthcare provides prescribes 10 units/L of oxytocin (Pitocin) via IV drips to augment a client labor because she is experiencing a prolonged active phase. Which finding would cause the nurse to immediately discontinue the oxytocin?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 58 of 97

A term multigravida, who is receiving oxytocin for labor augmentation is requesting pain medication. Review of the client's record indication that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and promethazine (Phenergan) 25 mg IV push. Vaginal examination reveals that the client cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 59 of 97

Following the vaginal delivery of a large-for-gestation-age (LGA) infant a woman is admitted to the intensive care unit due to postpartum hemorrhaging. The client's medical record lists the client's religion as Jehovah's Witness. What action should the nurse take?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 60 of 97

A medical-surgical nurse is asked to float to a women's health unit to care for patients who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment and expresses her personal beliefs as being incongruent with this medical practice. The nursing supervisor states that the unit is short-staffed and the nurse is familiar with caring for postoperative patients. In consideration of legal and ethical practices, can the nursing supervisor enforce this assignment?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 61 of 97

Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 62 of 97

A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of contractions?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 63 of 97

A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag of water has broken. The nurse identifies the presence of meconium fluid on the perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What action should the nurse implement next?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 64 of 97

At the present time, which agency governs surrogate parenting?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 65 of 97

A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 66 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?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 67 of 97

A diabetic client delivers a full-term large for gestation-age (LGA) infant who is jittery. What action should the nurse take first?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 68 of 97

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient increase her intake of these foods by which action?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 69 of 97

Which clinical finding is associated with inadequate maternal weight gain during pregnancy?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 70 of 97

Which effect is a common response to both smoking and cocaine use in the pregnant patient?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 71 of 97

A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is:

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 72 of 97

A client at 41-weeks gestation is admitted to the labor and delivery unit for induction of labor. The client's cervix is dilated 2 cm, 50% effaced, and the fetus is at -2 station. The Bishop score is 4. What action should the nurse anticipate?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 73 of 97

A 33-year-old client at 9 weeks gestation tells the nurse that while she has 'cut down,' she still has at least one alcoholic drink every evening before bedtime. What intervention should the nurse implement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 74 of 97

Which nursing intervention is written correctly?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 75 of 97

The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy. Which major source of nutrients should be a significant component of this patient's diet?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 76 of 97

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 77 of 97

A client who is anovulatory and has hyperprolactinemia is being treated for infertility with metformin, menotropins (Repronex, MENOPURÃƒâ€šÃ‚Â®), and human chorionic gonadotropin(hCG). Which side effects should the nurse tell the client to report immediately?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 78 of 97

The nurse is writing an expected outcome for the nursing diagnosisÃƒÂ¢Ã¢â€šÂ¬Ã¢â‚¬Âacute 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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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 79 of 97

The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which immediate treatment is indicated for this client?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 80 of 97

For the pregnant patient who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 81 of 97

A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 82 of 97

A client at 38-weeks gestation is admitted to the labor and delivery unit with mild contractions every 5 minutes. The client's cervix is dilated 2 cm, 50% effaced, and the fetus is at 0 station. The client's membranes rupture spontaneously, and the fluid is clear. What action should the nurse take next?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 83 of 97

The father of a 3-day old infant who is breastfeeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no appeared reason. What information is most important for the nurse to provide the father?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 84 of 97

A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 6 cm, 90% effaced, and the fetus is at 0 station. The client's membranes rupture spontaneously, and the fluid is clear. What action should the nurse take next?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 85 of 97

When planning care for a laboring client, the nurse identifies the need to withhold solids food while the client is in labored. What is the most important reasons for this nursing intervention?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 86 of 97

When explaining the recommended weight gain to your patient, the nurse's teaching should include which statement?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 87 of 97

The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 88 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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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 89 of 97

Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 90 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 · Needs of a Maternal and Reproductive Health Client

Question 91 of 97

Which patient is most at risk for a low-birth-weight infant?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 92 of 97

Expectant parents ask a prenatal nurse educator, 'Which setting for childbirth limits the amount of parent-infant interaction?'

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Question 93 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 · Needs of a Maternal and Reproductive Health Client

Question 94 of 97

To determine cultural influences on a patient's diet, what is the nurse's primary action?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 95 of 97

In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 96 of 97

A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend?

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HESI RN · Needs of a Maternal and Reproductive Health Client

Question 97 of 97

A primigravida at 39-weeks gestation is admitted to the labor and delivery unit in active labor. She is given an epidural anesthetic. Her blood pressure drops to 90/50 mm Hg, and the fetal heart rate shows late decelerations. What is the most likely cause of these findings?

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