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HESI RN · HESI Maternity · Advanced Maternal Age Monitoring

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is assisting with a vaginal delivery. What is the most important action to take when the fetal head crowns?

A. apply gentle downward pressure
B. assist with shoulder delivery
C. assist with perineal massage
D. administer pain relief

Expert Explanatory Rationale

Correct Answer: apply gentle downward pressure

Question 2 of 5

A laboring person on oxytocin for induction of labor should have continuous monitoring of the fetal heart rate. How often should the nurse assess the fetal heart rate?

A. every 30 minutes
B. every 15 minutes
C. every 5 minutes
D. every 1 hour

Expert Explanatory Rationale

Correct Answer: every 15 minutes

Question 3 of 5

A pregnant patient is at 24 weeks gestation and reports feeling nauseous after eating. What is the most appropriate recommendation for the nurse to make?

A. Instruct the patient to take over-the-counter anti-nausea medications.
B. Encourage the patient to eat smaller, more frequent meals and avoid greasy foods.
C. Recommend the patient rest in bed to alleviate symptoms.
D. Advise the patient to reduce fluid intake to prevent nausea.

Expert Explanatory Rationale

Correct Answer: Encourage the patient to eat smaller, more frequent meals and avoid greasy foods.

Question 4 of 5

A nurse is educating a pregnant patient about the importance of folic acid during pregnancy. Which of the following statements by the patient indicates effective teaching?

A. I will stop taking folic acid after the first trimester to reduce the risk of birth defects.
B. Folic acid is important for preventing neural tube defects in the baby's brain and spine.
C. I can get enough folic acid by eating a healthy diet, so I don't need supplements.
D. I should take folic acid only if I have a family history of birth defects.

Expert Explanatory Rationale

Correct Answer: Folic acid is important for preventing neural tube defects in the baby's brain and spine.

Question 5 of 5

A nurse is caring for a postpartum person with a diagnosis of uterine atony. What is the most appropriate first action to take?

A. perform fundal massage
B. administer a uterotonic medication
C. perform a vaginal exam
D. monitor vital signs

Expert Explanatory Rationale

Correct Answer: perform fundal massage

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