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HESI RN · HESI Maternity · Antenatal care for complicated pregnancies

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Rh incompatibility can occur if the patient is Rh-negative and the

A. fetus is Rh-negative.
B. fetus is Rh-positive.
C. father is Rh-positive.
D. father and fetus are both Rh-negative.

Expert Explanatory Rationale

Correct Answer: fetus is Rh-positive.

Question 2 of 5

A patient at 10 weeks' gestation informs the nurse they are having vaginal bleeding and cramping. After completing a speculum examination, the health-care provider (HCP) informs the patient their cervix is open. What does the nurse anticipate the HCP will inform the patient they are experiencing?

A. complete abortion
B. incomplete abortion
C. inevitable abortion
D. spontaneous abortion

Expert Explanatory Rationale

Correct Answer: inevitable abortion

Question 3 of 5

What should the nurse recognize as evidence that the patient is recovering from preeclampsia?

A. 1+ protein in urine
B. 2+ pitting edema in lower extremities
C. Urine output >100 mL/hour
D. Deep tendon reflexes +2

Expert Explanatory Rationale

Correct Answer: Urine output >100 mL/hour

Question 4 of 5

A pregnant client with a history of preterm labor is at home on bed rest. Which instruction would be included in this client's teaching plan?

A. Place blocks under the foot of the bed.
B. Sit upright with several pillows behind the back.
C. Lie on the side with the head raised on a small pillow.
D. Assume the knee-chest position at regular intervals throughout the day.

Expert Explanatory Rationale

Correct Answer: Lie on the side with the head raised on a small pillow.

Question 5 of 5

Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa?

A. Determining cervical dilation and effacement
B. Monitoring FHR and maternal vital signs
C. Observing vaginal bleeding or leakage of amniotic fluid
D. Determining frequency, duration, and intensity of contractions

Expert Explanatory Rationale

Correct Answer: Determining cervical dilation and effacement