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HESI RN · HESI Maternity · Antenatal complications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?

A. Back blows
B. Chest thrusts
C. Suprapubic thrusts
D. Abdominal thrusts

Expert Explanatory Rationale

Correct Answer: Chest thrusts

Question 2 of 5

A patient who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the patient presents at the clinic office complaining of “crampy” abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100°F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/minute (bpm), and respirations, 20 breaths per minute. Based on this assessment data, what does the nurse anticipate as a clinical diagnosis?

A. Ectopic pregnancy
B. Uterine infection
C. Gestational trophoblastic disease
D. Endometriosis

Expert Explanatory Rationale

Correct Answer: Uterine infection

Question 3 of 5

Which clinical intervention is the only known cure for preeclampsia?

A. Magnesium sulfate
B. Delivery of the fetus
C. Antihypertensive medications
D. Administration of aspirin (ASA) every day of the pregnancy

Expert Explanatory Rationale

Correct Answer: Delivery of the fetus

Question 4 of 5

What adverse fetal effect is associated with undernutrition?

A. hyperglycemia
B. impaired bone development
C. cardiovascular disorders
D. psychiatric disorders

Expert Explanatory Rationale

Correct Answer: impaired bone development

Question 5 of 5

Fraternal twins are delivered by your Rh-negative patient. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the

A. direct Coombs test of twin A.
B. direct Coombs test of twin B.
C. indirect Coombs test of the mother.
D. transcutaneous bilirubin level for both twins.

Expert Explanatory Rationale

Correct Answer: indirect Coombs test of the mother.

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