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HESI RN · HESI Maternity · Assessment of a High Risk Pregnancy NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient is placed on bed rest at home for mild preeclampsia at 38 weeks' gestation. Which of the following must the nurse teach the patient regarding her condition?

A. Eat a sodium-restricted diet.
B. Check her temperature 4 times daily.
C. Report swollen hands and face.
D. Limit fluids to 1 liter per day.

Expert Explanatory Rationale

Correct Answer: Report swollen hands and face.

Question 2 of 5

A laboring woman, G4 P3003, who was 6 cm dilated 1 hour ago cries, 'Hurry. I have to go to the bathroom to have a bowel movement.' The nurse notes that there is an increase in bloody show. Which of the following actions by the nurse is appropriate?

A. Assess cervical dilation.
B. Help the woman to the bathroom.
C. Ask the woman if she needs pain medicine.
D. Check the fetal heart rate.

Expert Explanatory Rationale

Correct Answer: Assess cervical dilation.

Question 3 of 5

A nurse sees an overweight woman looking at the babies through the nursery window. The woman asks the nurse when the babies go to their mothers for feedings and about the location of the nearest stairwell. Which of the following replies by the nurse is most appropriate at this time?

A. The babies go to their mothers whenever they seem hungry.'
B. Please let me escort you to the mother’s room you are here to visit.'
C. The babies are in the mothers’ rooms for the majority of the day.'
D. Most of our visitors prefer to use the elevator to return to the lobby.'

Expert Explanatory Rationale

Correct Answer: Please let me escort you to the mother’s room you are here to visit.'

Question 4 of 5

The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?

A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks

Expert Explanatory Rationale

Correct Answer: 2 weeks

Question 5 of 5

A client's amniocentesis results are reported as 45, X. How should the nurse interpret these findings?

A. The fetus is nonviable.
B. The fetus is a normal female.
C. The baby will be a hermaphrodite.
D. The girl will be short and sterile.

Expert Explanatory Rationale

Correct Answer: The girl will be short and sterile.

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