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HESI RN · HESI Maternity · Complications in an Early Pregnancy

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is monitoring a woman with signs and symptoms of preterm labor. Which does the nurse include in the teaching plan?

A. Importance of performing daily fetal movement counts
B. Need to refrain from putting any objects in the vagina
C. Need to take a daily stool softener
D. The need to decrease fluid intake

Expert Explanatory Rationale

Correct Answer: Need to refrain from putting any objects in the vagina

Question 2 of 5

The nurse is caring for a woman who is suspected of having chorioamnionitis. Which of the following are risk factors for chorioamnionitis? Select all that apply.

A. Changing cat litter
B. Frequent vaginal examination during labor
C. Gestational diabetes
D. Preterm premature rupture of the membranes

Expert Explanatory Rationale

Correct Answer: Changing cat litter

Question 3 of 5

The nurse is assessing a client who has been diagnosed with gestational diabetes. Which should the nurse monitor closely because of her diagnosis?

A. Edema
B. Blood pressure, pulse, and respiration
C. Urine for glucose and ketones
D. Hemoglobin and hematocrit

Expert Explanatory Rationale

Correct Answer: Urine for glucose and ketones

Question 4 of 5

A nurse is caring for a client who is G1P0 and 36 weeks gestation who has been diagnosed with severe pre-eclampsia. Her blood pressure is 165/110. The physician has ordered hydralazine. The nurse knows she should do which of the following when administering this medication?

A. Position the client supine with the head of the bed elevated 30 degrees.
B. Get baseline blood pressure and pulse and monitor frequently during administration.
C. Administer medication every 5 minutes until blood pressure is stabilized.
D. Inform the client that this may cause a positive direct Coombs test result.

Expert Explanatory Rationale

Correct Answer: Get baseline blood pressure and pulse and monitor frequently during administration.

Question 5 of 5

A client who is 30 weeks pregnant comes into the labor and delivery unit complaining of having a gush of fluid come from her vagina. Which complication is this client at risk for?

A. Infection
B. Fluid volume deficit
C. Hypotension
D. Decreased urinary output

Expert Explanatory Rationale

Correct Answer: Fluid volume deficit

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