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HESI RN · HESI Maternity · HESI Maternity Test Bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

During a woman's first prenatal visit, the nurse reviews her health care record, noting a history of chickenpox as a child and syphilis as a teenager. Which action is most important for the nurse to take?

A. Obtain blood and urine for prenatal screens.

B. Schedule prenatal visits to occur monthly.

C. Explain common complications of pregnancy.

D. Obtain baseline blood pressure and weight.

Expert Explanatory Rationale

Correct Answer: Obtain blood and urine for prenatal screens.

Question 2 of 5

A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement?

A. Inform her that a decreased need for insulin occurs while breastfeeding.

B. Counsel her to increase her caloric intake.

C. Advise the client to breastfeed more frequently.

D. Schedule an appointment for the client with the diabetic nurse educator.

Expert Explanatory Rationale

Correct Answer: Inform her that a decreased need for insulin occurs while breastfeeding.

Question 3 of 5

A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which assessment finding indicates to the healthcare provider that the drug is effective?

A. Slowly increasing urinary output over the last week.

B. Respiratory rate changes from the 40s to the 60s.

C. Changes in apical heart rate from the 180s to the 140s.

D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl.

Expert Explanatory Rationale

Correct Answer: Changes in apical heart rate from the 180s to the 140s.

Question 4 of 5

A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion?

A. 3+ deep tendon reflexes and hyperreflexia.

B. Periorbital edema, flashing lights, and aura.

C. Epigastric pain in the third trimester.

D. Recent decreased urinary output.

Expert Explanatory Rationale

Correct Answer: 3+ deep tendon reflexes and hyperreflexia.

Question 5 of 5

What action should be implemented when preparing to measure the fundal height of a pregnant client?

A. Have the client empty her bladder.

B. Request the client lie on her left side.

C. Perform Leopold's maneuvers first.

D. Give the client some cold juice to drink.

Expert Explanatory Rationale

Correct Answer: Have the client empty her bladder.

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