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HESI RN · HESI Maternity · Intrapartum Complications NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Multiple gestation can lead to what labor complication?

A. tachysystole
B. postterm birth
C. postterm birth
D. early declarations

Expert Explanatory Rationale

Correct Answer: postterm birth

Question 2 of 5

In a spontaneous abortion, if bleeding from the retained products of conception cannot be stopped, what is the next course of action?

A. surgery for a dilation and curettage
B. surgery for a hysterectomy
C. administration of magnesium sulfate
D. administration of calcium gluconate

Expert Explanatory Rationale

Correct Answer: administration of magnesium sulfate

Question 3 of 5

An emergency cesarean is being implemented. The patient describes tingling in her ears and a metallic taste with the administration of regional anesthesia. The nurse is aware that which incidence has occurred?

A. Manifestation of maternal respiratory depression related to anesthesia
B. Inadvertent injection of the anesthetic agent into the maternal bloodstream
C. Maternal hypotension is occurring related to administration of anesthesia
D. Expected manifestations related to anesthetic medications are present

Expert Explanatory Rationale

Correct Answer: Inadvertent injection of the anesthetic agent into the maternal bloodstream

Question 4 of 5

The nurse is concerned that a patient’s uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?

A. Reposition the tocotransducer.
B. Reposition the Doppler transducer.
C. Obtain an order from the health care provider for a spiral electrod
D. Obtain an order from the health care provider for an intrauterine pressure catheter.

Expert Explanatory Rationale

Correct Answer: Obtain an order from the health care provider for an intrauterine pressure catheter.

Question 5 of 5

A nurse is taking a birth history assessment on a client who is 8 weeks gestation and has one child who was born at 38 weeks. Which is consistent with this birth history?

A. Primipara
B. Primigravida
C. Nulligravida
D. Multipara

Expert Explanatory Rationale

Correct Answer: Multipara

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