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HESI RN · HESI Maternity · Maternal Monitoring

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A postpartum person is breastfeeding her newborn. What is the most appropriate action if the person is experiencing nipple pain?

A. apply lanolin cream
B. administer pain relief
C. monitor the baby's latch
D. provide distraction techniques

Expert Explanatory Rationale

Correct Answer: administer pain relief

Question 2 of 5

A 38-week pregnant woman presents to the labor and delivery unit with regular contractions. The cervix is 3 cm dilated and 80% effaced. What is the next appropriate nursing action?

A. Perform a vaginal exam to assess for fetal position
B. Prepare the patient for delivery
C. Administer an epidural block
D. Continue to monitor contractions and fetal heart rate

Expert Explanatory Rationale

Correct Answer: Continue to monitor contractions and fetal heart rate

Question 3 of 5

A nurse is assessing a laboring person for signs of uterine rupture. What is the most common sign of uterine rupture?

A. abdominal pain
B. vaginal bleeding
C. decreased fetal movement
D. increased fetal heart rate

Expert Explanatory Rationale

Correct Answer: decreased fetal movement

Question 4 of 5

Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?

A. Anemia.
B. Thrombocytopenia.
C. Polycythemia.
D. Hyperbilirubinemia.

Expert Explanatory Rationale

Correct Answer: Anemia.

Question 5 of 5

What is the primary purpose of a vaginal examination during the second stage of labor?

A. to assess fetal descent
B. to evaluate uterine progress
C. to assess cervical dilation
D. to assess fetal position

Expert Explanatory Rationale

Correct Answer: to evaluate uterine progress