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HESI RN · HESI Maternity · Maternity Heartbeat Monitor

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A pregnant patient is asking about the risks of smoking during pregnancy. Which of the following is the most appropriate response by the nurse?

A. Smoking during pregnancy is safe if you don't have other complications.
B. Smoking increases the risk of premature birth, low birth weight, and developmental delays.
C. It's okay to smoke in moderation during pregnancy as long as you quit before delivery.
D. Smoking only affects the mother, not the baby.

Expert Explanatory Rationale

Correct Answer: Smoking increases the risk of premature birth, low birth weight, and developmental delays.

Question 2 of 5

A 32-week pregnant woman is admitted to the hospital in preterm labor. What is the most appropriate intervention to delay delivery?

A. Administer corticosteroids to promote fetal lung development
B. Provide an epidural for pain management
C. Give magnesium sulfate to inhibit uterine contractions
D. Begin oxytocin infusion to speed up labor

Expert Explanatory Rationale

Correct Answer: Give magnesium sulfate to inhibit uterine contractions

Question 3 of 5

The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?

A. Diabetes
B. Blindness
C. Pneumonia
D. Hypertension

Expert Explanatory Rationale

Correct Answer: Blindness

Question 4 of 5

A pregnant patient is at 32 weeks gestation and complains of shortness of breath, swelling of the hands, and increased weight gain. What is the nurse's priority action?

A. Administer oxygen and prepare the patient for a cesarean section.
B. Assess the patient's blood pressure and check for protein in the urine.
C. Encourage the patient to rest and elevate the legs.
D. Instruct the patient to drink plenty of fluids to reduce swelling.

Expert Explanatory Rationale

Correct Answer: Assess the patient's blood pressure and check for protein in the urine.

Question 5 of 5

A nurse is educating a birthing person about the benefits of skin-to-skin contact with their newborn immediately after birth. The nurse explains that this practice has numerous advantages. Which of the following benefits is NOT typically associated with skin-to-skin contact?

A. improved bonding between parent and baby
B. enhanced thermoregulation for the newborn
C. decreased risk of neonatal infections
D. accelerated uterine involution for the birthing person

Expert Explanatory Rationale

Correct Answer: accelerated uterine involution for the birthing person

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