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HESI RN · HESI Maternity · Needs of a Maternal and Reproductive Health Client

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurses assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indication that the infant is transitioning well to extrauterine life?

A. Heart rate 220 beats/minute

B. Cries vigorously when stimulated

C. A positive Babinski reflex

D. Flexion of all four extremities

Expert Explanatory Rationale

Correct Answer: Cries vigorously when stimulated

Question 2 of 5

The nurse is caring for a multigravida client in active labor with continuous epidural anesthesia. When the client is 7 cm dilated, her blood pressure drops to 90/50 mm Hg, and the fetal heart rate shows signs of decelerations. What action should the nurse take first?

A. Place the client in a lateral position.

B. Administer oxygen via face mask.

C. Increase the rate of IV fluid infusion.

D. Notify the healthcare provider.

Expert Explanatory Rationale

Correct Answer: Place the client in a lateral position.

Question 3 of 5

A patient in her fifth month of pregnancy asks the nurse, 'How many more calories should I be eating daily?' What is the correct response by the nurse?

A. 180 more calories a day

B. 340 more calories a day

C. 452 more calories a day

D. 500 more calories a day

Expert Explanatory Rationale

Correct Answer: 340 more calories a day

Question 4 of 5

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

A. There is stratification of communication in a directed manner between nursing staff and administration.

B. There is increased job satisfaction of nurses, with a lower staff turnover rate.

C. Physicians are certified in their respective specialty areas.

D. All nurses have baccalaureate degrees and certification in their clinical specialty area.

Expert Explanatory Rationale

Correct Answer: There is increased job satisfaction of nurses, with a lower staff turnover rate.

Question 5 of 5

A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?

A. Chicken

B. Cheese

C. Potatoes

D. Green leafy vegetables

Expert Explanatory Rationale

Correct Answer: Green leafy vegetables

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