HESI NCLEX-RN Comprehensive Review (Maternity)
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HESI NCLEX-RN Comprehensive Review (Maternity) Exam 2022\2023
1. The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?
A.Two weeks before menstruation
B.Immediately after menstruation
C.Immediately before menstruationD. Three weeks before menstruation: A
Rationale:
Ovulation occurs 14 days before the first day of the menstrual period. Although ovulation can occur in the middle of the cycle or 2 weeks after menstruation, this is only true for a woman who has a perfect 28-day cycle. For many women, the length of the menstrual cycle varies. Options B, C, and D are incorrect. HESI NCLEX-RN Comprehensive Review (Maternity)
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2. A client in active labor is becoming increasingly fearful because her contractions are occurring more often than she had expected. Her partner is also becoming anxious. Which of the following should be the focus of the nurse's response?
A.Telling the client and her partner that the labor process is often unpre-
dictable
B.Informing the client that this means she will give birth sooner than expected
C.Asking the client and her partner if they would like the nurse to stay in the room HESI NCLEX-RN Comprehensive Review (Maternity)
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D.Affirming that the fetal heart rate is remaining within normal limits: C Rationale:
Offering to remain with the client and her partner offers support without providing
false reassurance. The length of labor is not always predictable, but options A
and B do not offer the client the support that is needed at this time. Option D
may be reassuring regarding the fetal heart rate but does not provide the client
the emotional support she needs at this time during the labor process.
3. A newborn infant, diagnosed with developmental dysplasia of the hip (DDH), is being prepared for discharge. Which nursing intervention should be included in this infant's discharge teaching plan?
A.Observe the parents applying a Pavlik harness.
B.Provide a referral for an orthopedic surgeon. HESI NCLEX-RN Comprehensive Review (Maternity)
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C.Schedule a physical therapy follow-up home visit.
D.Teach the parents to check for hip joint mobility.: A Rationale:
It is important that the hips of infants with hip dysplasia are maintained in an abducted position, which can be accomplished by using the Pavlik harness; this keeps the hips and knees flexed, the hips abducted, and the femoral head in the acetabulum. Early treatment often negates the need for surgery, and option B is not indicated until approximately 6 months of age. Option C is not indicated for hip dysplasia. It is best for the pediatrician to monitor hip joint mobility, and teaching the parents to perform this technique is likely to increase their anxiety.
4. A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" Which explanation is appropriate?
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