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HESI NCLEX-RN COMPREHENSIVE REVIEW (MATERNITY) EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE$11.09
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HESI NCLEX-RN COMPREHENSIVE REVIEW (MATERNITY) EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE
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HESI FUNDAMENTAL
Institution
HESI FUNDAMENTAL
HESI NCLEX-RN COMPREHENSIVE REVIEW (MATERNITY)
EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 |
ACCURATE REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS | EXPERT VERIFIED FOR A GUARANTEED
PASS | LATEST UPDATE
HESI NCLEX-RN COMPREHENSIVE REVIEW (MATERNITY)
EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 |
ACCURATE REAL EXAM QUESTIONS WITH VERIFIED
ANSWERS | EXPERT VERIFIED FOR A GUARANTEED
PASS | LATEST UPDATE
,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 menstruation
D. Three weeks before menstruation - ✔✔ANSW✔✔..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.
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 unpredictable
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
D. Affirming that the fetal heart rate is remaining within normal limits - ✔✔ANSW✔✔..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.
In developing a teaching plan for expectant parents, the nurse decides to include
information about when the parents can expect the infant's fontanels to close. Which
statement is accurate regarding the timing of closure of an infant's fontanels that should
be included in this teaching plan?
A. The anterior fontanel closes at 2 to 4 months and the posterior fontanel by the end of
the first week.
B. The anterior fontanel closes at 5 to 7 months and the posterior fontanel by the end of
the second week.
C. The anterior fontanel closes at 8 to 11 months and the posterior fontanel by the end
of the first month.
D. The anterior fontanel closes at 12 to 18 months and the posterior fontanel by the end
of the second month. - ✔✔ANSW✔✔..D
Rationale:
, In the normal infant, the anterior fontanel closes at 12 to 18 months of age and the
posterior fontanel closes by the end of the second month. Options A, B, and C are
incorrect.
These growth and development milestones are frequently included in questions on the
licensure examination.
The nurse is preparing a laboring client for an amniotomy. Immediately after the
procedure is completed, it is most important for the nurse to obtain which information?
A. Maternal blood pressure
B. Maternal temperature
C. Fetal heart rate (FHR)
D. White blood cell count (WBC) - ✔✔ANSW✔✔..C
Rationale:
The FHR should be assessed before and after the procedure to detect changes that
may indicate the presence of cord compression or prolapse. An amniotomy (artificial
rupture of membranes [AROM]) is used to stimulate labor when the condition of the
cervix is favorable. The fluid should be assessed for color, odor, and consistency.
Option A should be assessed every 15 to 20 minutes during labor but is not specific for
AROM. Option B is monitored hourly after the membranes are ruptured to detect the
development of amnionitis. Option D should be determined for all clients in labor.
Six hours after an oxytocin (Pitocin) induction was begun and 2 hours after spontaneous
rupture of the membranes, the nurse notes several sudden decreases in the fetal heart
rate with quick return to baseline, with and without contractions. Based on this fetal
heart rate pattern, which intervention is best for the nurse to implement?`
A. Turn the client to her side.
B. Begin oxygen by nasal cannula at 2 L/min.
C. Place the client in a slight Trendelenburg position.
D. Assess for cervical dilation. - ✔✔ANSW✔✔..C
Rationale:
The goal is to relieve pressure on the umbilical cord, and placing the client in a slight
Trendelenburg position is most likely to relieve that pressure. The FHR pattern is
indicative of a variable fetal heart rate deceleration, which is typically caused by cord
compression and can occur with or without contractions. Option A may be helpful but is
not as likely to relieve the pressure as the Trendelenburg position. Option B is not
helpful with cord compression. Option D is not the priority intervention at this time. After
repositioning the client, a vaginal examination is indicated to rule out cord prolapse and
assess for cervical change.
During the transition phase of labor, a client complains of tingling and numbness in her
fingers and tells the nurse that she feels like she is going to pass out. What action
should the nurse take?
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