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HESI Maternity Exam latest October 2024 update Which piece of equipment does the nurse use to assess the fetal heartbeat? - Answer--Electronic Doppler A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and fatigue, and tu$15.99
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HESI Maternity Exam latest October 2024 update Which piece of equipment does the nurse use to assess the fetal heartbeat? - Answer--Electronic Doppler A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and fatigue, and tu
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HESI Maternity Exam latest October 2024 update
Which piece of equipment does the nurse use to assess the fetal heartbeat? - Answer--Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and fatigue, and tuberculosis is suspected. A sputum culture ...
Which piece of equipment does the nurse use to assess the fetal heartbeat? - Answer--Electronic
Doppler
A pregnant woman reports to the clinic complaining of loss of appetite, weight loss, and fatigue, and
tuberculosis is suspected. A sputum culture reveals Mycobacterium tuberculosis. The nurse, providing
instructions to the mother regarding therapeutic management of the disease, tells the mother that: -
Answer--The mother may need to take isoniazid (INH), pyrazinamide, and rifampin (Rifadin) for a total of
9 months
A nurse assists a pregnant client who is in the second trimester into lithotomy position on the examining
table in the obstetrician's office. The client suddenly becomes dizzy, lightheaded, nauseated, and pale.
The nurse immediately: - Answer--Positions the client on her side
A nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The nurse notes
that the client's oxygen saturation on pulse oximetry is 92%. The nurse first: - Answer--Instructs the
client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to determine whether labor has begun. For
which sign of true labor does the nurse assess the client? - Answer--Contractions that begin in the lower
abdomen and back and radiate over the entire abdomen
Placental abruption is suspected in a client who is experiencing vaginal bleeding. On assessment, which
of the following findings would the nurse expect to note? - Answer--Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive pregnant woman during the 32nd week of
gestation. Which finding requires further follow-up? - Answer--Increased shortness of breath and
bilateral crackles in the lungs
, A nurse is changing the diaper of a 1-day-old full-term female newborn. The nurse notes that the labia
are edematous and darker than the surrounding skin and that a white mucous vaginal discharge is
present. On the basis of these findings, the nurse determines that the appropriate action is: - Answer--
Documenting the findings (normal findings)
Rho(D) immune globulin (RhoGam) is prescribed for a client after delivery. Before administering the
medication, the nurse reviews the client's history. Which of the following findings is a contraindication
to administration of the medication? - Answer--A previous hypersensitivity reaction to immune globulin
-Rho(D) immune globulin is indicated when an Rh-negative client is exposed to Rh-positive fetal blood
cells in any way
A pregnant woman reports that she has just finished taking the prescribed antibiotics to treat her
urinary tract infection but expresses concern that her baby will be born with an infection. Which
response should the nurse make to help ease these fears? - Answer--"Now that you have taken the
medication as prescribed, we'll keep monitoring you closely and repeat the urine culture before you
leave today."
A delivery room nurse performing an initial assessment on a newborn notes that the ears are low set. In
light of this finding, which nursing action is appropriate initially? - Answer--Notifying the physician
A nurse is monitoring a pregnant client with placental abruption. Which pattern on the fetal monitor
indicates to the nurse that fetal tissue perfusion is adequate? - Answer--Normal FHR
A nurse is performing an assessment of a female client with suspected mittelschmerz. Which question
does the nurse ask the client to elicit data specific to this disorder? - Answer--"Do you have sharp pain
on the right or left side of your pelvis?"
-Mittelschmerz ("middle pain") refers to pelvic pain that occurs midway between menstrual periods or
at the time of ovulation. The pain, which is fairly sharp, is felt on the right or left side of the pelvis.
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