HESI Version 4(2021), (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A

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HESI Version 4(2021), (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A 1. A 26-week gestation primigravida who is carrying twins is seen in the clinic today. Her final h... eight is measured at 29 cm. Based on these findings, what action should the nurse implement? 2. A client at 34 weeks gestation is scheduled to travel for business using a commercial airline. Which instruction is most important for the nurse to provide this client? 3. Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her vagina. Her uterus is firm, and her vital signs are within normal limits. The nurse determines that this sign may indicate which condition? 4. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority? 5. A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should the nurse provide this client? 6. A client at 30 weeks gestation is being treated in the emergency department for a broken finger. The nurse assesses the FHR while the client is in a sitting position and has a heart rate of 92 beats per minute. What intervention is most important for the nurse to perform? 7. Vaginal examination reveals that a laboring clients’ cervix is dilated to 2 cm, 70% effaced, with the presenting part at -2 stations. The client tells the nurse, “I need my epidural now! This hurt!” the nurses’ response to the client should be based on what information? 8. A client at 38 weeks gestation presents to the labor and delivery unit in active labor. Based on which assessment finding should the nurse notify the surgery team to prepare for a primary cesarean section? 9. A 6 weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client? 10. The nurse is receiving a report for a laboring client who arrived in the ER with ruptured membranes that the client did not recognize. What is the priority nursing action to implement when the client is admitted to the labor and delivery suite. [Show More]

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