CORRECT WELL DETAILED
ANSWERS|LATEST!!!!2025/2026|GUARANTEED
Client tells the nurse that she thinks she's pregnant. Which signs or symptoms provide the
best indication that the client is pregnant?
A. Morning sickness.
B. Breast tenderness.
C. Amenorrhea.
D. Hegar's sign. - ANSWER D. Hegar's sign
Hegar's sign is a softening and compressibility of the lower uterine segment or the isthmus
of the uterus, which is a sign of pregnancy.
- HESI
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence
of ovulation, and therefore, the best time for intercourse to ensure conception?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and remains low for 36 hours.
D. Within 72 hours before the temperature falls. - ANSWER A. Between the time the
temperature falls and rises.
1
,- HESI
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72
hours after ovulation, when the corpus luteum of the ruptured ovary produces
progesterone.
(Your body temperature falls slightly just before your ovary releases an egg and rises 24
hours after the egg's release.)
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8°F
(35.8°C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64
breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action
should the nurse implement?
A. Swaddle the infant in a warm blanket.
B. Place a pulse oximeter on the heel.
C. Document the findings in the record.
D. Obtain a heel stick blood glucose level. - ANSWER D. Obtain a heel stick blood
glucose level.
- HESI
A client at 9-weeks gestation tells the nurse that while she has "cut down," she still has at
least one alcoholic drink every evening before bedtime. Which intervention should the nurse
implement?
A. Notify child protective services of the client's illicit drug use and probable child
endangerment.
B. Insist that the client stop all alcohol use and draw a blood alcohol level at each prenatal
visit.
C. Refer the client to an outpatient alcohol abuse program for disulfiram therapy.
2
,D. Praise the client for her actions and offer to discuss ways to decrease consumption even
more. - ANSWER D. Praise the client for her actions and offer to discuss ways to
decrease consumption even more.
The nurse should educate the client about the risks of alcohol use during pregnancy and
encourage her to stop all alcohol use. The nurse should praise the client for cutting down on
alcohol use and offer support and resources to help her stop completely.
B and C is not appropriate as drawing a blood alcohol level at each prenatal visit is not a
practical approach and disulfiram therapy is not recommended for pregnant women. A is not
appropriate because the client's alcohol use does not necessarily constitute child
endangerment and reporting the client to child protective services should not be the first
action.
When reading the obstetrical history of a client who is currently at 36-weeks gestation, the
nurse notes that she has had one full-term infant, one premature infant born at 32-weeks
gestation that survived, and one miscarriage. What is this client's gravidity?
A. Gravida 2.
B. Gravida 5.
C. Gravida 4.
D. Gravida 3. - ANSWER C. Gravida 4.
Gravidity refers to the total number of pregnancies a woman has had, including both viable
and non-viable pregnancies. In this case, the client has had four pregnancies:
- One current pregnancy.
- One full-term infant.
- One premature infant born at 32 weeks gestation that survived.
- One miscarriage.
3
, A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "That is called caput succedaneum. It will absorb and cause no problems."
B. "That is called a cephalhematoma. It can cause jaundice as it is absorbed."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called caput succedaneum. It will have to be drained." - ANSWER A. "That is
called caput succedaneum. It will absorb and cause no problems."
- HESI
An area of swelling on her baby's head near the posterior fontanel that crosses a suture line
is caput succedaneum. Caput succedaneum is a common and usually benign condition that
occurs due to pressure on the baby's head during delivery. Caput succedaneum typically
resolves on its own within a few days without causing any long-term complications.
At 5-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?
A. Early postpartum, within 72 hours of delivery.
B. After the client stops breastfeeding.
C. After the client reaches 20-week gestation.
D. Immediately, at 6-weeks gestation, to protect this fetus. - ANSWER A. Early
postpartum, within 72 hours of delivery.
The rubella vaccine is a live vaccine that is contraindicated during pregnancy due to the
potential risk to the fetus. The best time to administer a rubella vaccine to a pregnant client
who is non-immune is after she gives birth and before she leaves the hospital or at her
postpartum checkup. Rubella is a highly contagious viral infection that can lead to serious
complications if contracted during pregnancy so it is important for the client to receive the
vaccine to gain immunity. The client should avoid pregnancy for at least 28 days after
vaccination.
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ANSWERS|LATEST!!!!2025/2026|GUARANTEED
Client tells the nurse that she thinks she's pregnant. Which signs or symptoms provide the
best indication that the client is pregnant?
A. Morning sickness.
B. Breast tenderness.
C. Amenorrhea.
D. Hegar's sign. - ANSWER D. Hegar's sign
Hegar's sign is a softening and compressibility of the lower uterine segment or the isthmus
of the uterus, which is a sign of pregnancy.
- HESI
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a
tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence
of ovulation, and therefore, the best time for intercourse to ensure conception?
A. Between the time the temperature falls and rises.
B. Between 36 and 48 hours after the temperature rises.
C. When the temperature falls and remains low for 36 hours.
D. Within 72 hours before the temperature falls. - ANSWER A. Between the time the
temperature falls and rises.
1
,- HESI
In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72
hours after ovulation, when the corpus luteum of the ruptured ovary produces
progesterone.
(Your body temperature falls slightly just before your ovary releases an egg and rises 24
hours after the egg's release.)
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8°F
(35.8°C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64
breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action
should the nurse implement?
A. Swaddle the infant in a warm blanket.
B. Place a pulse oximeter on the heel.
C. Document the findings in the record.
D. Obtain a heel stick blood glucose level. - ANSWER D. Obtain a heel stick blood
glucose level.
- HESI
A client at 9-weeks gestation tells the nurse that while she has "cut down," she still has at
least one alcoholic drink every evening before bedtime. Which intervention should the nurse
implement?
A. Notify child protective services of the client's illicit drug use and probable child
endangerment.
B. Insist that the client stop all alcohol use and draw a blood alcohol level at each prenatal
visit.
C. Refer the client to an outpatient alcohol abuse program for disulfiram therapy.
2
,D. Praise the client for her actions and offer to discuss ways to decrease consumption even
more. - ANSWER D. Praise the client for her actions and offer to discuss ways to
decrease consumption even more.
The nurse should educate the client about the risks of alcohol use during pregnancy and
encourage her to stop all alcohol use. The nurse should praise the client for cutting down on
alcohol use and offer support and resources to help her stop completely.
B and C is not appropriate as drawing a blood alcohol level at each prenatal visit is not a
practical approach and disulfiram therapy is not recommended for pregnant women. A is not
appropriate because the client's alcohol use does not necessarily constitute child
endangerment and reporting the client to child protective services should not be the first
action.
When reading the obstetrical history of a client who is currently at 36-weeks gestation, the
nurse notes that she has had one full-term infant, one premature infant born at 32-weeks
gestation that survived, and one miscarriage. What is this client's gravidity?
A. Gravida 2.
B. Gravida 5.
C. Gravida 4.
D. Gravida 3. - ANSWER C. Gravida 4.
Gravidity refers to the total number of pregnancies a woman has had, including both viable
and non-viable pregnancies. In this case, the client has had four pregnancies:
- One current pregnancy.
- One full-term infant.
- One premature infant born at 32 weeks gestation that survived.
- One miscarriage.
3
, A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "That is called caput succedaneum. It will absorb and cause no problems."
B. "That is called a cephalhematoma. It can cause jaundice as it is absorbed."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called caput succedaneum. It will have to be drained." - ANSWER A. "That is
called caput succedaneum. It will absorb and cause no problems."
- HESI
An area of swelling on her baby's head near the posterior fontanel that crosses a suture line
is caput succedaneum. Caput succedaneum is a common and usually benign condition that
occurs due to pressure on the baby's head during delivery. Caput succedaneum typically
resolves on its own within a few days without causing any long-term complications.
At 5-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?
A. Early postpartum, within 72 hours of delivery.
B. After the client stops breastfeeding.
C. After the client reaches 20-week gestation.
D. Immediately, at 6-weeks gestation, to protect this fetus. - ANSWER A. Early
postpartum, within 72 hours of delivery.
The rubella vaccine is a live vaccine that is contraindicated during pregnancy due to the
potential risk to the fetus. The best time to administer a rubella vaccine to a pregnant client
who is non-immune is after she gives birth and before she leaves the hospital or at her
postpartum checkup. Rubella is a highly contagious viral infection that can lead to serious
complications if contracted during pregnancy so it is important for the client to receive the
vaccine to gain immunity. The client should avoid pregnancy for at least 28 days after
vaccination.
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