HESI Maternal Newborn

Question 1 of 5

Which of the following statements about Rh incompatibility is true?

A. Rh incompatibility occurs most commonly during a woman's first pregnancy. B. Rh incompatibility is an untreatable condition that leaves a woman infertile for the rest of her life. C. Rh incompatibility is an abnormality that is transmitted from generation to generation and carried by a sex chromosome. D. Rh incompatibility occurs due to antibodies transmitted to a fetus during subsequent deliveries causing brain damage or death.

Correct Answer: D

Rationale: Rh incompatibility occurs when the mother's antibodies attack the fetus's red blood cells, leading to serious complications, usually in subsequent pregnancies.
Choice A is incorrect because Rh incompatibility often occurs in subsequent pregnancies, not necessarily the first one.
Choice B is incorrect as Rh incompatibility does not render a woman infertile but can lead to complications during pregnancies.
Choice C is incorrect as Rh incompatibility is not carried by a sex chromosome but involves the Rh factor on red blood cells.

Question 2 of 5

When obtaining a health history from a client, a nurse in a woman's health clinic should identify which of the following findings as increasing the client's risk for developing pelvic inflammatory disease (PID)?

A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection

Correct Answer: D

Rationale: Chlamydia infection is a significant risk factor for developing pelvic inflammatory disease (PI
D). PID is often caused by untreated sexually transmitted infections (STIs) like Chlamydia and Gonorrhea that ascend from the vagina to the upper reproductive organs. Recurrent cystitis (choice
A) is more related to urinary tract infections, frequent alcohol use (choice
B) is not directly linked to PID, and the use of oral contraceptives (choice
C) does not increase the risk of developing PID.

Question 3 of 5

Daisy was always unusually short for her age. She was unable to conceive a child after marriage, and upon visiting a doctor, she was prescribed estrogen replacement therapy. Daisy is most likely suffering from:

A. Phenylketonuria (PKU). B. Cystic fibrosis. C. Turner syndrome. D. Huntington's disease (HD).

Correct Answer: C

Rationale: Daisy's symptoms of short stature and infertility, along with the prescription of estrogen replacement therapy, are indicative of Turner syndrome. Turner syndrome is a genetic condition in which a female is partially or completely missing one X chromosome. This results in short stature, infertility, and other physical characteristics. Phenylketonuria (PKU) is a metabolic disorder caused by a mutation in the gene responsible for the breakdown of the amino acid phenylalanine. Cystic fibrosis is a genetic disorder affecting the respiratory and digestive systems. Huntington's disease (H
D) is a neurodegenerative disorder that affects muscle coordination and leads to cognitive decline.

Question 4 of 5

The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse observes red marks on the head with swelling that does not cross the suture line. Which condition should the nurse document in the medical record?

A. Caput succedaneum B. Hydrocephalus C. Cephalhematoma D. Microcephaly

Correct Answer: C

Rationale: The correct answer is Cephalhematoma. Cephalhematoma is a collection of blood between the skull bone and periosteum that does not cross the suture line. It often occurs due to birth trauma, such as forceps delivery, leading to localized swelling. Caput succedaneum (
Choice
A) is diffuse swelling of the scalp that may cross suture lines and is typically present at birth. Hydrocephalus (
Choice
B) is an abnormal accumulation of cerebrospinal fluid within the brain's ventricles. Microcephaly (
Choice
D) is a condition characterized by a smaller than average head size and may be present at birth or develop later in infancy.

Question 5 of 5

A client experiencing preterm labor is being taught about terbutaline by a nurse. Which statement by the client indicates an understanding of the teaching?

A. "The medication could cause me to experience heart palpitations." B. "This medication could cause me to experience blurred vision." C. "This medication could cause me to experience ringing in my ears." D. "This medication could cause me to experience frequent urination."

Correct Answer: A

Rationale: The correct answer is A. Terbutaline is a beta-adrenergic agonist used to stop preterm labor. One of its common side effects is heart palpitations due to its action on beta receptors in the heart.

Choices B and C are incorrect because blurred vision and ringing in the ears are not common side effects of terbutaline.
Choice D is irrelevant to the side effects of terbutaline.

Nurselytic

HESI LPN

HESI LPN