HESI LPN
HESI Maternity 55 Questions Questions
Question 1 of 5
Which of the following statements is true about Tay-Sachs disease?
Correct Answer: A
Rationale: The correct answer is A. Tay-Sachs disease is most commonly found among Jewish families of Eastern European descent. It is a fatal genetic disorder that affects the nervous system.
Choice B is incorrect because Tay-Sachs disease does not involve excessive mucus production in the lungs and pancreas.
Choice C is incorrect as it states that Tay-Sachs disease is most commonly found among Asian American families, which is inaccurate.
Choice D is also incorrect because Tay-Sachs disease does not cause muscular dystrophy characterized by weakening of the muscles.
Question 2 of 5
A client is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is to increase the infusion rate every 30 to 60 minutes. This approach allows for the careful monitoring and adjustment of oxytocin administration during labor induction.
Choice B is incorrect because maintaining the client in a supine position can decrease blood flow to the placenta and compromise fetal oxygenation.
Choice C is incorrect as titrating the infusion rate by 4 milliunits/min is not a standard practice for oxytocin administration.
Choice D is incorrect as limiting IV intake to 4 L per 24 hours is not specifically related to the administration of oxytocin for labor induction.
Question 3 of 5
At 12 hours after the birth of a healthy infant, the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra lochia. Which action should the nurse take?
Correct Answer: C
Rationale: In this situation, the mother's complaint of constant vaginal pressure along with a firm fundus and moderate rubra lochia indicates a potential perineal injury or hematoma. The correct action for the nurse to take is to inspect the client's perineal and rectal areas to assess for any signs of trauma or hematoma. Checking the suprapubic area for distention (
Choice
A) is not the priority here since the symptoms suggest a perineal issue. Advising a warm sitz bath (
Choice
B) may not address the underlying issue and could potentially worsen any existing trauma. Applying a fresh pad and checking in 1 hour (
Choice
D) does not address the need for immediate assessment of the perineal and rectal areas in response to the reported symptoms.
Question 4 of 5
Thalidomide was marketed in the 1960s as a treatment for:
Correct Answer: A
Rationale: Thalidomide was initially marketed as a treatment for insomnia and nausea, particularly in pregnant women. However, it was later found to cause severe birth defects, leading to significant consequences.
Choice B, infertility and impotence, is incorrect as thalidomide was not marketed for these conditions.
Choices C and D, Down syndrome and Turner syndrome, are genetic conditions and not conditions for which thalidomide was intended as a treatment.
Question 5 of 5
_______ is a genetic disorder in which blood does not clot properly.
Correct Answer: B
Rationale: Hemophilia is a genetic disorder characterized by a deficiency in blood clotting factors, leading to prolonged bleeding. Cystic fibrosis is a genetic disorder that affects the lungs and digestive system, not blood clotting. Lymphoma is a type of cancer originating in the lymphatic system and is not related to blood clotting abnormalities. Huntington's disease is a neurodegenerative genetic disorder that affects a person's ability to move, think, and behave.