HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Question 1 of 5
The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes. Which action is most important for the nurse to implement?
Correct Answer: D
Rationale: Heavy bleeding with clots suggests postpartum hemorrhage. Massaging the fundus ' stimulates uterine contractions to stop bleeding. Assessing vital signs ', increasing IV rate ', and notifying the provider ' are secondary.
Question 2 of 5
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces (2.2 kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches (25.4 cm). Based on these physical findings, assessment for which condition has the highest priority?
Correct Answer: A
Rationale: Low birth weight (2.2 kg) increases hypoglycemia risk due to limited glucose reserves. Assessing for hypoglycemia ' is the priority. Polycythemia ', hyperthermia ', and hyperbilirubinemia ' are less immediate concerns.
Question 3 of 5
A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which action(s) should the nurse plan to perform? Select all that apply.
Correct Answer: A,B,D
Rationale: Standard precautions ' prevent HIV transmission. Antiviral medication ' reduces vertical transmission risk. Bottle-feeding ' prevents postnatal transmission via breast milk. Droplet precautions ' and negative pressure rooms ' are unnecessary as HIV is not airborne.
Question 4 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: D
Rationale: Low back pain with pelvic cramping ' suggests complications like premature labor post-amniocentesis. Increased fetal movement ', headache/blurred vision ', and epigastric pain ' are not specific to amniocentesis complications.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
Question 5 of 5
The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
Correct Answer: A
Rationale: Blood pressure (170/98 mmHg,
A) is abnormal, suggesting preeclampsia. Pain (5/10,
B), brief variable decelerations ', and magnesium sulfate infusion ' are normal in this context.