HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Question 1 of 5
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4°F (38°C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Correct Answer: A
Rationale: The vital signs are within normal postpartum ranges. A temperature of 100.4°F can be normal due to labor exertion, and a heart rate of 58 beats/minute is typical due to increased stroke volume. Documenting ' is appropriate. Assessing lochia ', administering acetaminophen ', or reporting the heart rate ' are not indicated without further concerns.
Question 2 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.
Question 3 of 5
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
Correct Answer: B
Rationale: Coffee intake before surgery can affect anesthesia. Informing the anesthesia provider ' is the priority. Starting IV ', contacting the obstetrician ', and checking labs ' are secondary.
Question 4 of 5
The nurse is caring for a term infant immediately following delivery. Which action should the nurse implement to reduce the risk of cold stress?
Correct Answer: D
Rationale: Drying and skin-to-skin contact ' prevent cold stress by maintaining warmth and promoting bonding. Bathing ', radiant warmer ', and room temperature ' are less effective or inappropriate immediately.
Question 5 of 5
A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?
Correct Answer: B
Rationale: Erythromycin ointment ' prevents ophthalmia neonatorum from Neisseria gonorrhoeae. Latanoprost ' treats glaucoma, tetracaine ' is an anesthetic, and neomycin ' is not standard for this condition.