HESI RN
HESI RN Maternal Newborn I Questions
Question 1 of 5
Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?
Correct Answer: D
Rationale: Monitoring auditory responses detects hearing loss, a common meningitis complication, requiring follow-up screening.
Question 2 of 5
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?
Correct Answer: B
Rationale: Albumin increases oncotic pressure, reducing edema by drawing fluid back into circulation in nephrotic syndrome.
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
38-year-old primiparous client is seen in the outpatient obstetric office 2 weeks postpartum after a spontaneous vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client was discharged on day 2, exclusively breastfeeding.
Question 3 of 5
The nurse knows that the mastitis in this scenario is most likely caused by... as evidenced by...
| Plugged duct |
| Breast abscess |
| Engorgement |
| Nipple trauma with cracked skin |
| Firm, red, warm area on the right breast |
| Pus draining from the nipple |
| Generalized swelling of the entire breast |
Correct Answer: A,E
Rationale: A plugged duct, evidenced by a firm, red, warm area, is the likely cause of mastitis due to milk stasis from missed feedings. Abscess, engorgement, or nipple trauma are less likely without pus, generalized swelling, or reported cracks.
Extract:
Question 4 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?
Correct Answer: C
Rationale: Cesarean section prevents neonatal herpes transmission during delivery with active lesions.
Question 5 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy delays premature puberty, allowing physical maturity to align with peers over time, with treatment stopping at an appropriate age.