HESI RN
HESI RN Maternity Exam 7n Questions
Question 1 of 5
A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Applying warm compresses can help relieve pain and pressure by reducing inflammation and promoting sinus drainage. Completing prescribed antibiotics is crucial to eliminate bacterial infection. Avoiding smoking reduces nasal irritation and promotes healing. Avoiding swimming prevents irritation from chlorinated water. Periorbital edema is not a normal finding and may indicate a complication.
Question 2 of 5
The nurse is instructing the parents of a child who underwent a surgical repair of a myelomeningocele on how to change an occlusive dressing on the child's back. Which parental statement indicates understanding of the procedure?
Correct Answer: C
Rationale: An intact dressing prevents fecal contamination, reducing infection risk. Keeping the incision moist or removing tape rapidly can disrupt healing, and while a dry dressing aids suture removal, preventing contamination is the priority.
Question 3 of 5
A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?
Correct Answer: D
Rationale: Alcohol consumption during pregnancy poses risks to the fetus. Referring the client to an outpatient program for disulfiram therapy addresses potential dependency effectively. Praising reduced intake may not suffice, insisting on blood tests is invasive, and notifying child protective services is inappropriate without evidence of drug use.
Question 4 of 5
During the second stage of labor, the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse anticipate performing to assist the healthcare provider?
Correct Answer: B
Rationale: This scenario indicates shoulder dystocia. Applying suprapubic pressure helps dislodge the shoulder. Vacuum or forceps are not immediate actions, and fundal pressure may worsen the condition.
Question 5 of 5
The nurse is evaluating the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
Correct Answer: C
Rationale: By age 3, children typically speak in simple sentences with four or more words. Gestures with 1-2 word sentences and single-word sentences are milestones for younger children, and recognizing letters/numbers is expected around age 4-5.