Monroe College RN HESI Maternity | Nurselytic

Questions 55

HESI RN

HESI RN Test Bank

Monroe College RN HESI Maternity Questions

Question 1 of 5

A client at 40-weeks gestation arrives at the obstetrical floor and reports that her amniotic membranes ruptured spontaneously at home. She is in active labor and feels the need to bear down and push. What is the most important information for the nurse to obtain?

Correct Answer: C

Rationale: The time the membranes ruptured is the most important information to obtain. This is because the risk of infection increases the longer the time between membrane rupture and delivery. Knowing the time of rupture helps guide decisions about inducing labor and administering antibiotics to prevent infection.

Question 2 of 5

What is the most crucial topic for the nurse to include in a nutrition education program for pregnant teenagers?

Correct Answer: A

Rationale: Iron-deficiency anemia is a common nutritional issue among pregnant teenagers. During pregnancy, the body needs more iron to support the growth and development of the fetus. Teenagers, who are still growing themselves, may already have lower iron stores.
Therefore, it is crucial to include information about the importance of iron and how to get enough from the diet in a nutrition education program for pregnant teenagers.

Question 3 of 5

A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse's initial action?

Correct Answer: A

Rationale: In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse's initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.

Question 4 of 5

The healthcare provider prescribes magnesium sulfate 4 grams intravenously (IV) to be infused over 20 minutes for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump?

Correct Answer: 300 mL/hour

Rationale: Calculate the volume for 4 grams: 4 grams ÷ 20 grams × 500 mL = 100 mL. Infuse over 20 minutes: 100 mL ÷ 20 minutes × 60 minutes/hour = 300 mL/hour.

Question 5 of 5

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. The nurse would be correct in stating that the purpose for using the ointment is to:

Correct Answer: D

Rationale: The primary purpose of the eye ointment is to prevent eye infections in newborns. This is particularly important as mothers who have a sexually transmitted infection (STI) can pass it to their newborns during childbirth, putting them at risk for an eye infection known as ophthalmia neonatorum (ON).

Similar Questions

Access More Questions!

HESI RN Basic


$89/ 30 days

 

HESI RN Premium


$150/ 90 days