HESI RN
Monroe College RN HESI Maternity Questions
Question 1 of 5
A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver?
Correct Answer: 6 mL/hour
Rationale: Calculate concentration: 20 units = 20,000 milliunits in 1000 mL = 20 milliunits/mL. For 2 milliunits/min: 2 ÷ 20 = 0.1 mL/min. Convert to mL/hour: 0.1 × 60 = 6 mL/hour.
Question 2 of 5
A client informs the nurse that she believes she is pregnant.Which sign or symptom is the best indicator that the client is pregnant?
Correct Answer: C
Rationale: Amenorrhea, or the absence of menstruation, is often the first and most reliable sign of pregnancy. If a woman is in her childbearing years and a week or more has passed without the start of an expected menstrual cycle, she might be pregnant.
Question 3 of 5
A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.I didn't realize having a baby would be this challenging.â€. What should the nurse's response be?
Correct Answer: A
Rationale: A client who is 3 weeks postpartum and feeling tired all the time is a common scenario. Adjusting to a new baby can be challenging and it's normal for new mothers to feel overwhelmed and fatigued. The nurse's response should be empathetic and supportive, encouraging the client to share more about her situation. This could help the nurse understand the client's support system and provide appropriate advice or resources.
Question 4 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.
Question 5 of 5
Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Difficulty falling asleep, decreased appetite, and feelings of sadness are signs of postpartum depression. Return of lochia rubra and engorged, painful breasts are normal postpartum findings and not indicative of depression.