HESI RN
Monroe College RN HESI Maternity Questions
Question 1 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 2 of 5
The nurse is assessing a client who has been admitted in active labor.The cervix is dilated to 3 cm, 50% effaced, and the presenting part is at 0 station. An hour later, the client informs the nurse that she needs to use the restroom.What should be the nurse's first course of action?
Correct Answer: C
Rationale: Determining the dilation of the cervix is crucial. The need to use the restroom may indicate increased pressure from the presenting part of the fetus, suggesting rapid labor progression. This assessment will help determine if it is safe for the client to ambulate to the restroom or if other immediate actions are needed.
Question 3 of 5
Which type of anesthesia, when used with a laboring client, results in a loss of sensation confined to the vagina and perineum?
Correct Answer: A
Rationale: A pudendal block is a type of anesthesia that results in a loss of sensation confined to the vagina and perineum. It's often used during the second stage of labor or for episiotomy repair.
Question 4 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 5 of 5
A primigravida arrives at the maternity unit's observation area because she believes she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats per minute and contractions are occurring irregularly every 10 to 15 minutes. Which assessment finding would confirm to the nurse that the client is not in labor at this time?
Correct Answer: B
Rationale: Contractions that decrease with walking are typically associated with false labor. In true labor, contractions usually get stronger regardless of activity level.