HESI RN
Maternity HESI Quizlet Questions
Question 1 of 5
A neonate with congenital adrenal hypoplasia (CAH) presents with ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly?
Correct Answer: B
Rationale: Supporting the parents in their decision regarding the sex assignment of their child is crucial as it respects the parental role in making this important decision and helps provide emotional support during a challenging time. The primary focus should be on helping the parents navigate the complexities and implications of determining the sex assignment for their child with ambiguous genitalia.
Question 2 of 5
A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. What action should the nurse implement first?
Correct Answer: D
Rationale: In a client receiving an oxytocin infusion who requests an epidural, it is crucial to give a bolus of intravenous fluids first. This action helps prevent hypotension, a common side effect of epidural anesthesia, before the placement of the epidural. Maintaining adequate hydration is essential to support maternal blood pressure stability during the procedure.
Question 3 of 5
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan?
Correct Answer: A
Rationale: In the case of a 16-year-old gravida 1, para 0 client with eclampsia, the correct intervention is to keep airway equipment at the bedside (Option A). This is crucial because eclampsia is a serious condition characterized by seizures, and having airway equipment readily available ensures immediate intervention in case of convulsions to maintain the client's airway patency and prevent complications like hypoxia. Option B, allowing liberal family visitation, is incorrect as it does not address the immediate safety needs of the client. In a critical condition like eclampsia, ensuring the client's safety and health takes precedence over family visitation. Option C, monitoring blood pressure, pulse, and respirations q4h, is not the most appropriate intervention for a client with eclampsia. Continuous monitoring is essential in such cases to detect any deterioration promptly and initiate appropriate interventions. Option D, assessing temperature q1h, is not a priority intervention for a client with eclampsia. While monitoring temperature is essential in general care, in the case of eclampsia, managing and preventing seizures to ensure the client's safety and well-being are the primary concerns. Educationally, understanding the priority interventions in managing eclampsia is vital for nurses caring for pregnant women. Prompt recognition and appropriate interventions can help prevent complications and ensure the best possible outcomes for both the mother and the baby.
Question 4 of 5
In which chromosome pattern is Duchenne disease inherited?
Correct Answer: C
Rationale: In the context of maternity, understanding the inheritance patterns of genetic disorders is crucial. Duchenne disease is inherited in an X-linked recessive pattern. This means that the gene responsible for Duchenne disease is located on the X chromosome. Males have one X chromosome and one Y chromosome, so if the X chromosome they inherit from their mother carries the gene for Duchenne disease, they will develop the condition. Autosomal dominant inheritance (Option A) would require both parents to pass on the gene for the disease, which is not the case for Duchenne disease. Autosomal recessive inheritance (Option B) would require both parents to be carriers of the gene for the disease, which is also not the case for Duchenne disease. Mitochondrial inheritance (Option D) involves genes passed down through the mitochondria, not the X chromosome, so it is not relevant to Duchenne disease. Educationally, understanding the inheritance patterns of genetic disorders is important for healthcare professionals working in maternity care to provide accurate genetic counseling and support to families at risk of passing on genetic conditions. By knowing the specific inheritance pattern of Duchenne disease, healthcare providers can better educate and support families affected by this condition.
Question 5 of 5
A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?
Correct Answer: B
Rationale: In children with leukemia undergoing chemotherapy, anorexia, nausea, and vomiting are common issues leading to altered nutrition. Providing small, frequent meals that are high in protein and calories is essential to address these symptoms and meet the child's nutritional needs effectively. This approach helps in managing the side effects of treatment and supporting the child's nutritional requirements during this challenging time.