HESI RN
HESI Maternity Test Bank Questions
Question 1 of 5
A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement?
Correct Answer: A
Rationale: During breastfeeding, insulin needs often decrease due to the metabolic demands of milk production. Therefore, the nurse should inform the client that this decrease in insulin requirements is a normal response to breastfeeding. It is essential for healthcare providers to educate clients about this physiological change to prevent unnecessary concerns or adjustments to insulin therapy.
Question 2 of 5
During a woman's first prenatal visit, the nurse reviews her health care record, noting a history of chickenpox as a child and syphilis as a teenager. Which action is most important for the nurse to take?
Correct Answer: A
Rationale: Obtaining blood and urine for prenatal screens is crucial in identifying any potential infections or conditions that may require monitoring throughout the pregnancy. Screening for infections such as syphilis is essential to ensure appropriate management and prevent adverse outcomes. This action helps in early detection and timely intervention, promoting the health and well-being of both the mother and the developing fetus.
Question 3 of 5
What is the most important assessment for the healthcare provider to conduct before the administration of epidural anesthesia to a client at 40 weeks' gestation?
Correct Answer: A
Rationale: Assessing maternal blood pressure is crucial before administering epidural anesthesia because it can cause hypotension, affecting both the mother and the fetus. Hypotension can lead to decreased placental perfusion, potentially compromising the fetal oxygen supply. Monitoring and maintaining maternal blood pressure within a safe range are essential to ensure the well-being of both the mother and the fetus during the administration of epidural anesthesia.
Question 4 of 5
A client who delivered vaginally 2 days ago states that she wants to resume using her diaphragm for birth control. What information should you share with her?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer: "The diaphragm must be refitted after childbirth." This information is crucial to share with the client because after vaginal delivery, the shape and size of the vagina may change, impacting the fit and effectiveness of the diaphragm for contraception. Option A is incorrect because although the diaphragm is a form of contraception, it is not necessarily the most effective one for every individual. Option C is incorrect as petroleum-based products like Vaseline can degrade latex diaphragms, leading to a loss of efficacy. Option D is incorrect because the diaphragm should be inserted closer to the time of intercourse, typically no more than 2 hours prior, for optimal effectiveness. Educationally, it is important for healthcare providers to ensure that postpartum clients are informed about the need to have their diaphragm refitted to maintain contraceptive efficacy. This knowledge empowers women to make informed decisions about their reproductive health and contraceptive choices, promoting both their physical well-being and family planning goals.
Question 5 of 5
A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some 'heart damage'. The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on the client's history, which nursing problem has the highest priority?
Correct Answer: D
Rationale: Fluid volume excess is a priority concern in this client, as heart damage from rheumatic fever can impair the heart's ability to manage increased blood volume postpartum, leading to potential heart failure. Monitoring and managing fluid volume status are crucial to prevent complications in this high-risk client.