HESI RN
Maternity HESI Quizlet Questions
Question 1 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 2 of 5
What should the nurse recommend to a woman with mastitis?
Correct Answer: A
Rationale: In the context of mastitis, which is inflammation of the breast tissue often caused by blocked milk ducts or bacterial infection, the correct recommendation for a woman experiencing this condition is to apply heat to the affected area. Heat helps to promote circulation, reduce pain, and facilitate milk flow, which can alleviate the symptoms of mastitis and aid in recovery. Option B, applying cold compresses, is not the recommended intervention for mastitis because cold may constrict blood vessels and hinder milk flow, exacerbating the issue. Option C, using a breast pump to express milk, can be beneficial in ensuring complete emptying of the breast, but it may not address the inflammation and infection present in mastitis. Option D, continuing breastfeeding as usual, is generally encouraged in cases of mastitis because frequent nursing helps to clear the blockage and maintain milk supply; however, this option does not directly address the inflammation and discomfort associated with mastitis. Educationally, it is important for nurses and healthcare providers to understand the appropriate management strategies for mastitis to provide effective care and support to breastfeeding women. By recommending heat application, nurses can help alleviate symptoms, promote healing, and support the woman in continuing to breastfeed her baby.
Question 3 of 5
A child with glomerulonephritis is asking for strawberries. What should the nurse do?
Correct Answer: B
Rationale: In glomerulonephritis, it is crucial to restrict the child's diet, particularly avoiding foods high in potassium like strawberries. Potassium restriction is essential because impaired kidney function in glomerulonephritis can lead to potassium retention, potentially causing hyperkalemia. Therefore, the nurse should restrict the child's diet to manage their condition effectively.
Question 4 of 5
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next?
Correct Answer: C
Rationale: The client's symptoms suggest hypovolemic shock, possibly due to an ectopic pregnancy. Increasing IV fluids is crucial to stabilize the client by improving blood pressure and perfusion. This intervention helps address the underlying issue of hypovolemia and supports the client's hemodynamic status, which takes priority in this emergent situation.
Question 5 of 5
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large, and her fundus is boggy despite massage. The client's pulse is 84 beats/minute, and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM 1. What action should the healthcare provider take immediately?
Correct Answer: D
Rationale: The correct action for the healthcare provider to take immediately is to call the healthcare provider to question the prescription. Methergine is contraindicated in clients with hypertension due to its potential to elevate blood pressure further. In this scenario, the client's blood pressure is already elevated at 156/96, making it unsafe to administer Methergine. The LPN/LVN should advocate for the client's safety by questioning the prescription to prevent potential harm.