HESI RN
Maternity HESI Quizlet Questions
Question 1 of 5
The client delivered hours ago and has a boggy uterus displaced above and to the right of the umbilicus. What action should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action is to encourage voiding (option B). After delivery, a boggy uterus displaced above and to the right of the umbilicus indicates uterine atony, which can lead to postpartum hemorrhage. Encouraging voiding helps the uterus contract by promoting the expulsion of clots and promoting uterine tone. Inspecting the perineal pad (option A) is important to assess for the amount and type of postpartum bleeding, but it does not directly address the issue of uterine atony. Monitoring vital signs (option C) is crucial in postpartum care, but addressing the boggy uterus should take precedence in this situation to prevent complications. Notifying the healthcare provider (option D) is important if interventions like encouraging voiding do not improve the uterine tone. However, this should not be the first action taken. Educationally, understanding the signs of uterine atony and knowing the appropriate interventions is crucial for nurses providing postpartum care to prevent complications like postpartum hemorrhage. Encouraging voiding promotes uterine contractions, aiding in the prevention of excessive bleeding and promoting maternal well-being.
Question 2 of 5
During an examination for possible cryptorchidism in an infant, what technique should be used?
Correct Answer: D
Rationale: When examining an infant for cryptorchidism, it is important to position the infant in a warm room to prevent muscle contraction, which could cause the testes to retract. Placing the infant in a side-lying position may not be necessary for this specific examination. Holding the penis or retracting the foreskin is not relevant to the assessment for cryptorchidism. Cleansing the penis with an antiseptic pad is not indicated for this examination.
Question 3 of 5
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds. The available suspension is labeled Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many mL should the nurse administer in a single dose based on the child's weight?
Correct Answer: A
Rationale: To calculate the dose for the child weighing 22 pounds, first convert the weight to kg: 22 lbs · 2.2 = 10 kg. The maximum dose based on weight would be 10 kg 50 mg/kg/24hr = 500 mg/24hr. Since the medication is prescribed every 8 hours, the dose for each administration would be 500 mg · 3 doses = 166.67 mg. As the available suspension is 250mg/5ml, the nurse should administer 166.67 mg · 250 mg/mL = 0.67 mL per dose. However, since it's not practical to administer a fraction of a milliliter, the nurse should round up to the nearest appropriate dose, which is 10mL.
Question 4 of 5
A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother, who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which intervention is most important to implement?
Correct Answer: B
Rationale: Infusing normal saline intravenously is crucial to treat dehydration caused by fever and diarrhea. In this scenario, the infant's weak cry with no tears indicates severe dehydration, necessitating rapid fluid replacement via intravenous normal saline to restore fluid balance and prevent complications.
Question 5 of 5
The client is 30 weeks pregnant and experiencing preterm labor. Which medication should the nurse anticipate administering to promote fetal lung maturity?
Correct Answer: A
Rationale: Betamethasone (Celestone) is the medication of choice to promote fetal lung maturity in cases of preterm labor. It helps accelerate surfactant production in the fetal lungs, reducing the risk of respiratory distress syndrome. Administering betamethasone to the mother can improve the baby's lung function and overall outcome if preterm birth occurs. Magnesium sulfate is commonly used to prevent seizures in preeclampsia or eclampsia. Terbutaline is a tocolytic agent used to suppress preterm labor contractions. Ampicillin is an antibiotic used for various bacterial infections but does not promote fetal lung maturity.