HESI RN
Maternity HESI Quizlet Questions
Question 1 of 5
The LPN/LVN should explain to a 30-year-old gravida client that alpha fetoprotein testing is recommended for which purpose?
Correct Answer: B
Rationale: The correct answer is B) Screen for neural tube defects. Alpha fetoprotein (AFP) testing is a prenatal screening test that measures the levels of AFP in maternal blood to assess the risk of certain birth defects, particularly neural tube defects like spina bifida and anencephaly. Elevated AFP levels can indicate a potential problem with the developing fetus, prompting further diagnostic testing and interventions. Option A) Detect cardiovascular disorders is incorrect because AFP testing is not used to detect cardiovascular disorders. It is specifically used for screening neural tube defects. Option C) Monitor placental functioning is incorrect because AFP testing is not used to monitor placental functioning. It is primarily focused on assessing the risk of neural tube defects in the fetus. Option D) Assess for maternal pre-eclampsia is incorrect because AFP testing is not used to assess for maternal pre-eclampsia. Pre-eclampsia is a separate condition that is typically diagnosed through blood pressure monitoring and urine testing. In an educational context, it is important for healthcare providers, including LPN/LVNs, to understand the purpose and significance of prenatal screening tests like AFP testing. By accurately explaining the rationale behind the use of AFP testing for screening neural tube defects, LPN/LVNs can effectively educate expectant mothers about the importance of these tests in ensuring the health and well-being of their unborn child.
Question 2 of 5
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness?
Correct Answer: C
Rationale: The most effective instruction to prevent nipple soreness when breastfeeding is to correctly place the infant on the breast. Proper latch-on techniques ensure that the baby is properly positioned, reducing the risk of nipple soreness. When the baby is positioned correctly, they can nurse effectively without causing discomfort to the mother.
Question 3 of 5
A client who gave birth to a healthy 8-pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
Correct Answer: D
Rationale: Meeting the mother's physical needs and demonstrating warmth toward the infant is essential in creating a supportive environment that fosters bonding between the mother and the newborn. By ensuring the mother's comfort and well-being, the nurse can help promote a positive interaction between the mother and her infant, leading to a stronger emotional connection and bonding.
Question 4 of 5
The LPN/LVN is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse calculates that the woman's next fertile period is
Correct Answer: C
Rationale: To determine the fertile period, subtract 14 days from the length of the woman's menstrual cycle. In this case, 36-14 = 22. Counting forward from the first day of the last menstrual period (January 8), the fertile period falls around January 30-31. This is because ovulation typically occurs approximately 14 days before the start of the next menstrual period, marking the fertile window for conception.
Question 5 of 5
An off-duty healthcare professional finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority?
Correct Answer: D
Rationale: Putting the newborn to breast is the highest priority intervention in this scenario. It helps stimulate uterine contractions in the mother, which aids in controlling postpartum bleeding. Additionally, placing the newborn to breast promotes bonding between the mother and infant, provides comfort to the baby, and facilitates the initiation of breastfeeding. Ensuring the well-being of both the mother and the newborn is essential in this critical situation.