HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A 16-year-old client, who is pregnant for the first time and has no children, has been admitted to the hospital with a diagnosis of eclampsia. She is not currently convulsing. What intervention should the nurse plan to include in this client's nursing care plan?
Correct Answer: B
Rationale: Keeping an airway at the bedside is crucial for a client with eclampsia. If a seizure occurs, the airway can be used to ensure the client's airway remains open.
Question 2 of 5
While conducting a daily assessment of a one-day-old newborn, the nurse notices a yellow tint on the baby's forehead, sternum, and abdomen. What should be the nurse's next course of action?
Correct Answer: C
Rationale: Measuring bilirubin levels using transcutaneous bilirubinometry is the appropriate next step when jaundice is suspected in a newborn. This non-invasive test can quickly and accurately measure bilirubin levels, helping to determine the severity of jaundice and guide treatment decisions.
Question 3 of 5
A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.I didn't realize having a baby would be this challenging.â€. What should the nurse's response be?
Correct Answer: A
Rationale: A client who is 3 weeks postpartum and feeling tired all the time is a common scenario. Adjusting to a new baby can be challenging and it's normal for new mothers to feel overwhelmed and fatigued. The nurse's response should be empathetic and supportive, encouraging the client to share more about her situation. This could help the nurse understand the client's support system and provide appropriate advice or resources.
Question 4 of 5
A neonate, who is one day old, develops a cephalhematoma. Which common complication should the nurse assess this neonate for?
Correct Answer: B
Rationale: Cephalhematomas are caused by the rupture of blood vessels between the skull and periosteum, resulting in a blood collection. The breakdown of red blood cells in this trapped blood can lead to the release of bilirubin, increasing an infant's risk for hyperbilirubinemia and jaundice.
Question 5 of 5
A newborn, who is 4 hours old, presents with the following symptoms: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonicity, and a weak cry. What should the nurse do based on these findings?
Correct Answer: D
Rationale: Obtaining a heel stick blood glucose level is the correct action. The symptoms presented by the newborn such as jitteriness, hypotonicity, and a weak cry can be signs of hypoglycemia, a condition that can occur in newborns.