HESI RN Maternity Exam 7n | Nurselytic

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HESI RN Maternity Exam 7n Questions

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Question 1 of 5

A 17-year-old student arrives at the emergency department (ED) complaining of severe abdominal pain and cramping that has worsened since the morning. Her mother suspects a urinary tract infection due to her daughter's frequent and urgent urination, or possibly appendicitis. What signs would indicate that a healthy psychosocial adaptation is taking place? Select all that apply.

Correct Answer: B,E

Rationale: Maternal support and commendation indicate healthy psychosocial adaptation by fostering coping and self-efficacy. Tears of joy, sadness, childbirth, and touching a baby are not directly relevant to psychosocial adaptation in this context.

Question 2 of 5

A client at 38-weeks gestation reports experiencing severe abdominal pain. Upon palpation, the nurse notes that the abdomen is rigid. How should the nurse document the findings?

Correct Answer: C

Rationale: Severe abdominal pain and a rigid abdomen suggest abruptio placenta, where the placenta detaches prematurely, causing bleeding and uterine rigidity. Placenta previa causes painless bleeding, and oligohydramnios and chorioamnionitis present differently.

Question 3 of 5

The nurse is providing information to a parent of a six-month old about vaccinations. Which statement made by the parent should the nurse recognize as understanding the information?

Correct Answer: B

Rationale: Vaccinations should be delayed in children with febrile illness to avoid complications. Live vaccines are contraindicated in immunocompromised children, allergic reactions preclude second doses, and breastfeeding does not affect vaccination timing.

Question 4 of 5

The nurse is caring for a toddler with a large, unrepaired ventricular septal defect and heart failure. What assessment finding should the nurse expect?

Correct Answer: C

Rationale: Tachycardia is common in toddlers with ventricular septal defects and heart failure as the heart compensates for increased workload. Blood pressure variance, hypotension, and normal pulse oximetry are not typical findings.

Question 5 of 5

The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections. The parent expresses a fear of needles and is unable to perform the procedure. What intervention should the nurse implement?

Correct Answer: B

Rationale: Determining if the child can self-administer insulin is a practical solution to the parent's fear, ensuring treatment compliance.

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