HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A 25-year-old client experienced a severe postpartum hemorrhage following the vaginal birth of twins and is now transferred to the postpartum unit. What complication should the nurse prioritize during the client's assessment?
Correct Answer: B
Rationale: Disseminated intravascular coagulation (DI
C) is a serious condition that can occur as a complication of severe postpartum hemorrhage. It involves an overactive clotting process leading to the formation of small blood clots that can block blood vessels and cause significant organ damage.
Question 2 of 5
A client at 35 weeks gestation complains of pain whenever the baby moves. The nurse notes the client's temperature to be 101.20 F (38.4° C), with severe abdominal or uterine tenderness on palpation. What condition do these findings suggest?
Correct Answer: B
Rationale: Chorioamnionitis is an infection of the membranes surrounding the fetus and is associated with prolonged labor. Symptoms include fever, abdominal pain, and fetal tachycardia. The client's symptoms of pain when the baby moves, a high temperature, and severe abdominal or uterine tenderness on palpation align with this condition.
Question 3 of 5
The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What priority issue should the nurse address to ensure the newborn's survival?
Correct Answer: A
Rationale: Heat loss is a significant concern for newborns immediately after birth. Newborns have a large surface area relative to their body weight, which makes them more susceptible to heat loss. Maintaining a warm environment is crucial to prevent hypothermia, which can lead to complications such as hypoglycemia and respiratory distress.
Question 4 of 5
Which type of anesthesia, when used with a laboring client, results in a loss of sensation confined to the vagina and perineum?
Correct Answer: A
Rationale: A pudendal block is a type of anesthesia that results in a loss of sensation confined to the vagina and perineum. It's often used during the second stage of labor or for episiotomy repair.
Question 5 of 5
A client informs the nurse that she believes she is pregnant.Which sign or symptom is the best indicator that the client is pregnant?
Correct Answer: C
Rationale: Amenorrhea, or the absence of menstruation, is often the first and most reliable sign of pregnancy. If a woman is in her childbearing years and a week or more has passed without the start of an expected menstrual cycle, she might be pregnant.