HESI RN
Hesi RN Maternal Newborn Questions
Extract:
Question 1 of 5
A 26-week gestational primigravida who is carrying twins is seen in the clinic today. Her fundal height is measured at 29 cm. Based on these findings, which action should the nurse implement?
Correct Answer: B
Rationale: A fundal height of 29 cm at 26 weeks in a twin pregnancy is discrepant and may indicate issues like growth restriction or polyhydramnios, necessitating a biophysical profile to assess fetal well-being.
Question 2 of 5
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider (HCP) prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
Correct Answer: B
Rationale: Monitoring contraction patterns ensures oxytocin efficacy and prevents hyperstimulation in hypotonic dystocia, critical for labor progression.
Question 3 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: A
Rationale: Low back pain and pelvic cramping post-amniocentesis may signal complications like premature labor or infection, requiring immediate evaluation.
Question 4 of 5
The nurse is reviewing laboratory results and nurse's notes to determine which actions to take at this time. Which actions are appropriate for the nurse to take at this time? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Monitoring respiratory distress, temperature, and glucose levels ensures newborn stability, while bilirubin lights treat jaundice, addressing critical neonatal needs.
Question 5 of 5
The nurse observes a fetal heart rate pattern on the monitor: baseline 160 beats per minute with minimal variability, a decrease to 150 beats per minute beginning after the contraction starts and returns to baseline after the contraction ends. Which finding should the nurse document in the electronic medical record?
Correct Answer: B
Rationale: The described pattern matches late decelerations, indicating potential utero-placental insufficiency, as the fetal heart rate decreases after the contraction starts and recovers post-contraction.