HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A client at 10-weeks gestation calls the clinic reporting a low-grade fever, moderate cramping, and heavy bright-red bleeding. What advice should the nurse give the client?
Correct Answer: B
Rationale: The client's symptoms of low-grade fever, moderate cramping, and heavy bright-red bleeding could indicate a serious condition such as a miscarriage or an ectopic pregnancy.
Therefore, immediate medical evaluation is necessary.
Question 2 of 5
At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?
Correct Answer: B
Rationale: A weight gain of 20 pounds by 20 weeks indicates the client is on track or has even gained slightly more than expected. Further evaluation is important as excessive weight gain in pregnancy might be indicative of underlying conditions such as preeclampsia or gestational diabetes.
Question 3 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 4 of 5
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing the fluid with a nitrazine strip is the appropriate technique to evaluate fluid leakage in a pregnant woman. Amniotic fluid has a higher pH than normal vaginal secretions and urine, and will turn a nitrazine strip blue.
Question 5 of 5
A client, who is three days postpartum and formula feeding her newborn, reports experiencing painful, hard, and full breasts to the nurse. What recommendation should the nurse provide?
Correct Answer: D
Rationale: Wearing a form-fitting bra for the next couple of days can provide support and help reduce the discomfort associated with engorgement in a formula-feeding mother.