HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32.3% (0.323 volume fraction), tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the pregnancy might affect the laboratory findings, which information should the nurse provide?
Correct Answer: B
Rationale: Pregnancy increases plasma volume, diluting red blood cells and causing physiological anemia, explaining the low hemoglobin and hematocrit.
Question 2 of 5
During the second stage of labor, the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse anticipate performing to assist the healthcare provider?
Correct Answer: B
Rationale: This scenario indicates shoulder dystocia. Applying suprapubic pressure helps dislodge the shoulder. Vacuum or forceps are not immediate actions, and fundal pressure may worsen the condition.
Question 3 of 5
A patient in active labor is prescribed oxytocin 12 milliunits/min intravenously (IV). The IV bag contains 5 units of oxytocin in 500 mL of lactated Ringer's solution. How many mL/hour should the nurse set the infusion pump to? (Enter numerical value only)
Correct Answer: 0.72
Rationale: The concentration is 5 units/500 mL = 0.01 units/mL. Convert 12 milliunits/min to 0.72 units/hour (12/1000 * 60). Infusion rate is 0.72/0.01 = 72 mL/hour.
Question 4 of 5
A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?
Correct Answer: D
Rationale: Alcohol consumption during pregnancy poses risks to the fetus. Referring the client to an outpatient program for disulfiram therapy addresses potential dependency effectively. Praising reduced intake may not suffice, insisting on blood tests is invasive, and notifying child protective services is inappropriate without evidence of drug use.
Question 5 of 5
A 3-year-old female patient woke up this morning feeling agitated and with a fever of 103.4° F (39.7° C). She was crying yesterday and reported back pain. She has a history of asthma controlled by daily cetirizine and occasional albuterol. She has had two urinary tract infections (UTIs) in the past 4 months. Given the patient's history and current condition, which condition is she most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Fever, agitation, and back pain with a UTI history suggest a recurrent UTI. Administering an antipyretic addresses fever, a key symptom, while further evaluation confirms the diagnosis.