HESI RN Care of Women and Pediatric Nursing | Nurselytic

Questions 38

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HESI RN Care of Women and Pediatric Nursing Questions

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Question 1 of 5

A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes. The nurse observes several shallow, small vesicles on her pubis, labia, and perineum. The nurse should recognize the client is exhibiting symptoms of which condition?

Correct Answer: D

Rationale: Herpes simplex virus (HSV) causes painful, shallow vesicles or ulcers in the genital area, which matches the client's symptoms. Genital warts ' present as flesh-colored or gray swellings, not vesicles. German measles ' causes a rash and fever, not genital vesicles. Syphilis ' typically presents with a chancre or rash, not vesicular lesions.

Question 2 of 5

A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?

Correct Answer: B

Rationale: Determining current cervical dilation ' ensures appropriate epidural timing. Requesting epidural ', adjusting oxytocin ', or giving fluids ' should follow labor progress assessment.

Question 3 of 5

The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?

Correct Answer: C

Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.

Question 4 of 5

A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only)

Correct Answer: 6

Rationale: Oxytocin concentration: 20,000 milliunits ÷ 1,000 mL = 20 milliunits/mL. Flow rate: 2 milliunits/min ÷ 20 milliunits/mL × 60 min/hour = 6 mL/hour.

Question 5 of 5

The nurse determines the need to perform further assessment based on the client's situation. Select the 2 actions that the nurse should perform immediately.

Correct Answer: A,B

Rationale: Vaginal exam ' assesses labor progress, and vital signs ' evaluate maternal status, both critical for immediate decision-making. Bladder palpation ', amniotic fluid exam ', and urine dipstick ' are secondary without specific indications.

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The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes. Which action is most important for the nurse to implement?
A woman at 36 weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping. She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor. Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding. Which nursing intervention has the highest priority?
A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which action(s) should the nurse plan to perform? Select all that apply.
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug. How should the nurse respond?

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