HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A client at 37 weeks gestation presents with contractions every 3 to 4 minutes, lasting 60 seconds. The fetal heart rate is noted to be 140 bpm, and no abnormal fetal movements are observed. The client reports no pain and normal laboratory results. Which action should the nurse implement first?
Correct Answer: B
Rationale: Checking cervical dilation ' assesses labor progress, guiding management. Oxygen ', IV fluids ', and delivery prep ' are not indicated with normal fetal heart rate and no distress.
Question 2 of 5
A full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record indicates the mother is positive for human immunodeficiency virus (HIV) and received zidovudine intravenously during labor. Which action should the nurse implement?
Correct Answer: D
Rationale: Zidovudine within 6 hours ' reduces HIV transmission risk in newborns of HIV-positive mothers. Hepatitis B vaccine ', glucose testing ', and Moro reflex assessment ' are routine but not HIV-specific priorities.
Question 3 of 5
A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?
Correct Answer: C
Rationale: Breastfeeding techniques ' are critical in the fourth stage to promote bonding and success. Bulb syringe ', screening tests ', and circumcision care ' are secondary at this stage.
Question 4 of 5
During a prenatal visit, a client at 30 weeks gestation reports persistent heartburn during the past two weeks. The nurse notes the client has 3+ bilateral, pitting, pedal edema. Which action should the nurse implement?
Correct Answer: B
Rationale: Significant edema (3+) may indicate preeclampsia, especially at 30 weeks. Asking about blurred vision and headache ' is critical to assess for preeclampsia symptoms. Heartburn is common (A,
D), but edema takes priority. Checking urine for glucose/ketones ' is unrelated to edema or preeclampsia.
Question 5 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 prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
Correct Answer: D
Rationale: Hypotonic dystocia involves weak contractions. Monitoring intensity, interval, and length of contractions ' is critical to assess oxytocin effectiveness. Blood pressure ', cesarean prep ', and perineal bulging ' are secondary.