HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A client at 38-weeks gestation reports experiencing severe abdominal pain. Upon palpation, the nurse notes that the abdomen is rigid. How should the nurse document the findings?
Correct Answer: C
Rationale: Severe abdominal pain and a rigid abdomen suggest abruptio placenta, where the placenta detaches prematurely, causing bleeding and uterine rigidity. Placenta previa causes painless bleeding, and oligohydramnios and chorioamnionitis present differently.
Question 2 of 5
A patient was received one hour after delivering a 9 lb 1 oz (4.1 kg) female baby. Her vital signs are as follows: Temperature 100.4° F (38° C) orally, Heart rate 86 beats/minute, Respiratory rate 16 breaths/minute, Blood pressure 102/12 mm Hg, Pain 4 on a 0 to 10 pain scale. She was assisted to the bathroom where she voided 150 mL of clear yellow urine. Lochia rubra is moderate with small clots, no foul odor noted. The fundus is firm at the umbilicus. The episiotomy edges are well approximated, with no redness, edema, drainage, or ecchymosis. There is no pain, redness, or swelling in the calves. A 1,000 mL bag of lactated Ringer's solution containing 10 units of oxytocin is infusing via an 18-gauge peripheral IV in the left forearm at 125 mL per hour, with 500 mL remaining in the bag. The IV is patent, without redness or swelling, and can be discontinued when this bag's infusion is complete.
Correct Answer: -
Rationale: No specific action is required as all findings are within normal postpartum parameters. Vital signs, lochia, fundus, episiotomy, and IV status are stable, indicating routine monitoring is sufficient.
Question 3 of 5
During the admission procedure of a school-age child, the child states, 'I'm going to have an operation.'. What is the best response for the nurse to provide to this child?
Correct Answer: D
Rationale: Asking the child to explain their understanding of an operation allows the nurse to assess knowledge, correct misconceptions, and provide tailored education, fostering trust and reducing anxiety.
Question 4 of 5
What other symptoms is the nurse likely to note in a child diagnosed with epiglottitis?
Correct Answer: C
Rationale: Epiglottitis causes a thick, muffled voice due to swollen epiglottis. Purulent secretions, apprehension, and wheezing are not typical symptoms.
Question 5 of 5
The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections. The parent expresses a fear of needles and is unable to perform the procedure. What intervention should the nurse implement?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin is a practical solution to the parent's fear, ensuring treatment compliance.