HESI RN Maternity Exam 7n

Extract:

Question 1 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 2 of 5

The nurse is reviewing a client's chart. Click to highlight areas of client history and physical below that increase the risk for postpartum hemorrhage. Client was middle-aged and married. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery.

Correct Answer: B,C,D

Rationale: Forceps use, prolonged labor (25 hours), and 4th degree laceration increase postpartum hemorrhage risk due to trauma and uterine atony.

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?

A. I'm glad your mother told you why you were coming to the hospital.'. B. We're going to do everything we can to take very good care of you.'. C. Are you scared?' D. Tell me what an operation is.'.

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

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)

Your Answer:

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 5 of 5

A child who weighs 55 pounds receives a prescription for isoniazid 10 mg/kg/day by mouth (PO) once a day. The bottle is labeled, 'Isoniazid Oral Solution, USP 50 mg per 5 mL.'. How many mL should the nurse administer?

Your Answer:

Correct Answer: 25

Rationale: Weight is 55 lbs Ã· 2.2 = 25 kg. Dosage is 10 mg/kg/day * 25 kg = 250 mg/day. Solution is 50 mg/5 mL, so 250 mg Ã· 50 mg * 5 mL = 25 mL.