Hesi RN Maternal Newborn

Extract:

Question 1 of 5

A client at 9 weeks gestation tells the nurse that while she has cut down, she still has at least one alcoholic drink every evening before bedtime. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Praising reduced alcohol intake encourages further reduction, while offering support fosters a collaborative approach to minimize fetal alcohol exposure.

Question 2 of 5

A primiparous client was induced at 41-weeks gestation with misoprostol and oxytocin. She gave birth vaginally 4 days ago, and her prenatal course and delivery were uncomplicated. She was discharged home on day two with her newborn and has been breastfeeding around the clock. Discharge prescription included ferrous sulfate 325 mg PO twice daily. Client called her healthcare provider (HCP) this morning with fatigue, new onset of headache that was not relieved with ibuprofen, nausea, dizziness, weakness, and seeing â€œflashing lights.â€. Client was instructed to come to the hospital for evaluation.

A. She may be experiencing postpartum preeclampsia. B. She may have an infection that needs further evaluation. C. Her symptoms could indicate anemia due to blood loss. D. She may be experiencing normal postpartum fatigue.

Correct Answer: A

Rationale: Symptoms like headache, visual disturbances, and nausea suggest postpartum preeclampsia, unlike infection, anemia, or normal fatigue, which don't typically include these signs.

Question 3 of 5

What instructions should the nurse provide to a new mother regarding postpartum care and monitoring the newborn's health?

A. You will need to set up an appointment with your obstetrician in 8 weeks. B. You will need to abstain from sexual activities untilå½¼æ¤, and until you see your obstetrician. C. Contact the pediatrician if the baby is not breastfeeding well or has fewer wet diapers and stools. D. The lactation nurse will be coming by to work with you and your baby.

Correct Answer: C

Rationale: Monitoring breastfeeding success and diaper output is critical for detecting newborn health issues like dehydration, unlike incorrect obstetrician visit timing or less comprehensive lactation support.

Question 4 of 5

Abnormal FHR patterns can result in which condition?

A. Acidemia. B. Hypoxia. C. Hypoglycemia. D. Meconium stool. E. Maternal hypotension.

Correct Answer: A,B,D,E

Rationale: Abnormal FHR patterns can lead to acidemia, hypoxia, meconium passage, and maternal hypotension effects, but not directly hypoglycemia.

Question 5 of 5

A nurse is conducting a preconception class for a group of parents who are anticipating having children. Which client(s) should the nurse refer for genetic counseling? (Select all that apply)

A. A couple who express concern about birth defects after using an internet DNA testing site. B. A woman and her significant other who are excited about the prospect of having children. C. A woman planning to start a second family after the loss of an embryo following an in-vitro fertilization procedure. D. A man who states that his father was recently diagnosed with Huntington's disease. E. A couple who plan to use in-vitro fertilization with donated sperm.

Correct Answer: A,C,D,E

Rationale: Concerns about birth defects, embryo loss, Huntington's disease, and donor sperm use indicate potential genetic risks requiring counseling, unlike general excitement about having children.

Hesi RN Maternal Newborn | Nurselytic

Nurselytic

HESI RN

HESI RN