HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damageâ€. The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client's history, which nursing problem has the highest priority?
Correct Answer: B
Rationale: Fluid volume excess is the highest priority for a client with a history of rheumatic fever and heart damage. Rheumatic heart disease can result in impaired heart function, making it difficult for the heart to handle increased fluid volumes that occur during pregnancy and the postpartum period.
Question 2 of 5
During a newborn assessment, which symptom, if present, would indicate respiratory distress?
Correct Answer: C
Rationale: Flaring of the nares, or nostrils, is a common sign of respiratory distress in newborns. It indicates that the baby is working hard to breathe.
Question 3 of 5
An 18-week pregnant client was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks about the next steps. What should the nurse advise?
Correct Answer: D
Rationale: Explaining that a sonogram should be scheduled for definitive results is the most appropriate advice. An ultrasound can provide a more detailed view of the fetus and help identify any potential issues that might have led to the elevated AFP level. This would be the most informative next step and would guide further actions based on the findings.
Question 4 of 5
One day after vaginal delivery of a full-term baby, a postpartum client's white blood cell count is 15,000/mm (15 x 109/L). What action should the nurse take first?
Correct Answer: D
Rationale: A normal WBC in a postpartum client ranges from (12,000- 20, 000/mm. Checking the white blood cell differential helps determine the specific types of WBCs present and gives more information as to whether the elevation is the body's normal response to childbirth or a sign of infection.
Question 5 of 5
A healthcare provider prescribes a maintenance dose of 2 grams per hour of intravenous magnesium sulfate for a client with preeclampsia. The IV bag contains 20 grams of magnesium sulfate in 500 mL of 5% dextrose in water. How many mL/hour should the nurse set the infusion pump to deliver?
Correct Answer: 50 mL/hour
Rationale:
To calculate the rate, determine the concentration: 20 grams in 500 mL equals 0.04 grams/mL.
To deliver 2 grams/hour, divide 2 grams by 0.04 grams/mL, which equals 50 mL/hour.