HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?
Correct Answer: B
Rationale: Erythromycin ointment ' prevents ophthalmia neonatorum from Neisseria gonorrhoeae. Latanoprost ' treats glaucoma, tetracaine ' is an anesthetic, and neomycin ' is not standard for this condition.
Question 2 of 5
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
Correct Answer: A
Rationale: Gravidity counts total pregnancies, including the current one. One full-term, one premature, one miscarriage, and the current pregnancy total four '. Options B, C, and D miscalculate the number of pregnancies.
Question 3 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 4 of 5
After two miscarriages, a client is instructed to increase her daily intake of foods that includes folic acid. The client does not like green leafy vegetables and states she is allergic to soy. Which food should the nurse suggest that the client eat to obtain folic acid?
Correct Answer: D
Rationale: Strawberries ' are a good folic acid source, suitable given the client's dislikes and allergies. Yogurt ' and milk ' are low in folic acid, and collard greens ' are unappealing to the client.
Question 5 of 5
A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?
Correct Answer: B
Rationale: Determining current cervical dilation ' ensures appropriate epidural timing. Requesting epidural ', adjusting oxytocin ', or giving fluids ' should follow labor progress assessment.