HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver?
Correct Answer: 6 mL/hour
Rationale: Calculate concentration: 20 units = 20,000 milliunits in 1000 mL = 20 milliunits/mL. For 2 milliunits/min: 2 ÷ 20 = 0.1 mL/min. Convert to mL/hour: 0.1 × 60 = 6 mL/hour.
Question 2 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.
Question 3 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 4 of 5
A nurse is evaluating a newborn who was delivered quickly at 38 weeks gestation. The newborn is shaky, has a fast heart rate, and high blood pressure. Which assessment action should the nurse prioritize?
Correct Answer: D
Rationale: Performing a drug screen for cocaine is the priority in this situation. The symptoms described - shakiness, a fast heart rate, and high blood pressure - can be signs of neonatal abstinence syndrome, which can occur if the mother used certain drugs, such as cocaine, during pregnancy.
Question 5 of 5
At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?
Correct Answer: B
Rationale: A weight gain of 20 pounds by 20 weeks indicates the client is on track or has even gained slightly more than expected. Further evaluation is important as excessive weight gain in pregnancy might be indicative of underlying conditions such as preeclampsia or gestational diabetes.