HESI RN
HESI RN Care of Women and Pediatric Nursing 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? (Enter numerical value only)
Correct Answer: 6
Rationale: Oxytocin concentration: 20,000 milliunits ÷ 1,000 mL = 20 milliunits/mL. Flow rate: 2 milliunits/min ÷ 20 milliunits/mL × 60 min/hour = 6 mL/hour.
Question 2 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 3 of 5
The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?
Correct Answer: C
Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.
Question 4 of 5
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing fluid with a nitrazine strip ' distinguishes amniotic fluid from urine. Palpation ', bladder scanning ', and catheterization ' do not identify the fluid's source.
Question 5 of 5
A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?
Correct Answer: C
Rationale: Breastfeeding techniques ' are critical in the fourth stage to promote bonding and success. Bulb syringe ', screening tests ', and circumcision care ' are secondary at this stage.