HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A client, who is three days postpartum and formula feeding her newborn, reports experiencing painful, hard, and full breasts to the nurse. What recommendation should the nurse provide?
Correct Answer: D
Rationale: Wearing a form-fitting bra for the next couple of days can provide support and help reduce the discomfort associated with engorgement in a formula-feeding mother.
Question 2 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 3 of 5
A client at 32 weeks gestation visits the women's health clinic and reports feeling nauseous and vomiting. Upon examination, the nurse notes that the client's blood pressure is elevated. What should the nurse do next?
Correct Answer: A
Rationale: A client at 32 weeks gestation reporting nausea, vomiting, and elevated blood pressure could be showing signs of a condition called gestational hypertension or preeclampsia. Inspecting the client's face for edema is a relevant next step because swelling in the face, hands, or fingers is a common symptom of preeclampsia.
Question 4 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Question 5 of 5
A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?
Correct Answer: D
Rationale: If 10 kicks are not felt within one hour, drinking orange juice and counting for another hour is a common recommendation. The sugar in the juice can sometimes stimulate the baby to move. However, if the mother still doesn't feel 10 movements within 2 hours, she should contact her healthcare provider.