HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug. How should the nurse respond?
Correct Answer: A
Rationale: Misoprostol induces uterine contractions, increasing miscarriage risk '. It is not linked to preeclampsia ', has effects on the fetus ', and is used to prevent, not cause, postpartum hemorrhage '.
Question 2 of 5
A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which action(s) should the nurse plan to perform? Select all that apply.
Correct Answer: A,B,D
Rationale: Standard precautions ' prevent HIV transmission. Antiviral medication ' reduces vertical transmission risk. Bottle-feeding ' prevents postnatal transmission via breast milk. Droplet precautions ' and negative pressure rooms ' are unnecessary as HIV is not airborne.
Question 3 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.
Question 4 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.
Question 5 of 5
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4°F (38°C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Correct Answer: A
Rationale: The vital signs are within normal postpartum ranges. A temperature of 100.4°F can be normal due to labor exertion, and a heart rate of 58 beats/minute is typical due to increased stroke volume. Documenting ' is appropriate. Assessing lochia ', administering acetaminophen ', or reporting the heart rate ' are not indicated without further concerns.