HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation. What information is being sought through this amniocentesis?
Correct Answer: A
Rationale: In the context of a fetus weighing an estimated 8 pounds at 36-weeks gestation in a client with gestational diabetes, an amniocentesis would most likely be performed to assess the maturity of the fetal lungs. This is because babies of mothers with gestational diabetes are at risk for respiratory distress syndrome if delivered early, and the baby's size may indicate that early delivery could be beneficial.
Question 2 of 5
A 16-year-old client, who is pregnant for the first time and has no children, has been admitted to the hospital with a diagnosis of eclampsia. She is not currently convulsing. What intervention should the nurse plan to include in this client's nursing care plan?
Correct Answer: B
Rationale: Keeping an airway at the bedside is crucial for a client with eclampsia. If a seizure occurs, the airway can be used to ensure the client's airway remains open.
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
A client at 40-weeks gestation arrives at the obstetrical floor and reports that her amniotic membranes ruptured spontaneously at home. She is in active labor and feels the need to bear down and push. What is the most important information for the nurse to obtain?
Correct Answer: C
Rationale: The time the membranes ruptured is the most important information to obtain. This is because the risk of infection increases the longer the time between membrane rupture and delivery. Knowing the time of rupture helps guide decisions about inducing labor and administering antibiotics to prevent infection.
Question 5 of 5
A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. The nurse would be correct in stating that the purpose for using the ointment is to:
Correct Answer: D
Rationale: The primary purpose of the eye ointment is to prevent eye infections in newborns. This is particularly important as mothers who have a sexually transmitted infection (STI) can pass it to their newborns during childbirth, putting them at risk for an eye infection known as ophthalmia neonatorum (ON).