HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A female adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg by mouth (PO) once daily and metronidazole 500 mg PO twice daily. She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' What purpose should the nurse provide that supports an effective outcome?
Correct Answer: B
Rationale: Hospitalization ensures effective treatment through supervised parenteral antibiotics for severe PID, improving outcomes. Contact precautions, Jarisch-Herxheimer reaction, and cultures are not primary reasons.
Question 2 of 5
A 3-year-old male was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. After reading the history and physical, the nurse suspects the child has _____
Correct Answer: B
Rationale: Croup is likely due to the sudden onset of noisy breathing (stridor) and recent viral symptoms, common in young children.
Question 3 of 5
The nurse is educating parents on how to prevent recurrent otitis media in their infant. What advice should the nurse give?
Correct Answer: D
Rationale: Avoiding smoke exposure reduces Eustachian tube irritation, decreasing otitis media risk. Daily ear inspections don't prevent infections, prone positioning increases SIDS risk, and breastfeeding, while beneficial, is not specific to otitis media prevention.
Question 4 of 5
A 17-year-old student arrives at the emergency department (ED) complaining of severe abdominal pain and cramping that has worsened since the morning. Her mother suspects a urinary tract infection due to her daughter's frequent and urgent urination, or possibly appendicitis. What signs would indicate that a healthy psychosocial adaptation is taking place? Select all that apply.
Correct Answer: B,E
Rationale: Maternal support and commendation indicate healthy psychosocial adaptation by fostering coping and self-efficacy. Tears of joy, sadness, childbirth, and touching a baby are not directly relevant to psychosocial adaptation in this context.
Question 5 of 5
A woman is in the second stage of labor where the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse expect to perform to assist the healthcare provider?
Correct Answer: B
Rationale: Shoulder dystocia is indicated, and suprapubic pressure is the first maneuver to relieve it. Vacuum, fundal pressure, and forceps are not initial actions for this complication.