HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record indicates the mother is positive for human immunodeficiency virus (HIV) and received zidovudine intravenously during labor. Which action should the nurse implement?
Correct Answer: D
Rationale: Zidovudine within 6 hours ' reduces HIV transmission risk in newborns of HIV-positive mothers. Hepatitis B vaccine ', glucose testing ', and Moro reflex assessment ' are routine but not HIV-specific priorities.
Question 2 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: D
Rationale: Low back pain with pelvic cramping ' suggests complications like premature labor post-amniocentesis. Increased fetal movement ', headache/blurred vision ', and epigastric pain ' are not specific to amniocentesis complications.
Question 3 of 5
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
Correct Answer: A
Rationale: Gravidity counts total pregnancies, including the current one. One full-term, one premature, one miscarriage, and the current pregnancy total four '. Options B, C, and D miscalculate the number of pregnancies.
Question 4 of 5
A client at 37-weeks, 1-day gestation by a 10-week ultrasound, presents to labor and delivery with contractions every 3 to 4 minutes for the last 2 hours. The vaginal exam shows the client is 4 cm dilated, 50% effaced, -3 station. The membranes are intact. Contractions occur every 3 to 4 minutes per monitor, lasting 60 seconds, moderate by palpation. Fetal heart rate is 136 beats/minute with accelerations noted; no decelerations are noted. The estimated fetal weight by Leopold's is 6 pounds (2.72 kg). The prenatal course is unremarkable, with normal labs. The client's blood type is A-. An Rh' immune globulin injection was received at 28-weeks.
Correct Answer: A
Rationale: 37-weeks, 1-day gestation ' is term, reducing preterm risks but carrying early-term concerns like respiratory issues. Pain rating ', vaginal exam ', contractions ', and managed Rh-negative status ' are normal and not primary risk factors.
Question 5 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.