HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A healthcare provider prescribes a maintenance dose of 2 grams per hour of intravenous magnesium sulfate for a client with preeclampsia. The IV bag contains 20 grams of magnesium sulfate in 500 mL of 5% dextrose in water. How many mL/hour should the nurse set the infusion pump to deliver?
Correct Answer: 50 mL/hour
Rationale:
To calculate the rate, determine the concentration: 20 grams in 500 mL equals 0.04 grams/mL.
To deliver 2 grams/hour, divide 2 grams by 0.04 grams/mL, which equals 50 mL/hour.
Question 2 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.
Question 3 of 5
A client who is anovulatory and has hyperprolactinemia is undergoing infertility treatment with metformin, menotropins, and human chorionic gonadotropin. What side effect should the nurse instruct the client to report immediately?
Correct Answer: D
Rationale: A rapid increase in abdominal girth can be a sign of ovarian hyperstimulation syndrome, a rare but potentially serious side effect of fertility treatments. This condition can cause rapid weight gain, abdominal pain, and bloating, and should be reported immediately.
Question 4 of 5
A patient in early labor is receiving oxytocin and begins to experience tachysystolic or tetanic contractions with variable fetal heart decelerations. What should the nurse do next?
Correct Answer: B
Rationale: Discontinuing the oxytocin infusion is the correct action. Oxytocin is a hormone that stimulates uterine contractions during labor. If a patient begins to experience tachysystolic or tetanic contractions, which are excessively frequent or prolonged contractions, it could lead to fetal distress. Discontinuing the oxytocin can help reduce the frequency and intensity of the contractions.
Question 5 of 5
During the newborn admission assessment, the nurse palpates the newborn's scrotum and does not feel the testicles. Which assessment technique should the nurse perform next to verify the absence of testes?
Correct Answer: C
Rationale: If a testis is not readily identified, a finger sweep should be performed from the anterior iliac crest along the inguinal canal while palpating the scrotum. This is the correct technique to verify the absence of testes.