HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
A mother brings her male preschooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?
Correct Answer: C
Rationale: Engaging the mother and using the child's toy as a distraction builds trust, reducing anxiety and encouraging cooperation.
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
Orders
The client is a 14-year-old female who sustained facial trauma during a high school basketball game. Surgery was performed 3 days ago to repair the jaw. The client is 112.4 lb (51 kg). She has a left femoral central line for fluids.
Question 2 of 5
Which prescriptions does the nurse expect the healthcare provider to write based on the information? Select all that apply.
Correct Answer: A,C,D
Rationale: Discontinuing NG suction, increasing IV fluids, and adding potassium address hypovolemia and hypokalemia from fluid losses.
Extract:
Question 3 of 5
The mother of a 4-month-old baby girl asks the nurse when should she introduce solid foods to her infant. The mother states, 'My mother says I should put rice cereal in the baby's bottle now.' The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?
Correct Answer: D
Rationale: Opening the mouth for food, along with head control and sitting support, indicates readiness for solids around 4-6 months.
Question 4 of 5
The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. Which priority issue should the nurse address to ensure the newborn's survival?
Correct Answer: A
Rationale: Preventing heat loss avoids cold stress, which can lead to respiratory distress and metabolic issues, critical for newborn survival.
Question 5 of 5
The nurse is preparing to administer oxytocin IV to a client after the delivery of her infant. Which outcome should the nurse expect from the administration of oxytocin?
Correct Answer: D
Rationale: Oxytocin stimulates uterine contractions to reduce postpartum bleeding by compressing blood vessels.