HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A mother inquires about what to use when changing her newborn's diaper. What should the nurse recommend to this mother?
Correct Answer: B
Rationale: When changing a newborn's diaper, it is recommended to use clear water for cleaning. This is because newborns have sensitive skin, and clear water is gentle and unlikely to cause irritation.
Question 2 of 5
An 18-week pregnant client was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks about the next steps. What should the nurse advise?
Correct Answer: D
Rationale: Explaining that a sonogram should be scheduled for definitive results is the most appropriate advice. An ultrasound can provide a more detailed view of the fetus and help identify any potential issues that might have led to the elevated AFP level. This would be the most informative next step and would guide further actions based on the findings.
Question 3 of 5
One day after vaginal delivery of a full-term baby, a postpartum client's white blood cell count is 15,000/mm (15 x 109/L). What action should the nurse take first?
Correct Answer: D
Rationale: A normal WBC in a postpartum client ranges from (12,000- 20, 000/mm. Checking the white blood cell differential helps determine the specific types of WBCs present and gives more information as to whether the elevation is the body's normal response to childbirth or a sign of infection.
Question 4 of 5
While conducting a daily assessment of a one-day-old newborn, the nurse notices a yellow tint on the baby's forehead, sternum, and abdomen. What should be the nurse's next course of action?
Correct Answer: C
Rationale: Measuring bilirubin levels using transcutaneous bilirubinometry is the appropriate next step when jaundice is suspected in a newborn. This non-invasive test can quickly and accurately measure bilirubin levels, helping to determine the severity of jaundice and guide treatment decisions.
Question 5 of 5
A client at 10-weeks gestation calls the clinic reporting a low-grade fever, moderate cramping, and heavy bright-red bleeding. What advice should the nurse give the client?
Correct Answer: B
Rationale: The client's symptoms of low-grade fever, moderate cramping, and heavy bright-red bleeding could indicate a serious condition such as a miscarriage or an ectopic pregnancy.
Therefore, immediate medical evaluation is necessary.