HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A multiparous client at 36-hours postpartum reports increased bleeding and cramping. On examination, the nurse finds the uterine fundus 2 cm above the umbilicus. What action should the nurse take first?
Correct Answer: B
Rationale: Encouraging the client to void can help if the bladder is full. A full bladder can displace the uterus and interfere with uterine contractions, leading to increased bleeding.
Question 2 of 5
A postpartum client who is formula-feeding her new baby inquires about when she should expect her menstruation to resume. What should the nurse inform the client?
Correct Answer: C
Rationale: For a postpartum client who is formula-feeding her new baby, menstruation typically resumes six to eight weeks after birth.
Question 3 of 5
A client informs the nurse that she believes she is pregnant.Which sign or symptom is the best indicator that the client is pregnant?
Correct Answer: C
Rationale: Amenorrhea, or the absence of menstruation, is often the first and most reliable sign of pregnancy. If a woman is in her childbearing years and a week or more has passed without the start of an expected menstrual cycle, she might be pregnant.
Question 4 of 5
The nurse is caring for a postpartum client who is experiencing severe pain and a sensation of pressure in her perineum. Her uterus is firm, and she has a moderate flow of lochia. Upon inspection, the nurse discovers that a perineal hematoma is starting to form. What should the nurse assess first?
Correct Answer: A
Rationale: A postpartum client experiencing severe pain and a sensation of pressure in her perineum, along with the formation of a perineal hematoma, is in a potentially serious situation. The nurse should first assess the client's heart rate and blood pressure. This is because a perineal hematoma can lead to significant blood loss, which could cause changes in these vital signs.
Question 5 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.