HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: D
Rationale: Active herpes lesions during labor increase neonatal transmission risk. A cesarean section is recommended to prevent this. Blood cultures, dressings, and penicillin (for bacterial infections) are not appropriate.
Question 2 of 5
A 3-year-old male was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is? Which two items must the nurse ensure are available before attempting to place the intravenous line?
Correct Answer: A,B
Rationale: A manual resuscitation bag and advanced airway kit ensure preparedness for respiratory compromise during IV placement.
Question 3 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: D
Rationale: Active herpes lesions during labor increase neonatal transmission risk. A cesarean section is recommended to prevent this. Blood cultures, dressings, and penicillin (for bacterial infections) are not appropriate.
Question 4 of 5
A client's maternal serum alpha-fetoprotein level is elevated at 17 weeks. What condition should the nurse identify as the likely cause of this increase?
Correct Answer: D
Rationale: Elevated maternal serum alpha-fetoprotein at 17 weeks is most commonly associated with neural tube defects. Multiple gestation may also increase levels but is less likely, while Down syndrome and fetal hypoxia typically do not cause this elevation.
Question 5 of 5
A patient in active labor is prescribed oxytocin 12 milliunits/min intravenously (IV). The IV bag contains 5 units of oxytocin in 500 mL of lactated Ringer's solution. How many mL/hour should the nurse set the infusion pump to? (Enter numerical value only)
Correct Answer: 0.72
Rationale: The concentration is 5 units/500 mL = 0.01 units/mL. Convert 12 milliunits/min to 0.72 units/hour (12/1000 * 60). Infusion rate is 0.72/0.01 = 72 mL/hour.