HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse to provide this mother?
Correct Answer: B
Rationale: Vitamin K is given intramuscularly to prevent bleeding disorders '. Subcutaneous administration ' is incorrect, blood draws ' typically use heel sticks, and general thigh use ' lacks specificity.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
Question 2 of 5
The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
Correct Answer: A
Rationale: Blood pressure (170/98 mmHg,
A) is abnormal, suggesting preeclampsia. Pain (5/10,
B), brief variable decelerations ', and magnesium sulfate infusion ' are normal in this context.
Extract:
Question 3 of 5
Assessment findings of a 4-hour-old newborn include an axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonia, and a weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: A
Rationale: Jitteriness, hypotonia, weak cry, and low temperature suggest hypoglycemia. Obtaining a heel stick glucose level ' is critical. Swaddling ' and pulse oximetry ' are secondary, and documentation ' does not address the immediate need.
Question 4 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: D
Rationale: Low back pain with pelvic cramping ' suggests complications like premature labor post-amniocentesis. Increased fetal movement ', headache/blurred vision ', and epigastric pain ' are not specific to amniocentesis complications.
Question 5 of 5
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing fluid with a nitrazine strip ' distinguishes amniotic fluid from urine. Palpation ', bladder scanning ', and catheterization ' do not identify the fluid's source.