HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.
Question 2 of 5
What physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?
Correct Answer: C
Rationale: A pulse rate of 56 beats/minute can be a normal finding postpartum. Pregnancy increases blood volume and cardiac output, and these changes can persist for some time after delivery.
Question 3 of 5
A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever. What instruction should the nurse give to this client?
Correct Answer: C
Rationale: The best course of action in this situation is for the woman to come to the clinic to be seen by a healthcare provider. Prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus.
Question 4 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.
Question 5 of 5
A multiparous client with active herpes lesions has been admitted to the unit due to spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: B
Rationale: Preparing for a cesarean section is the correct action. A cesarean section is often recommended for women with active genital herpes lesions to prevent transmission of the virus to the baby during delivery.