HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
A newborn is delivered by cesarean section to a mother who is HIV-positive. The mother received antiretroviral therapy during pregnancy. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Zidovudine within 6-12 hours reduces perinatal HIV transmission risk in newborns of HIV-positive mothers.
Question 2 of 5
The healthcare provider prescribes magnesium sulfate 6 grams IV to be infused over 20 minutes for client with preterm labor. The IV bag contains 'Magnesium sulfate 20 grams in dextrose 5% in water 500 mL.' How many mL/hour should the nurse set the infusion pump?
Correct Answer: A
Rationale: For 6 grams in 20 minutes, 150 mL (6 ÷ 0.04 g/mL) is needed. Infusion rate is 150 mL ÷ 20 min × 60 = 450 mL/hour.
Question 3 of 5
During the admission procedure of a school age child, the child states, 'I'm going to have an operation.' Which response is best for the nurse to provide to this child?
Correct Answer: A
Rationale: Asking the child to explain their understanding assesses knowledge, addresses misconceptions, and supports age-appropriate communication.
Question 4 of 5
The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. Which priority issue should the nurse address to ensure the newborn's survival?
Correct Answer: A
Rationale: Preventing heat loss avoids cold stress, which can lead to respiratory distress and metabolic issues, critical for newborn survival.
Question 5 of 5
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?
Correct Answer: B
Rationale: Albumin increases oncotic pressure, reducing edema by drawing fluid back into circulation in nephrotic syndrome.