HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication?
Correct Answer: C
Rationale: Folic acid deficiency is a major risk factor for neural tube defects like spina bifida occulta, critical during early pregnancy.
Question 2 of 5
The nurse is reviewing the patient's condition and vital signs following the placement of a 5% dextrose intravenous line. Which medications should the nurse anticipate the healthcare provider will order? Select all that apply.
Correct Answer: A,B,C
Rationale: Acetaminophen, morphine, and aspirin may be ordered for pain or fever post-IV placement. Albuterol is irrelevant without respiratory issues.
Question 3 of 5
A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication?
Correct Answer: C
Rationale: Folic acid deficiency is a major risk factor for neural tube defects like spina bifida occulta, critical during early pregnancy.
Question 4 of 5
A woman is in the second stage of labor where the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse expect to perform to assist the healthcare provider?
Correct Answer: B
Rationale: Shoulder dystocia is indicated, and suprapubic pressure is the first maneuver to relieve it. Vacuum, fundal pressure, and forceps are not initial actions for this complication.
Question 5 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 are critical for managing potential respiratory failure during IV placement in a child with respiratory distress.