HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A parent rushes their pre-school age child to the emergency department with an asthma exacerbation. Which additional finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: A
Rationale: Nasal flaring indicates increased respiratory effort, a sign of acute distress. Bronchial breath sounds and diaphragmatic respirations are normal, and a respiratory rate of 35 is within normal limits for a preschooler.
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
The nurse is caring for a client who is 40-weeks gestation in active labor and has received epidural anesthesia. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia?
Correct Answer: B
Rationale: Epidural anesthesia can cause hypotension, affecting maternal and fetal well-being. Monitoring maternal blood pressure is critical to detect and manage this risk promptly.
Question 4 of 5
After a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse is preparing the family for discharge. Monitor the infant for response to auditory stimuli.
Correct Answer: D
Rationale: Bacterial meningitis can cause hearing loss. Monitoring auditory response is critical post-treatment to detect complications early.
Question 5 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.