HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
A patient in early labor is receiving oxytocin and begins to experience tachysystolic or tetanic contractions with variable fetal heart decelerations. What should the nurse do next?
Correct Answer: B
Rationale: Discontinuing the oxytocin infusion is the correct action. Oxytocin is a hormone that stimulates uterine contractions during labor. If a patient begins to experience tachysystolic or tetanic contractions, which are excessively frequent or prolonged contractions, it could lead to fetal distress. Discontinuing the oxytocin can help reduce the frequency and intensity of the contractions.
Question 2 of 5
What is the most crucial topic for the nurse to include in a nutrition education program for pregnant teenagers?
Correct Answer: A
Rationale: Iron-deficiency anemia is a common nutritional issue among pregnant teenagers. During pregnancy, the body needs more iron to support the growth and development of the fetus. Teenagers, who are still growing themselves, may already have lower iron stores.
Therefore, it is crucial to include information about the importance of iron and how to get enough from the diet in a nutrition education program for pregnant teenagers.
Question 3 of 5
While conducting a daily assessment of a one-day-old newborn, the nurse notices a yellow tint on the baby's forehead, sternum, and abdomen. What should be the nurse's next course of action?
Correct Answer: C
Rationale: Measuring bilirubin levels using transcutaneous bilirubinometry is the appropriate next step when jaundice is suspected in a newborn. This non-invasive test can quickly and accurately measure bilirubin levels, helping to determine the severity of jaundice and guide treatment decisions.
Question 4 of 5
After breastfeeding for 10 minutes on each breast, a new mother calls the nurse to the postpartum room to assist with changing the newborn's diaper.As the mother begins the diaper change, the newborn regurgitates the breast milk. What should be the nurse's first action?
Correct Answer: D
Rationale: Sit the newborn upright and burp by gently rubbing or patting the upper back is the most appropriate first action. This position helps bring up any air swallowed during feeding, reducing the likelihood of spitting up. Gently rubbing or patting the back encourages the burp reflex.
Question 5 of 5
During the newborn admission assessment, the nurse palpates the newborn's scrotum and does not feel the testicles. Which assessment technique should the nurse perform next to verify the absence of testes?
Correct Answer: C
Rationale: If a testis is not readily identified, a finger sweep should be performed from the anterior iliac crest along the inguinal canal while palpating the scrotum. This is the correct technique to verify the absence of testes.