HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A patient was received one hour after delivering a 9 lb 1 oz (4.1 kg) female baby. Her vital signs are as follows: Temperature 100.4° F (38° C) orally, Heart rate 86 beats/minute, Respiratory rate 16 breaths/minute, Blood pressure 102/12 mm Hg, Pain 4 on a 0 to 10 pain scale. She was assisted to the bathroom where she voided 150 mL of clear yellow urine. Lochia rubra is moderate with small clots, no foul odor noted. The fundus is firm at the umbilicus. The episiotomy edges are well approximated, with no redness, edema, drainage, or ecchymosis. There is no pain, redness, or swelling in the calves. A 1,000 mL bag of lactated Ringer's solution containing 10 units of oxytocin is infusing via an 18-gauge peripheral IV in the left forearm at 125 mL per hour, with 500 mL remaining in the bag. The IV is patent, without redness or swelling, and can be discontinued when this bag's infusion is complete.
Correct Answer: -
Rationale: No specific action is required as all findings are within normal postpartum parameters. Vital signs, lochia, fundus, episiotomy, and IV status are stable, indicating routine monitoring is sufficient.
Question 2 of 5
The nurse receives 2 newborns within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What is the priority issue that the nurse should address to ensure the newborn's survival?
Correct Answer: C
Rationale: Newborns are at high risk for heat loss due to large surface area and immature thermoregulation. Preventing hypothermia is critical in the first minutes to ensure survival.
Question 3 of 5
The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections. The parent expresses a fear of needles and is unable to perform the procedure. What intervention should the nurse implement?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin is a practical solution to the parent's fear, ensuring treatment compliance.
Question 4 of 5
A female adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg by mouth (PO) once daily and metronidazole 500 mg PO twice daily. She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' What purpose should the nurse provide that supports an effective outcome?
Correct Answer: B
Rationale: Hospitalization ensures effective treatment through supervised parenteral antibiotics for severe PID, improving outcomes. Contact precautions, Jarisch-Herxheimer reaction, and cultures are not primary reasons.
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.