HESI RN
Herzing University HESI Maternity Questions
Extract:
Question 1 of 5
A pregnant client receives Rho(D) immune globulin after an amniocentesis. The day following the procedure the client calls the nurse to report a temperature of 99.8° F (37.67°C). Which action should the nurse implement?
Correct Answer: C
Rationale: A temperature elevation post-amniocentesis may indicate infection, requiring prompt evaluation by a healthcare provider.
Question 2 of 5
Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum?
Correct Answer: D
Rationale: A pudendal block targets the pudendal nerve, numbing only the vagina and perineum, making it ideal for the second stage of labor.
Question 3 of 5
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Correct Answer: A
Rationale: Flaring of the nares is a specific sign of respiratory distress in newborns, indicating increased effort to breathe. It is more immediate and specific than other options.
Question 4 of 5
A client who is 32 weeks gestation comes to the women's health clinic and reports nausea and vomiting. On examination, the nurse notes that the client has an elevated blood pressure. Which action should the nurse implement next?
Correct Answer: A
Rationale: Elevated blood pressure at 32 weeks may suggest preeclampsia. Inspecting for facial edema is a priority to assess for fluid retention, a key sign of this condition.
Question 5 of 5
The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What priority issue should the nurse address to ensure the newborn's survival?
Correct Answer: B
Rationale: Newborns are at high risk for hypothermia due to heat loss, which can compromise survival. Preventing heat loss is a priority immediately after birth.