Monroe College RN HESI Maternity | Nurselytic

Questions 55

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Monroe College RN HESI Maternity Questions

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Question 1 of 5

A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?

Correct Answer: D

Rationale: If 10 kicks are not felt within one hour, drinking orange juice and counting for another hour is a common recommendation. The sugar in the juice can sometimes stimulate the baby to move. However, if the mother still doesn't feel 10 movements within 2 hours, she should contact her healthcare provider.

Question 2 of 5

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. The nurse would be correct in stating that the purpose for using the ointment is to:

Correct Answer: D

Rationale: The primary purpose of the eye ointment is to prevent eye infections in newborns. This is particularly important as mothers who have a sexually transmitted infection (STI) can pass it to their newborns during childbirth, putting them at risk for an eye infection known as ophthalmia neonatorum (ON).

Question 3 of 5

A 16-year-old client, who is pregnant for the first time and has no children, has been admitted to the hospital with a diagnosis of eclampsia. She is not currently convulsing. What intervention should the nurse plan to include in this client's nursing care plan?

Correct Answer: B

Rationale: Keeping an airway at the bedside is crucial for a client with eclampsia. If a seizure occurs, the airway can be used to ensure the client's airway remains open.

Question 4 of 5

A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever. What instruction should the nurse give to this client?

Correct Answer: C

Rationale: The best course of action in this situation is for the woman to come to the clinic to be seen by a healthcare provider. Prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus.

Question 5 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.

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