HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8° F (39.3° C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse implement next?
Correct Answer: C
Rationale: Symptoms suggest epiglottitis, requiring immediate airway management. Intubation/tracheotomy trays are critical to address potential airway obstruction.
Question 2 of 5
A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?
Correct Answer: B
Rationale: Fundal height of 30 cm is below the expected range (32-36 cm) for 34 weeks gestation, suggesting possible intrauterine growth restriction (IUGR) or oligohydramnios, which requires further evaluation. Mild edema is common, weight gain is normal, and a fetal heart rate of 110 bpm is within the acceptable range.
Question 3 of 5
The nurse is preparing to administer oxytocin IV to a client after the delivery of her infant. Which outcome should the nurse expect from the administration of oxytocin?
Correct Answer: D
Rationale: Oxytocin stimulates uterine contractions to reduce postpartum bleeding by compressing blood vessels.
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
Orders
The client is a 14-year-old female who sustained facial trauma during a high school basketball game. Surgery was performed 3 days ago to repair the jaw. The client is 112.4 lb (51 kg). She has a left femoral central line for fluids.
Question 4 of 5
Which prescriptions does the nurse expect the healthcare provider to write based on the information? Select all that apply.
Correct Answer: A,C,D
Rationale: Discontinuing NG suction, increasing IV fluids, and adding potassium address hypovolemia and hypokalemia from fluid losses.
Extract:
Question 5 of 5
A client who is 37 weeks gestation comes to the women's health clinic reporting an excruciating headache. On examination, the nurse determines the client has an elevated blood pressure. Which action should the nurse implement next?
Correct Answer: D
Rationale: Severe headache and hypertension suggest preeclampsia. Screening for proteinuria is critical to confirm the diagnosis and guide urgent management.