HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A primipara client at 42-weeks gestation is admitted for induction. Within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm diluted, contractions are occurring every 1 minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Restarting oxytocin per protocol ' resumes labor induction after hyperstimulation resolves. Stopping oxygen ', checking clonus ', and notifying the nursery ' are not indicated.
Question 2 of 5
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and her heart rate is 130 beats/minute. Which action should the nurse implement first?
Correct Answer: C
Rationale: Hypotension (80/50 mmHg) and tachycardia (130 bpm) suggest uterine compression of the vena cava. Tilting the backboard ' relieves this, improving blood flow. Saline infusion ', blood sampling ', and palpation ' are secondary.
Question 3 of 5
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
Correct Answer: B
Rationale: Coffee intake before surgery can affect anesthesia. Informing the anesthesia provider ' is the priority. Starting IV ', contacting the obstetrician ', and checking labs ' are secondary.
Question 4 of 5
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug. How should the nurse respond?
Correct Answer: A
Rationale: Misoprostol induces uterine contractions, increasing miscarriage risk '. It is not linked to preeclampsia ', has effects on the fetus ', and is used to prevent, not cause, postpartum hemorrhage '.
Question 5 of 5
The nurse reviews the history and physical and nurses' notes to determine risk factors for this client. Which potential issue(s) place the client at risk? Select all that apply.
Correct Answer: A,C,F
Rationale: Multiparity ' increases risks like uterine atony. Variable decelerations ' suggest cord compression, posing fetal hypoxia risk. High fetal station (-3, F) may indicate prolonged labor. Normal fetal heart rate ', term gestation ', moderate pain ', and regular contractions ' are not risk factors.