HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
Correct Answer: D
Rationale: Hypotonic dystocia involves weak contractions. Monitoring intensity, interval, and length of contractions ' is critical to assess oxytocin effectiveness. Blood pressure ', cesarean prep ', and perineal bulging ' are secondary.
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
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing fluid with a nitrazine strip ' distinguishes amniotic fluid from urine. Palpation ', bladder scanning ', and catheterization ' do not identify the fluid's source.
Question 4 of 5
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Correct Answer: C
Rationale: Nasal flaring ' indicates increased breathing effort, a sign of respiratory distress. Normal respiratory rate ', shallow respirations ', and abdominal breathing ' are typical in newborns.
Question 5 of 5
The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?
Correct Answer: C
Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.