HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
After two miscarriages, a client is instructed to increase her daily intake of foods that includes folic acid. The client does not like green leafy vegetables and states she is allergic to soy. Which food should the nurse suggest that the client eat to obtain folic acid?
Correct Answer: D
Rationale: Strawberries ' are a good folic acid source, suitable given the client's dislikes and allergies. Yogurt ' and milk ' are low in folic acid, and collard greens ' are unappealing to the client.
Question 2 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 3 of 5
A client at 37-weeks, 1-day gestation by a 10-week ultrasound, presents to labor and delivery with contractions every 3 to 4 minutes for the last 2 hours. The vaginal exam shows the client is 4 cm dilated, 50% effaced, -3 station. The membranes are intact. Contractions occur every 3 to 4 minutes per monitor, lasting 60 seconds, moderate by palpation. Fetal heart rate is 136 beats/minute with accelerations noted; no decelerations are noted. The estimated fetal weight by Leopold's is 6 pounds (2.72 kg). The prenatal course is unremarkable, with normal labs. The client's blood type is A-. An Rh' immune globulin injection was received at 28-weeks.
Correct Answer: A
Rationale: 37-weeks, 1-day gestation ' is term, reducing preterm risks but carrying early-term concerns like respiratory issues. Pain rating ', vaginal exam ', contractions ', and managed Rh-negative status ' are normal and not primary risk factors.
Question 4 of 5
A woman at 36 weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping. She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor. Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding. Which nursing intervention has the highest priority?
Correct Answer: A
Rationale: Bright red vaginal bleeding at 36 weeks is a critical sign of potential placental issues. Assessing fetal heart rate and contractions ' is the highest priority to evaluate fetal well-being. Confirming Rh status ' is secondary. Leopold maneuvers ' and vaginal exams ' are not immediate priorities and may worsen bleeding.
Question 5 of 5
The nurse reviews the assessment findings along with the healthcare provider's prescriptions. Which immediate intervention(s) would the nurse initiate? Select all that apply.
Correct Answer: A,C,D,E,G
Rationale: Increasing IV fluids ', stopping magnesium ', administering oxygen ', obtaining magnesium levels ', and giving calcium gluconate ' address preeclampsia and magnesium toxicity risks. Blood pressure ' and cesarean prep ' are not immediate interventions.