HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg PO daily and metronidazole 500 mg IV piggy back (IVBP) twice daily (BID). She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' Which purpose should the nurse provide that supports an effective outcome?
Correct Answer: D
Rationale: Hospitalization ensures supervised IV antibiotics for severe PID unresponsive to outpatient therapy, preventing complications like tubo-ovarian abscess.
Question 2 of 5
Which is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?
Correct Answer: D
Rationale: Monitoring maternal blood pressure detects hypotension from epidural-induced vasodilation, preventing reduced placental perfusion.
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
38-year-old primiparous client is seen in the outpatient obstetric office 2 weeks postpartum after a spontaneous vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client was discharged on day 2, exclusively breastfeeding.
Question 3 of 5
Select the findings that will help the nurse determine what is causing the client's symptoms.
| Rupture of membranes for 16 hours |
| Normal spontaneous vaginal birth |
| Breastfeeding 7 to 8 times a day for 10 minutes |
| Discharge hemoglobin of 9.2 g/dL (92 g/L) |
| Current vital signs |
| Shopping yesterday for 5 hours |
| Foul-smelling lochia rubra |
Correct Answer: A,D,E,F,G
Rationale: Prolonged rupture of membranes, low hemoglobin, fever, tachycardia, prolonged shopping, and foul-smelling lochia suggest postpartum infection risks like endometritis or mastitis. These findings indicate systemic inflammation, anemia, and potential milk stasis.
Extract:
Question 4 of 5
The parent of an 11-year-old client who has juvenile idiopathic arthritis tells the nurse, 'I really don't want my child to become dependent on pain medication, so I only allow taking the medication when the pain is really bad.' Which information is most important for the nurse to provide this parent?
Correct Answer: A
Rationale: Scheduled pain medication maintains consistent pain control, reduces inflammation, and prevents severe pain episodes in juvenile idiopathic arthritis, improving mobility and preventing joint damage.
Question 5 of 5
The nurse is caring for a primigravida client who delivered vaginally 48-hours ago. The client's laboratory results are: hemoglobin 12.5 g/dL (125 g/L), hematocrit 34% (0.34 volume fraction), hepatitis B surface antigen negative, rubella non-immune, group B Streptococcus positive. Which prescription should the nurse prepare to administer?
Correct Answer: B
Rationale: The client's rubella non-immune status requires postpartum vaccination to prevent future congenital defects. Normal hemoglobin/hematocrit, negative hepatitis B, and post-delivery GBS status do not warrant other interventions.