HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
An infant, born yesterday and initially weighing 7.5 lbs (3,402 grams), weighs 7 lbs (3,175 grams) today. What action should the nurse take?
Correct Answer: C
Rationale: It is normal for newborns to lose some weight in the first few days after birth. This is often due to the loss of excess fluid. A weight loss of up to 10% of the birth weight is generally considered normal in the first week.
Question 2 of 5
A client at 32 weeks gestation visits the women's health clinic and reports feeling nauseous and vomiting. Upon examination, the nurse notes that the client's blood pressure is elevated. What should the nurse do next?
Correct Answer: A
Rationale: A client at 32 weeks gestation reporting nausea, vomiting, and elevated blood pressure could be showing signs of a condition called gestational hypertension or preeclampsia. Inspecting the client's face for edema is a relevant next step because swelling in the face, hands, or fingers is a common symptom of preeclampsia.
Question 3 of 5
After breastfeeding for 10 minutes on each breast, a new mother calls the nurse to the postpartum room to assist with changing the newborn's diaper.As the mother begins the diaper change, the newborn regurgitates the breast milk. What should be the nurse's first action?
Correct Answer: D
Rationale: Sit the newborn upright and burp by gently rubbing or patting the upper back is the most appropriate first action. This position helps bring up any air swallowed during feeding, reducing the likelihood of spitting up. Gently rubbing or patting the back encourages the burp reflex.
Question 4 of 5
The healthcare provider prescribes magnesium sulfate 4 grams intravenously (IV) to be infused over 20 minutes for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump?
Correct Answer: 300 mL/hour
Rationale: Calculate the volume for 4 grams: 4 grams ÷ 20 grams × 500 mL = 100 mL. Infuse over 20 minutes: 100 mL ÷ 20 minutes × 60 minutes/hour = 300 mL/hour.
Question 5 of 5
The nurse receives a newborn within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What priority issue should the nurse address to ensure the newborn's survival?
Correct Answer: A
Rationale: Heat loss is a significant concern for newborns immediately after birth. Newborns have a large surface area relative to their body weight, which makes them more susceptible to heat loss. Maintaining a warm environment is crucial to prevent hypothermia, which can lead to complications such as hypoglycemia and respiratory distress.