HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
Assessment findings of a 4-hour-old newborn include an axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonia, and a weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: A
Rationale: Jitteriness, hypotonia, weak cry, and low temperature suggest hypoglycemia. Obtaining a heel stick glucose level ' is critical. Swaddling ' and pulse oximetry ' are secondary, and documentation ' does not address the immediate need.
Question 2 of 5
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
Correct Answer: A
Rationale: Gravidity counts total pregnancies, including the current one. One full-term, one premature, one miscarriage, and the current pregnancy total four '. Options B, C, and D miscalculate the number of pregnancies.
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
The nurse is caring for a newborn with suspected neonatal abstinence syndrome. The mother is currently taking methadone and is in a treatment program. Which intervention should the nurse implement prior to discharge?
Correct Answer: B
Rationale: Newborns with neonatal abstinence syndrome need comprehensive care. Providing multidisciplinary resources and support ' is key. Nursery stay ', methadone administration ', and foster care ' are not primary interventions.
Question 5 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: D
Rationale: Low back pain with pelvic cramping ' suggests complications like premature labor post-amniocentesis. Increased fetal movement ', headache/blurred vision ', and epigastric pain ' are not specific to amniocentesis complications.