HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?
Correct Answer: B
Rationale: A weight gain of 20 pounds by 20 weeks indicates the client is on track or has even gained slightly more than expected. Further evaluation is important as excessive weight gain in pregnancy might be indicative of underlying conditions such as preeclampsia or gestational diabetes.
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
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 bleeding in the third trimester of a pregnancy with an Rh-negative mother is an obstetric emergency and warrants the highest priority. The immediate assessment of the fetal heart rate (FHR) and the mother's contraction pattern is crucial.
Question 4 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 5 of 5
What is the most crucial topic for the nurse to include in a nutrition education program for pregnant teenagers?
Correct Answer: A
Rationale: Iron-deficiency anemia is a common nutritional issue among pregnant teenagers. During pregnancy, the body needs more iron to support the growth and development of the fetus. Teenagers, who are still growing themselves, may already have lower iron stores.
Therefore, it is crucial to include information about the importance of iron and how to get enough from the diet in a nutrition education program for pregnant teenagers.