HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
During a newborn assessment, which symptom, if present, would indicate respiratory distress?
Correct Answer: C
Rationale: Flaring of the nares, or nostrils, is a common sign of respiratory distress in newborns. It indicates that the baby is working hard to breathe.
Question 2 of 5
Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Difficulty falling asleep, decreased appetite, and feelings of sadness are signs of postpartum depression. Return of lochia rubra and engorged, painful breasts are normal postpartum findings and not indicative of depression.
Question 3 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 4 of 5
A client at 10-weeks gestation calls the clinic reporting a low-grade fever, moderate cramping, and heavy bright-red bleeding. What advice should the nurse give the client?
Correct Answer: B
Rationale: The client's symptoms of low-grade fever, moderate cramping, and heavy bright-red bleeding could indicate a serious condition such as a miscarriage or an ectopic pregnancy.
Therefore, immediate medical evaluation is necessary.
Question 5 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.