HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing the fluid with a nitrazine strip is the appropriate technique to evaluate fluid leakage in a pregnant woman. Amniotic fluid has a higher pH than normal vaginal secretions and urine, and will turn a nitrazine strip blue.
Question 2 of 5
A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse's initial action?
Correct Answer: A
Rationale: In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse's initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.
Question 3 of 5
A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation. What information is being sought through this amniocentesis?
Correct Answer: A
Rationale: In the context of a fetus weighing an estimated 8 pounds at 36-weeks gestation in a client with gestational diabetes, an amniocentesis would most likely be performed to assess the maturity of the fetal lungs. This is because babies of mothers with gestational diabetes are at risk for respiratory distress syndrome if delivered early, and the baby's size may indicate that early delivery could be beneficial.
Question 4 of 5
A primigravida arrives at the maternity unit's observation area because she believes she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats per minute and contractions are occurring irregularly every 10 to 15 minutes. Which assessment finding would confirm to the nurse that the client is not in labor at this time?
Correct Answer: B
Rationale: Contractions that decrease with walking are typically associated with false labor. In true labor, contractions usually get stronger regardless of activity level.
Question 5 of 5
A multiparous client with active herpes lesions has been admitted to the unit due to spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: B
Rationale: Preparing for a cesarean section is the correct action. A cesarean section is often recommended for women with active genital herpes lesions to prevent transmission of the virus to the baby during delivery.