HESI RN Maternity Exam 7n | Nurselytic

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HESI RN Maternity Exam 7n Questions

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Question 1 of 5

During the admission procedure of a school-age child, the child states, 'I'm going to have an operation.'. What is the best response for the nurse to provide to this child?

Correct Answer: D

Rationale: Asking the child to explain their understanding of an operation allows the nurse to assess knowledge, correct misconceptions, and provide tailored education, fostering trust and reducing anxiety.

Question 2 of 5

A client's maternal serum alpha-fetoprotein level is elevated at 17 weeks. What condition should the nurse identify as the likely cause of this increase?

Correct Answer: D

Rationale: Elevated maternal serum alpha-fetoprotein at 17 weeks is most commonly associated with neural tube defects. Multiple gestation may also increase levels but is less likely, while Down syndrome and fetal hypoxia typically do not cause this elevation.

Question 3 of 5

The nurse is providing information to a parent of a six-month old about vaccinations. Which statement made by the parent should the nurse recognize as understanding the information?

Correct Answer: B

Rationale: Vaccinations should be delayed in children with febrile illness to avoid complications. Live vaccines are contraindicated in immunocompromised children, allergic reactions preclude second doses, and breastfeeding does not affect vaccination timing.

Question 4 of 5

A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication?

Correct Answer: C

Rationale: Folic acid deficiency is a major risk factor for neural tube defects like spina bifida occulta, critical during early pregnancy.

Question 5 of 5

The nurse finds that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take?

Correct Answer: C

Rationale: Voiding from the ventral penis suggests hypospadias, a congenital condition. Documenting this finding ensures it is reported and addressed appropriately.

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