HESI RN Care of Women and Pediatric Nursing | Nurselytic

Questions 38

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HESI RN Care of Women and Pediatric Nursing Questions

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Question 1 of 5

In preparing a gravid client for a triple screen analysis, which action should the nurse take?

Correct Answer: C

Rationale: Triple screen analysis requires a maternal blood sample to assess fetal abnormality risks. Preparing to draw blood ' is the correct action. Drinking water ', left lateral position ', and fetal monitoring ' are unrelated to this test.

Question 2 of 5

The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes. Which action is most important for the nurse to implement?

Correct Answer: D

Rationale: Heavy bleeding with clots suggests postpartum hemorrhage. Massaging the fundus ' stimulates uterine contractions to stop bleeding. Assessing vital signs ', increasing IV rate ', and notifying the provider ' are secondary.

Question 3 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.

Question 4 of 5

A client at 37 weeks gestation presents with contractions every 3 to 4 minutes, lasting 60 seconds. The fetal heart rate is noted to be 140 bpm, and no abnormal fetal movements are observed. The client reports no pain and normal laboratory results. Which action should the nurse implement first?

Correct Answer: B

Rationale: Checking cervical dilation ' assesses labor progress, guiding management. Oxygen ', IV fluids ', and delivery prep ' are not indicated with normal fetal heart rate and no distress.

Question 5 of 5

The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?

Correct Answer: C

Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.

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A client at 37-weeks, 1-day gestation by a 10-week ultrasound, presents to labor and delivery with contractions every 3 to 4 minutes for the last 2 hours. The vaginal exam shows the client is 4 cm dilated, 50% effaced, -3 station. The membranes are intact. Contractions occur every 3 to 4 minutes per monitor, lasting 60 seconds, moderate by palpation. Fetal heart rate is 136 beats/minute with accelerations noted; no decelerations are noted. The estimated fetal weight by Leopold's is 6 pounds (2.72 kg). The prenatal course is unremarkable, with normal labs. The client's blood type is A-. An Rh' immune globulin injection was received at 28-weeks.
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