HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
On the first postpartum day, the nurse examines a new mother's breasts. What condition is the nurse most likely to find?
Correct Answer: B
Rationale: On the first postpartum day, breasts typically fill and secrete colostrum due to hormonal changes initiating lactation. Soft breasts, immediate let-down, or significant tenderness are less common at this stage.
Question 2 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.
Question 3 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 4 of 5
The nurse is evaluating the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
Correct Answer: C
Rationale: By age 3, children typically speak in simple sentences with four or more words. Gestures with 1-2 word sentences and single-word sentences are milestones for younger children, and recognizing letters/numbers is expected around age 4-5.
Question 5 of 5
A 3-year-old male was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. After reading the history and physical, the nurse suspects the child has _____
Correct Answer: B
Rationale: Croup is likely due to the sudden onset of noisy breathing (stridor) and recent viral symptoms, common in young children.