HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4°F (38°C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Correct Answer: A
Rationale: The vital signs are within normal postpartum ranges. A temperature of 100.4°F can be normal due to labor exertion, and a heart rate of 58 beats/minute is typical due to increased stroke volume. Documenting ' is appropriate. Assessing lochia ', administering acetaminophen ', or reporting the heart rate ' are not indicated without further concerns.
Question 2 of 5
A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?
Correct Answer: C
Rationale: Breastfeeding techniques ' are critical in the fourth stage to promote bonding and success. Bulb syringe ', screening tests ', and circumcision care ' are secondary at this stage.
Question 3 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 fluid with a nitrazine strip ' distinguishes amniotic fluid from urine. Palpation ', bladder scanning ', and catheterization ' do not identify the fluid's source.
Question 4 of 5
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and her heart rate is 130 beats/minute. Which action should the nurse implement first?
Correct Answer: C
Rationale: Hypotension (80/50 mmHg) and tachycardia (130 bpm) suggest uterine compression of the vena cava. Tilting the backboard ' relieves this, improving blood flow. Saline infusion ', blood sampling ', and palpation ' are secondary.
Question 5 of 5
The nurse is caring for a newborn with suspected neonatal abstinence syndrome. The mother is currently taking methadone and is in a treatment program. Which intervention should the nurse implement prior to discharge?
Correct Answer: B
Rationale: Newborns with neonatal abstinence syndrome need comprehensive care. Providing multidisciplinary resources and support ' is key. Nursery stay ', methadone administration ', and foster care ' are not primary interventions.