HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
The healthcare provider prescribes magnesium sulfate 4 grams intravenously (IV) to be infused over 20 minutes for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump?
Correct Answer: 300 mL/hour
Rationale: Calculate the volume for 4 grams: 4 grams ÷ 20 grams × 500 mL = 100 mL. Infuse over 20 minutes: 100 mL ÷ 20 minutes × 60 minutes/hour = 300 mL/hour.
Question 2 of 5
The healthcare provider prescribes magnesium sulfate 4 grams intravenously (IV) to be infused over 20 minutes for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump?
Correct Answer: 300 mL/hour
Rationale: Calculate the volume for 4 grams: 4 grams ÷ 20 grams × 500 mL = 100 mL. Infuse over 20 minutes: 100 mL ÷ 20 minutes × 60 minutes/hour = 300 mL/hour.
Question 3 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Question 4 of 5
At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?
Correct Answer: B
Rationale: A weight gain of 20 pounds by 20 weeks indicates the client is on track or has even gained slightly more than expected. Further evaluation is important as excessive weight gain in pregnancy might be indicative of underlying conditions such as preeclampsia or gestational diabetes.
Question 5 of 5
A client at 35 weeks gestation complains of pain whenever the baby moves. The nurse notes the client's temperature to be 101.20 F (38.4° C), with severe abdominal or uterine tenderness on palpation. What condition do these findings suggest?
Correct Answer: B
Rationale: Chorioamnionitis is an infection of the membranes surrounding the fetus and is associated with prolonged labor. Symptoms include fever, abdominal pain, and fetal tachycardia. The client's symptoms of pain when the baby moves, a high temperature, and severe abdominal or uterine tenderness on palpation align with this condition.