HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
The MMR vaccine (measles, mumps, and rubella) is given subcutaneously at a dose of 0.5 mL if the patient is not immune to rubella. How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?
Correct Answer: B
Rationale: MMR vaccination does not directly increase VTE or PPH risk. Evaluating based on overall health and pregnancy factors, with prophylaxis for moderate to high risk, is appropriate per policy.
Question 2 of 5
A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?
Correct Answer: D
Rationale: Alcohol consumption during pregnancy poses risks to the fetus. Referring the client to an outpatient program for disulfiram therapy addresses potential dependency effectively. Praising reduced intake may not suffice, insisting on blood tests is invasive, and notifying child protective services is inappropriate without evidence of drug use.
Question 3 of 5
A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32.3% (0.323 volume fraction), tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the pregnancy might affect the laboratory findings, which information should the nurse provide?
Correct Answer: B
Rationale: Pregnancy increases plasma volume, diluting red blood cells and causing physiological anemia, explaining the low hemoglobin and hematocrit.
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 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.