HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 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 2 of 5
A patient was received one hour after delivering a 9 lb 1 oz (4.1 kg) female baby. Her vital signs are as follows: Temperature 100.4° F (38° C) orally, Heart rate 86 beats/minute, Respiratory rate 16 breaths/minute, Blood pressure 102/12 mm Hg, Pain 4 on a 0 to 10 pain scale. She was assisted to the bathroom where she voided 150 mL of clear yellow urine. Lochia rubra is moderate with small clots, no foul odor noted. The fundus is firm at the umbilicus. The episiotomy edges are well approximated, with no redness, edema, drainage, or ecchymosis. There is no pain, redness, or swelling in the calves. A 1,000 mL bag of lactated Ringer's solution containing 10 units of oxytocin is infusing via an 18-gauge peripheral IV in the left forearm at 125 mL per hour, with 500 mL remaining in the bag. The IV is patent, without redness or swelling, and can be discontinued when this bag's infusion is complete.
Correct Answer: -
Rationale: No specific action is required as all findings are within normal postpartum parameters. Vital signs, lochia, fundus, episiotomy, and IV status are stable, indicating routine monitoring is sufficient.
Question 3 of 5
A laboring client has a variable deceleration on the fetal monitor. What is the first action that the nurse should take?
Correct Answer: C
Rationale: Variable decelerations suggest cord compression. Changing the client's position is the first action to relieve it, improving fetal oxygenation. Oxygen, stopping oxytocin, or assessing dilation are secondary.
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 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.