HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is 10-weeks gestation and palpates the fundus at 2 fingerbreadths above the pubic symphysis. The client reports nausea, vomiting, and scant dark brown vaginal discharge. Which action should the nurse take?
Correct Answer: B
Rationale: Obtaining human chorionic gonadotropin levels is the most appropriate action. The symptoms described by the client could indicate a possible miscarriage or ectopic pregnancy, and hCG levels can help confirm this.
Question 2 of 5
The nurse is caring for a client who delivered 6 hours ago. The client's uterus is boggy and is displaced above and to the right of the umbilicus. What action should the nurse take?
Correct Answer: D
Rationale: Encouraging the client to void is the correct action. A full bladder can displace the uterus, preventing it from contracting properly. By emptying the bladder, the uterus may be able to contract and return to its normal position.
Question 3 of 5
Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Difficulty falling asleep, decreased appetite, and feelings of sadness are signs of postpartum depression. Return of lochia rubra and engorged, painful breasts are normal postpartum findings and not indicative of depression.
Question 4 of 5
One day after vaginal delivery of a full-term baby, a postpartum client's white blood cell count is 15,000/mm (15 x 109/L). What action should the nurse take first?
Correct Answer: D
Rationale: A normal WBC in a postpartum client ranges from (12,000- 20, 000/mm. Checking the white blood cell differential helps determine the specific types of WBCs present and gives more information as to whether the elevation is the body's normal response to childbirth or a sign of infection.
Question 5 of 5
The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?
Correct Answer: B
Rationale: Folic acid is vital for preventing neural tube defects, including anencephaly. It's recommended for women of childbearing age and especially during the early stages of pregnancy.