HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is 40-weeks gestation in active labor and has received epidural anesthesia. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia?
Correct Answer: B
Rationale: Epidural anesthesia can cause hypotension, affecting maternal and fetal well-being. Monitoring maternal blood pressure is critical to detect and manage this risk promptly.
Question 2 of 5
A female adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg by mouth (PO) once daily and metronidazole 500 mg PO twice daily. She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' What purpose should the nurse provide that supports an effective outcome?
Correct Answer: B
Rationale: Hospitalization ensures effective treatment through supervised parenteral antibiotics for severe PID, improving outcomes. Contact precautions, Jarisch-Herxheimer reaction, and cultures are not primary reasons.
Question 3 of 5
On the first postpartum day, the nurse examines a new mother's breasts. What condition is the nurse most likely to find?
Correct Answer: B
Rationale: On the first postpartum day, breasts typically fill and secrete colostrum due to hormonal changes initiating lactation. Soft breasts, immediate let-down, or significant tenderness are less common at this stage.
Question 4 of 5
An adolescent client who has successfully managed hemophilia for the past 10 years is evaluated by the nurse. Which behavior best evidences the client's adjustment to the disorder as an adolescent?
Correct Answer: C
Rationale: Serving as a counselor indicates successful self-management and the ability to support others, reflecting strong adjustment. Ice storage, extra pads, and slow chewing are less comprehensive indicators of adaptation.
Question 5 of 5
A client who experienced a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for which complication is the highest priority for this client?
Correct Answer: A
Rationale: Severe postpartum hemorrhage increases the risk of DIC, a life-threatening clotting disorder. Psychosis, afterpains, and placenta accreta are less immediate concerns in this context.