Herzing University HESI Maternity | Nurselytic

Questions 44

HESI RN

Home > HESI RN > HESI Maternity > Herzing University HESI Maternity
HESI RN Test Bank

Herzing University HESI Maternity Questions

Extract:


Question 1 of 5

The nurse is caring for a client whose fetus died in utero at 32-weeks gestation. After the fetus is delivered vaginally, the nurse implements routine fetal demise protocol and identification procedures Which action is most important for the nurse to take?

Correct Answer: C

Rationale: Encouraging the mother to hold and spend time with her baby supports the grieving process, helping her acknowledge and create memories with her child.

Question 2 of 5

A client at 40-weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which actions should the nurse plan to perform? (Select all that apply.)

Correct Answer: C,D,E

Rationale: HIV is transmitted through blood, body fluids, or breast milk, not air or droplets. Bottle-feeding (
C) prevents transmission via breast milk, IV antiviral medication (
D) reduces perinatal transmission, and standard precautions (E) are sufficient for infection control.

Question 3 of 5

What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?

Correct Answer: C

Rationale: Epidural anesthesia can cause a sudden drop in maternal blood pressure, which may affect placental perfusion, making blood pressure monitoring the priority.

Question 4 of 5

The healthcare provider prescribes oxytocin 2 milliunits/minute to induce labor for a client at 41-weeks gestation. The nurse initiates an infusion of Ringer's Lactate solution 1000 mL with oxytocin 10 units. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number)

Correct Answer: 12

Rationale:
To deliver 2 milliunits/minute from a solution of 10 units (10,000 milliunits) in 1000 mL, the concentration is 10 milliunits/mL. Thus, 2 milliunits/minute requires 0.2 mL/minute, which is 0.2 x 60 = 12 mL/hour.

Question 5 of 5

Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum?

Correct Answer: D

Rationale: A pudendal block targets the pudendal nerve, numbing only the vagina and perineum, making it ideal for the second stage of labor.

Similar Questions

After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help change the newborn's diaper. As the mother begins the diaper change, the newborn spits up the breast milk. What action should the nurse implement first?
A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing Which intervention should the nurse plan to include in this client's nursing care plan?
The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In conducting discharge teaching, which intervention is most important for the nurse to implement?
The nurse is preparing to administer magnesium sulfate to a laboring client whose blood pressure has increased from 110/60 mmHg to 140/90 mmHg Which nursing protocol has the highest priority?
The healthcare provider prescribes magnesium sulfate 6 grams intravenously (IV) to be infused over 20 minutes for client with preterm labor. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

Access More Questions!

HESI RN Basic

$89/ 30 days

 

HESI RN Premium

$150/ 90 days