HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse is caring for a newborn with suspected neonatal abstinence syndrome. The mother is currently taking methadone and is in a treatment program. Which intervention should the nurse implement prior to discharge?
Correct Answer: B
Rationale: Newborns with neonatal abstinence syndrome need comprehensive care. Providing multidisciplinary resources and support ' is key. Nursery stay ', methadone administration ', and foster care ' are not primary interventions.
Question 2 of 5
A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?
Correct Answer: C
Rationale: Breastfeeding techniques ' are critical in the fourth stage to promote bonding and success. Bulb syringe ', screening tests ', and circumcision care ' are secondary at this stage.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
Question 3 of 5
The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
Correct Answer: A
Rationale: Blood pressure (170/98 mmHg,
A) is abnormal, suggesting preeclampsia. Pain (5/10,
B), brief variable decelerations ', and magnesium sulfate infusion ' are normal in this context.
Extract:
Question 4 of 5
A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?
Correct Answer: B
Rationale: Erythromycin ointment ' prevents ophthalmia neonatorum from Neisseria gonorrhoeae. Latanoprost ' treats glaucoma, tetracaine ' is an anesthetic, and neomycin ' is not standard for this condition.
Question 5 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: D
Rationale: Low back pain with pelvic cramping ' suggests complications like premature labor post-amniocentesis. Increased fetal movement ', headache/blurred vision ', and epigastric pain ' are not specific to amniocentesis complications.