HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes. Which action is most important for the nurse to implement?
Correct Answer: D
Rationale: Heavy bleeding with clots suggests postpartum hemorrhage. Massaging the fundus ' stimulates uterine contractions to stop bleeding. Assessing vital signs ', increasing IV rate ', and notifying the provider ' are secondary.
Question 2 of 5
During a prenatal visit, a client at 30 weeks gestation reports persistent heartburn during the past two weeks. The nurse notes the client has 3+ bilateral, pitting, pedal edema. Which action should the nurse implement?
Correct Answer: B
Rationale: Significant edema (3+) may indicate preeclampsia, especially at 30 weeks. Asking about blurred vision and headache ' is critical to assess for preeclampsia symptoms. Heartburn is common (A,
D), but edema takes priority. Checking urine for glucose/ketones ' is unrelated to edema or preeclampsia.
Question 3 of 5
A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?
Correct Answer: B
Rationale: Determining current cervical dilation ' ensures appropriate epidural timing. Requesting epidural ', adjusting oxytocin ', or giving fluids ' should follow labor progress assessment.
Question 4 of 5
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Correct Answer: C
Rationale: Nasal flaring ' indicates increased breathing effort, a sign of respiratory distress. Normal respiratory rate ', shallow respirations ', and abdominal breathing ' are typical in newborns.
Question 5 of 5
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
Correct Answer: D
Rationale: Hypotonic dystocia involves weak contractions. Monitoring intensity, interval, and length of contractions ' is critical to assess oxytocin effectiveness. Blood pressure ', cesarean prep ', and perineal bulging ' are secondary.