HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse is caring for a term infant immediately following delivery. Which action should the nurse implement to reduce the risk of cold stress?
Correct Answer: D
Rationale: Drying and skin-to-skin contact ' prevent cold stress by maintaining warmth and promoting bonding. Bathing ', radiant warmer ', and room temperature ' are less effective or inappropriate immediately.
Question 2 of 5
A primipara client at 42-weeks gestation is admitted for induction. Within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm diluted, contractions are occurring every 1 minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Restarting oxytocin per protocol ' resumes labor induction after hyperstimulation resolves. Stopping oxygen ', checking clonus ', and notifying the nursery ' are not indicated.
Question 3 of 5
The nurse is assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indicates that the infant is transitioning well to extrauterine life?
Correct Answer: C
Rationale: Vigorous crying ' indicates effective lung function and oxygenation, key for extrauterine transition. Flexion ' and Babinski reflex ' are normal but less specific. Tachycardia (220 bpm,
D) suggests distress.
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 4 of 5
The nurse reviews the findings for the client. Which findings are concerning and require intervention? Select all that apply.
Correct Answer: A,C,E
Rationale: High blood pressure ' suggests preeclampsia, variable decelerations ' indicate possible cord compression, and absent reflexes ' suggest magnesium toxicity, all requiring intervention. Pain ', normal fetal heart rate ', and temperature ' are not concerning.
Question 5 of 5
The nurse prepares to initiate magnesium sulfate therapy for the client. What is the priority nursing action?
Correct Answer: B
Rationale: Assessing deep tendon reflexes and respiratory rate ' before magnesium sulfate ensures safety, detecting toxicity risks. Increasing rate ', stopping for decelerations ', or giving antihypertensives ' are not initial priorities.