HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
The nurse is educating parents on how to prevent recurrent otitis media in their infant. What advice should the nurse give?
Correct Answer: D
Rationale: Avoiding smoke exposure reduces Eustachian tube irritation, decreasing otitis media risk. Daily ear inspections don't prevent infections, prone positioning increases SIDS risk, and breastfeeding, while beneficial, is not specific to otitis media prevention.
Question 2 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 3 of 5
During the admission procedure of a school-age child, the child states, 'I'm going to have an operation.'. What is the best response for the nurse to provide to this child?
Correct Answer: D
Rationale: Asking the child to explain their understanding of an operation allows the nurse to assess knowledge, correct misconceptions, and provide tailored education, fostering trust and reducing anxiety.
Question 4 of 5
A client at 38-weeks gestation reports experiencing severe abdominal pain. Upon palpation, the nurse notes that the abdomen is rigid. How should the nurse document the findings?
Correct Answer: C
Rationale: Severe abdominal pain and a rigid abdomen suggest abruptio placenta, where the placenta detaches prematurely, causing bleeding and uterine rigidity. Placenta previa causes painless bleeding, and oligohydramnios and chorioamnionitis present differently.
Question 5 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.