HESI RN
Herzing University HESI Maternity Questions
Extract:
Question 1 of 5
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?
Correct Answer: B
Rationale: Magnesium sulfate toxicity can cause neuromuscular blockade, making calcium gluconate, the antidote, critical to have immediately available in case of toxicity signs like loss of deep tendon reflexes.
Question 2 of 5
The nurse is caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus is firm and she has a moderate lochial flow. On inspection, the nurse finds that a perineal hematoma is beginning to form. Which assessment finding should the nurse obtain first?
Correct Answer: C
Rationale: A perineal hematoma can cause significant pain and pressure, potentially leading to hemodynamic instability. Assessing heart rate and blood pressure first is crucial to detect signs of shock or circulatory compromise.
Question 3 of 5
The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first?
Correct Answer: D
Rationale: Variable decelerations often result from umbilical cord compression. Changing the client's position, such as to a lateral or knee-chest position, is the first step to relieve this.
Question 4 of 5
The nurse is caring for a postpartal client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologist's arrival on the unit, which action should the nurse perform?
Correct Answer: D
Rationale: Preparing procedure equipment, such as for a blood patch, ensures readiness for the anesthesiologist to address the spinal headache effectively.
Question 5 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.