HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
The nurse is preparing to administer oxytocin IV to a client after the delivery of her infant. Which outcome should the nurse expect from the administration of oxytocin?
Correct Answer: D
Rationale: Oxytocin stimulates uterine contractions to reduce postpartum bleeding by compressing blood vessels.
Question 2 of 5
A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, 'I just started taking methadone. Is there anything else I can do to make sure my baby is healthy?' Which information should the nurse provide?
Correct Answer: C
Rationale: Early prenatal care monitors methadone effects, fetal development, and complications like neonatal abstinence syndrome, ensuring a healthy pregnancy.
Question 3 of 5
Which drink choice on a hot day indicates to the nurse that an adolescent with sickle cell anemia understands dietary considerations related to the disease?
Correct Answer: C
Rationale: Lemonade, a hydrating, caffeine-free drink, prevents dehydration, reducing sickling risk in sickle cell anemia.
Extract:
History and Physical
Nurses' Notes
Orders
The client is a 4-month-old female with a history of gastroesophageal reflux (GERD). Client had fundoplication surgery and will be hospitalized for several days of recovery.
Question 4 of 5
Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate.
| Options | Appropriate | Not appropriate |
|---|---|---|
| Ask the healthcare provider to prescribe a nonsteroidal anti-inflammatory drug (NSAID) | ||
| Have one of the parents hold the baby | ||
| Perform guided imagery | ||
| Consult a child life specialist | ||
| Encourage the baby's mother to breastfeed the baby | ||
| Wait 1 hour, reassess, and give medication if the FLACC score remains elevated | ||
| Request a prescription for an opioid |
Correct Answer: B,D,G
Rationale: NSAIDs, parental holding, child life consultation, and opioids (if severe) are appropriate. Guided imagery is too advanced, breastfeeding is contraindicated (NPO), and delaying treatment is inappropriate.
Extract:
Question 5 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy delays premature puberty, allowing physical maturity to align with peers over time, with treatment stopping at an appropriate age.