HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
The nurse is providing information to a parent of a six-month old about vaccinations. Which statement made by the parent should the nurse recognize as understanding the information?
Correct Answer: B
Rationale: Vaccinations should be delayed in children with febrile illness to avoid complications. Live vaccines are contraindicated in immunocompromised children, allergic reactions preclude second doses, and breastfeeding does not affect vaccination timing.
Question 2 of 5
A woman is in the second stage of labor where the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse expect to perform to assist the healthcare provider?
Correct Answer: B
Rationale: Shoulder dystocia is indicated, and suprapubic pressure is the first maneuver to relieve it. Vacuum, fundal pressure, and forceps are not initial actions for this complication.
Question 3 of 5
A nurse is providing instructions to the parent of a 10-year-old child who has recently been diagnosed with type 1 diabetes mellitus (DM). The parent expresses a fear of needles and is unable to perform the procedure of administering subcutaneous insulin injections to the child. What action should the nurse take?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin addresses the parent's fear while ensuring treatment. Evaluating parenting skills or encouraging needle handling may not resolve the issue, and another person's availability is secondary.
Question 4 of 5
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: D
Rationale: Jitteriness, hypotonia, and weak cry suggest hypoglycemia. A heel stick glucose test is urgent to confirm and treat this condition.
Question 5 of 5
A parent rushes their pre-school age child to the emergency department with an asthma exacerbation. Which additional finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: A
Rationale: Nasal flaring indicates increased respiratory effort, a sign of acute distress. Bronchial breath sounds and diaphragmatic respirations are normal, and a respiratory rate of 35 is within normal limits for a preschooler.