HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
The nurse observes on the fetal monitor that a laboring client has a variable deceleration. What action should the nurse implement first?
Correct Answer: B
Rationale: Changing the client's position is the recommended first action for variable decelerations. Repositioning the mother, such as moving her to a lateral or knee-chest position, can relieve potential cord compression and improve fetal oxygenation.
Question 2 of 5
A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse take?
Correct Answer: C
Rationale: Breastfeeding can lead to a decreased need for insulin in some individuals. This is because lactation requires energy, and this energy demand can affect the mother's insulin requirements.
Question 3 of 5
The nurse is about to administer phytonadione to a newborn. Which statement by the parents shows they understand why this medication is being given?
Correct Answer: C
Rationale: Phytonadione is given to newborns to prevent hemorrhagic disorders, specifically vitamin K deficiency bleeding (VKD
B). Newborns are at risk for VKDB because their gut does not yet have the bacteria necessary to produce vitamin K.
Question 4 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Question 5 of 5
A 16-year-old client, who is pregnant for the first time and has no children, has been admitted to the hospital with a diagnosis of eclampsia. She is not currently convulsing. What intervention should the nurse plan to include in this client's nursing care plan?
Correct Answer: B
Rationale: Keeping an airway at the bedside is crucial for a client with eclampsia. If a seizure occurs, the airway can be used to ensure the client's airway remains open.