HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
Question 1 of 5
The nurse prepares to initiate magnesium sulfate therapy for the client. What is the priority nursing action?
Correct Answer: B
Rationale: Assessing deep tendon reflexes and respiratory rate ' before magnesium sulfate ensures safety, detecting toxicity risks. Increasing rate ', stopping for decelerations ', or giving antihypertensives ' are not initial priorities.
Extract:
Question 2 of 5
The healthcare provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously (IV) for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only)
Correct Answer: 50
Rationale:
To deliver 2 grams/hour from a solution of 20 grams in 500 mL, calculate: (2 grams/hour ÷ 20 grams) × 500 mL = 50 mL/hour.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
Question 3 of 5
The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
Correct Answer: A
Rationale: Blood pressure (170/98 mmHg,
A) is abnormal, suggesting preeclampsia. Pain (5/10,
B), brief variable decelerations ', and magnesium sulfate infusion ' are normal in this context.
Extract:
Question 4 of 5
A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?
Correct Answer: B
Rationale: Erythromycin ointment ' prevents ophthalmia neonatorum from Neisseria gonorrhoeae. Latanoprost ' treats glaucoma, tetracaine ' is an anesthetic, and neomycin ' is not standard for this condition.
Question 5 of 5
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
Correct Answer: C
Rationale: Nasal flaring ' indicates increased breathing effort, a sign of respiratory distress. Normal respiratory rate ', shallow respirations ', and abdominal breathing ' are typical in newborns.