HESI RN Maternity Exam 7n | Nurselytic

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HESI RN Maternity Exam 7n Questions

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Question 1 of 5

The nurse receives 2 newborns within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What is the priority issue that the nurse should address to ensure the newborn's survival?

Correct Answer: C

Rationale: Newborns are at high risk for heat loss due to large surface area and immature thermoregulation. Preventing hypothermia is critical in the first minutes to ensure survival.

Question 2 of 5

What other symptoms is the nurse likely to note in a child diagnosed with epiglottitis?

Correct Answer: C

Rationale: Epiglottitis causes a thick, muffled voice due to swollen epiglottis. Purulent secretions, apprehension, and wheezing are not typical symptoms.

Question 3 of 5

After a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse is preparing the family for discharge. Monitor the infant for response to auditory stimuli.

Correct Answer: D

Rationale: Bacterial meningitis can cause hearing loss. Monitoring auditory response is critical post-treatment to detect complications early.

Question 4 of 5

The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4° F (38° C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?

Correct Answer: C

Rationale: All vital signs are within normal postpartum ranges. Documenting them is appropriate, as no immediate intervention is indicated based on these findings.

Question 5 of 5

A laboring client has a variable deceleration on the fetal monitor. What is the first action that the nurse should take?

Correct Answer: C

Rationale: Variable decelerations suggest cord compression. Changing the client's position is the first action to relieve it, improving fetal oxygenation. Oxygen, stopping oxytocin, or assessing dilation are secondary.

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