HESI RN Care of Women and Pediatric Nursing | Nurselytic

Questions 38

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HESI RN Care of Women and Pediatric Nursing Questions

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Question 1 of 5

The nurse reviews the assessment findings along with the healthcare provider's prescriptions. Which immediate intervention(s) would the nurse initiate? Select all that apply.

Correct Answer: A,C,D,E,G

Rationale: Increasing IV fluids ', stopping magnesium ', administering oxygen ', obtaining magnesium levels ', and giving calcium gluconate ' address preeclampsia and magnesium toxicity risks. Blood pressure ' and cesarean prep ' are not immediate interventions.

Question 2 of 5

A full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record indicates the mother is positive for human immunodeficiency virus (HIV) and received zidovudine intravenously during labor. Which action should the nurse implement?

Correct Answer: D

Rationale: Zidovudine within 6 hours ' reduces HIV transmission risk in newborns of HIV-positive mothers. Hepatitis B vaccine ', glucose testing ', and Moro reflex assessment ' are routine but not HIV-specific priorities.

Question 3 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.

Question 4 of 5

Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and her heart rate is 130 beats/minute. Which action should the nurse implement first?

Correct Answer: C

Rationale: Hypotension (80/50 mmHg) and tachycardia (130 bpm) suggest uterine compression of the vena cava. Tilting the backboard ' relieves this, improving blood flow. Saline infusion ', blood sampling ', and palpation ' are secondary.

Question 5 of 5

Assessment findings of a 4-hour-old newborn include an 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, hypotonia, and a weak cry. Based on these findings, which action should the nurse implement?

Correct Answer: A

Rationale: Jitteriness, hypotonia, weak cry, and low temperature suggest hypoglycemia. Obtaining a heel stick glucose level ' is critical. Swaddling ' and pulse oximetry ' are secondary, and documentation ' does not address the immediate need.

Similar Questions

The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
A client at 37-weeks, 1-day gestation by a 10-week ultrasound, presents to labor and delivery with contractions every 3 to 4 minutes for the last 2 hours. The vaginal exam shows the client is 4 cm dilated, 50% effaced, -3 station. The membranes are intact. Contractions occur every 3 to 4 minutes per monitor, lasting 60 seconds, moderate by palpation. Fetal heart rate is 136 beats/minute with accelerations noted; no decelerations are noted. The estimated fetal weight by Leopold's is 6 pounds (2.72 kg). The prenatal course is unremarkable, with normal labs. The client's blood type is A-. An Rh' immune globulin injection was received at 28-weeks.
The nurse reviews the findings for the client. Which findings are concerning and require intervention? Select all that apply.
A new mother asks the nurse why her infant son has a needle mark on his leg. Which response is best for the nurse to provide this mother?

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