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 reviews the findings for the client. Which findings are concerning and require intervention? Select all that apply.
Correct Answer: A,C,E
Rationale: High blood pressure ' suggests preeclampsia, variable decelerations ' indicate possible cord compression, and absent reflexes ' suggest magnesium toxicity, all requiring intervention. Pain ', normal fetal heart rate ', and temperature ' are not concerning.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: