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
A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes. The nurse observes several shallow, small vesicles on her pubis, labia, and perineum. The nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: D
Rationale: Herpes simplex virus (HSV) causes painful, shallow vesicles or ulcers in the genital area, which matches the client's symptoms. Genital warts ' present as flesh-colored or gray swellings, not vesicles. German measles ' causes a rash and fever, not genital vesicles. Syphilis ' typically presents with a chancre or rash, not vesicular lesions.
Question 3 of 5
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?
Correct Answer: B
Rationale: Coffee intake before surgery can affect anesthesia. Informing the anesthesia provider ' is the priority. Starting IV ', contacting the obstetrician ', and checking labs ' are secondary.
Question 4 of 5
In preparing a gravid client for a triple screen analysis, which action should the nurse take?
Correct Answer: C
Rationale: Triple screen analysis requires a maternal blood sample to assess fetal abnormality risks. Preparing to draw blood ' is the correct action. Drinking water ', left lateral position ', and fetal monitoring ' are unrelated to this test.
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 5 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.