HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse reviews the history and physical and nurses' notes to determine risk factors for this client. Which potential issue(s) place the client at risk? Select all that apply.
Correct Answer: A,C,F
Rationale: Multiparity ' increases risks like uterine atony. Variable decelerations ' suggest cord compression, posing fetal hypoxia risk. High fetal station (-3, F) may indicate prolonged labor. Normal fetal heart rate ', term gestation ', moderate pain ', and regular contractions ' are not risk factors.
Question 2 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 3 of 5
A client at 37 weeks gestation presents with contractions every 3 to 4 minutes, lasting 60 seconds. The fetal heart rate is noted to be 140 bpm, and no abnormal fetal movements are observed. The client reports no pain and normal laboratory results. Which action should the nurse implement first?
Correct Answer: B
Rationale: Checking cervical dilation ' assesses labor progress, guiding management. Oxygen ', IV fluids ', and delivery prep ' are not indicated with normal fetal heart rate and no distress.
Question 4 of 5
After two miscarriages, a client is instructed to increase her daily intake of foods that includes folic acid. The client does not like green leafy vegetables and states she is allergic to soy. Which food should the nurse suggest that the client eat to obtain folic acid?
Correct Answer: D
Rationale: Strawberries ' are a good folic acid source, suitable given the client's dislikes and allergies. Yogurt ' and milk ' are low in folic acid, and collard greens ' are unappealing to the client.
Question 5 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.