HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Question 2 of 5
While conducting a daily assessment of a one-day-old newborn, the nurse notices a yellow tint on the baby's forehead, sternum, and abdomen. What should be the nurse's next course of action?
Correct Answer: C
Rationale: Measuring bilirubin levels using transcutaneous bilirubinometry is the appropriate next step when jaundice is suspected in a newborn. This non-invasive test can quickly and accurately measure bilirubin levels, helping to determine the severity of jaundice and guide treatment decisions.
Question 3 of 5
A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. The nurse would be correct in stating that the purpose for using the ointment is to:
Correct Answer: D
Rationale: The primary purpose of the eye ointment is to prevent eye infections in newborns. This is particularly important as mothers who have a sexually transmitted infection (STI) can pass it to their newborns during childbirth, putting them at risk for an eye infection known as ophthalmia neonatorum (ON).
Question 4 of 5
A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.I didn't realize having a baby would be this challenging.â€. What should the nurse's response be?
Correct Answer: A
Rationale: A client who is 3 weeks postpartum and feeling tired all the time is a common scenario. Adjusting to a new baby can be challenging and it's normal for new mothers to feel overwhelmed and fatigued. The nurse's response should be empathetic and supportive, encouraging the client to share more about her situation. This could help the nurse understand the client's support system and provide appropriate advice or resources.
Question 5 of 5
A client at 32 weeks gestation visits the women's health clinic and reports feeling nauseous and vomiting. Upon examination, the nurse notes that the client's blood pressure is elevated. What should the nurse do next?
Correct Answer: A
Rationale: A client at 32 weeks gestation reporting nausea, vomiting, and elevated blood pressure could be showing signs of a condition called gestational hypertension or preeclampsia. Inspecting the client's face for edema is a relevant next step because swelling in the face, hands, or fingers is a common symptom of preeclampsia.