HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
What is the most crucial topic for the nurse to include in a nutrition education program for pregnant teenagers?
Correct Answer: A
Rationale: Iron-deficiency anemia is a common nutritional issue among pregnant teenagers. During pregnancy, the body needs more iron to support the growth and development of the fetus. Teenagers, who are still growing themselves, may already have lower iron stores.
Therefore, it is crucial to include information about the importance of iron and how to get enough from the diet in a nutrition education program for pregnant teenagers.
Question 2 of 5
An infant, born yesterday and initially weighing 7.5 lbs (3,402 grams), weighs 7 lbs (3,175 grams) today. What action should the nurse take?
Correct Answer: C
Rationale: It is normal for newborns to lose some weight in the first few days after birth. This is often due to the loss of excess fluid. A weight loss of up to 10% of the birth weight is generally considered normal in the first week.
Question 3 of 5
The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?
Correct Answer: B
Rationale: Folic acid is vital for preventing neural tube defects, including anencephaly. It's recommended for women of childbearing age and especially during the early stages of pregnancy.
Question 4 of 5
Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Difficulty falling asleep, decreased appetite, and feelings of sadness are signs of postpartum depression. Return of lochia rubra and engorged, painful breasts are normal postpartum findings and not indicative of depression.
Question 5 of 5
A healthcare provider prescribes a maintenance dose of 2 grams per hour of intravenous magnesium sulfate for a client with preeclampsia. The IV bag contains 20 grams of magnesium sulfate in 500 mL of 5% dextrose in water. How many mL/hour should the nurse set the infusion pump to deliver?
Correct Answer: 50 mL/hour
Rationale:
To calculate the rate, determine the concentration: 20 grams in 500 mL equals 0.04 grams/mL.
To deliver 2 grams/hour, divide 2 grams by 0.04 grams/mL, which equals 50 mL/hour.