HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
Correct Answer: A
Rationale: Gravidity counts total pregnancies, including the current one. One full-term, one premature, one miscarriage, and the current pregnancy total four '. Options B, C, and D miscalculate the number of pregnancies.
Question 2 of 5
The nurse reviews the assessment findings along with the healthcare provider's prescriptions. Which immediate intervention(s) would the nurse initiate? Select all that apply.
Correct Answer: A,C,D,E,G
Rationale: Increasing IV fluids ', stopping magnesium ', administering oxygen ', obtaining magnesium levels ', and giving calcium gluconate ' address preeclampsia and magnesium toxicity risks. Blood pressure ' and cesarean prep ' are not immediate interventions.
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
The nurse is caring for a term infant immediately following delivery. Which action should the nurse implement to reduce the risk of cold stress?
Correct Answer: D
Rationale: Drying and skin-to-skin contact ' prevent cold stress by maintaining warmth and promoting bonding. Bathing ', radiant warmer ', and room temperature ' are less effective or inappropriate immediately.
Question 5 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.