HESI RN Maternal Newborn I | Nurselytic

Questions 44

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HESI RN Maternal Newborn I Questions

Extract:


Question 1 of 5

Which is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?

Correct Answer: D

Rationale: Monitoring maternal blood pressure detects hypotension from epidural-induced vasodilation, preventing reduced placental perfusion.

Question 2 of 5

A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?

Correct Answer: B

Rationale: Fundal height of 30 cm is below the expected range (32-36 cm) for 34 weeks gestation, suggesting possible intrauterine growth restriction (IUGR) or oligohydramnios, which requires further evaluation. Mild edema is common, weight gain is normal, and a fetal heart rate of 110 bpm is within the acceptable range.

Question 3 of 5

Based on the assessment findings, the priority diagnosis suspected is... This diagnosis places the client at risk of...

Correct Answer: A

Rationale: Mastitis, indicated by fever, localized breast symptoms, and systemic signs, is the priority diagnosis. It risks progressing to an abscess if untreated, requiring prompt intervention.

Extract:

History and Physical
Nurses' Notes
Orders
The client is a 4-month-old female with a history of gastroesophageal reflux (GERD). Client had fundoplication surgery and will be hospitalized for several days of recovery.


Question 4 of 5

Which are the 3 most likely reasons that the infant is crying?

Hunger
Opioid withdrawal
Hemorrhage
Separation anxiety
Pain
Hypovolemia
Hypoxia

Correct Answer: A,E,F

Rationale: Hunger due to NPO status, postoperative pain, and hypovolemia from surgical fluid losses are likely causes of crying. No evidence supports withdrawal, hemorrhage, anxiety, or hypoxia.

Extract:

History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
Orders
The client is a 14-year-old female who sustained facial trauma during a high school basketball game. Surgery was performed 3 days ago to repair the jaw. The client is 112.4 lb (51 kg). She has a left femoral central line for fluids.


Question 5 of 5

Which prescriptions does the nurse expect the healthcare provider to write based on the information? Select all that apply.

Correct Answer: A,C,D

Rationale: Discontinuing NG suction, increasing IV fluids, and adding potassium address hypovolemia and hypokalemia from fluid losses.

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During the admission procedure of a school age child, the child states, 'I'm going to have an operation.' Which response is best for the nurse to provide to this child?

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