HESI RN
Herzing University HESI Maternity Questions
Extract:
Question 1 of 5
Which physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?
Correct Answer: D
Rationale: A pulse rate of 56 beats/minute is within the normal range for a resting postpartum client. The other options indicate potential complications like DVT, uterine atony, or excessive bleeding.
Question 2 of 5
A client who is 32 weeks gestation comes to the women's health clinic and reports nausea and vomiting. On examination, the nurse notes that the client has an elevated blood pressure. Which action should the nurse implement next?
Correct Answer: A
Rationale: Elevated blood pressure at 32 weeks may suggest preeclampsia. Inspecting for facial edema is a priority to assess for fluid retention, a key sign of this condition.
Question 3 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?
Correct Answer: A
Rationale: Active herpes lesions pose a risk of neonatal herpes transmission during vaginal delivery. Preparing for a cesarean section is the priority to minimize this risk.
Question 4 of 5
A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?
Correct Answer: D
Rationale: An elevated AFP level is a screening indicator, not a diagnosis. A sonogram is the next step to assess for neural tube defects or other anomalies, providing definitive information.
Question 5 of 5
The healthcare provider prescribes oxytocin 2 milliunits/minute to induce labor for a client at 41-weeks gestation. The nurse initiates an infusion of Ringer's Lactate solution 1000 mL with oxytocin 10 units. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number)
Correct Answer: 12
Rationale:
To deliver 2 milliunits/minute from a solution of 10 units (10,000 milliunits) in 1000 mL, the concentration is 10 milliunits/mL. Thus, 2 milliunits/minute requires 0.2 mL/minute, which is 0.2 x 60 = 12 mL/hour.