HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 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 2 of 5
During a newborn assessment, which symptom, if present, would indicate respiratory distress?
Correct Answer: C
Rationale: Flaring of the nares, or nostrils, is a common sign of respiratory distress in newborns. It indicates that the baby is working hard to breathe.
Question 3 of 5
A client, who is three days postpartum and formula feeding her newborn, reports experiencing painful, hard, and full breasts to the nurse. What recommendation should the nurse provide?
Correct Answer: D
Rationale: Wearing a form-fitting bra for the next couple of days can provide support and help reduce the discomfort associated with engorgement in a formula-feeding mother.
Question 4 of 5
A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse's initial action?
Correct Answer: A
Rationale: In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse's initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.
Question 5 of 5
During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment. Which technique should the nurse implement to evaluate the leakage?
Correct Answer: C
Rationale: Testing the fluid with a nitrazine strip is the appropriate technique to evaluate fluid leakage in a pregnant woman. Amniotic fluid has a higher pH than normal vaginal secretions and urine, and will turn a nitrazine strip blue.