HESI RN
Herzing University HESI Maternity Questions
Extract:
Question 1 of 5
Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum?
Correct Answer: D
Rationale: A pudendal block targets the pudendal nerve, numbing only the vagina and perineum, making it ideal for the second stage of labor.
Question 2 of 5
A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this client?
Correct Answer: D
Rationale: Severe postpartum hemorrhage increases the risk of disseminated intravascular coagulation (DI
C), a life-threatening condition requiring urgent assessment.
Question 3 of 5
What instruction is most important for the nurse to provide a client in the first trimester of pregnancy who is experiencing nausea?
Correct Answer: C
Rationale: Relaxation techniques like deep breathing can help manage nausea, especially if triggered by stress or anxiety, making it the most effective immediate intervention.
Question 4 of 5
During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?
Correct Answer: C
Rationale: Increased white, thin, watery discharge (leukorrhea) is a normal physiological change in pregnancy due to hormonal shifts, requiring no immediate intervention.
Question 5 of 5
A client at 40-weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. Which actions should the nurse plan to perform? (Select all that apply.)
Correct Answer: C,D,E
Rationale: HIV is transmitted through blood, body fluids, or breast milk, not air or droplets. Bottle-feeding (
C) prevents transmission via breast milk, IV antiviral medication (
D) reduces perinatal transmission, and standard precautions (E) are sufficient for infection control.