HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
Which type of anesthesia, when used with a laboring client, results in a loss of sensation confined to the vagina and perineum?
Correct Answer: A
Rationale: A pudendal block is a type of anesthesia that results in a loss of sensation confined to the vagina and perineum. It's often used during the second stage of labor or for episiotomy repair.
Question 2 of 5
The nurse is caring for a client who delivered 6 hours ago. The client's uterus is boggy and is displaced above and to the right of the umbilicus. What action should the nurse take?
Correct Answer: D
Rationale: Encouraging the client to void is the correct action. A full bladder can displace the uterus, preventing it from contracting properly. By emptying the bladder, the uterus may be able to contract and return to its normal position.
Question 3 of 5
What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?
Correct Answer: C
Rationale: Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Question 4 of 5
A neonate, who is one day old, develops a cephalhematoma. Which common complication should the nurse assess this neonate for?
Correct Answer: B
Rationale: Cephalhematomas are caused by the rupture of blood vessels between the skull and periosteum, resulting in a blood collection. The breakdown of red blood cells in this trapped blood can lead to the release of bilirubin, increasing an infant's risk for hyperbilirubinemia and jaundice.
Question 5 of 5
During the newborn admission assessment, the nurse palpates the newborn's scrotum and does not feel the testicles. Which assessment technique should the nurse perform next to verify the absence of testes?
Correct Answer: C
Rationale: If a testis is not readily identified, a finger sweep should be performed from the anterior iliac crest along the inguinal canal while palpating the scrotum. This is the correct technique to verify the absence of testes.