HESI RN
Monroe College RN HESI Maternity Questions
Extract:
Question 1 of 5
While conducting a daily assessment of a one-day-old newborn, the nurse notices a yellow tint on the baby's forehead, sternum, and abdomen. What should be the nurse's next course of action?
Correct Answer: C
Rationale: Measuring bilirubin levels using transcutaneous bilirubinometry is the appropriate next step when jaundice is suspected in a newborn. This non-invasive test can quickly and accurately measure bilirubin levels, helping to determine the severity of jaundice and guide treatment decisions.
Question 2 of 5
A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?
Correct Answer: D
Rationale: If 10 kicks are not felt within one hour, drinking orange juice and counting for another hour is a common recommendation. The sugar in the juice can sometimes stimulate the baby to move. However, if the mother still doesn't feel 10 movements within 2 hours, she should contact her healthcare provider.
Question 3 of 5
A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation. What information is being sought through this amniocentesis?
Correct Answer: A
Rationale: In the context of a fetus weighing an estimated 8 pounds at 36-weeks gestation in a client with gestational diabetes, an amniocentesis would most likely be performed to assess the maturity of the fetal lungs. This is because babies of mothers with gestational diabetes are at risk for respiratory distress syndrome if delivered early, and the baby's size may indicate that early delivery could be beneficial.
Question 4 of 5
At 20-weeks gestation, a client who has gained 20 pounds (9.1 kg) during this pregnancy tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm, and the client's only complaint is that her breasts are leaking clear fluid. Which assessment finding warrants further evaluation?
Correct Answer: B
Rationale: A weight gain of 20 pounds by 20 weeks indicates the client is on track or has even gained slightly more than expected. Further evaluation is important as excessive weight gain in pregnancy might be indicative of underlying conditions such as preeclampsia or gestational diabetes.
Question 5 of 5
A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damageâ€. The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client's history, which nursing problem has the highest priority?
Correct Answer: B
Rationale: Fluid volume excess is the highest priority for a client with a history of rheumatic fever and heart damage. Rheumatic heart disease can result in impaired heart function, making it difficult for the heart to handle increased fluid volumes that occur during pregnancy and the postpartum period.