HESI OB/ HESI PEDIATRICS/ HESI MATERNITY EXAM |Version 3 | (55 Q & A) |QUESTIONS AND VERIFIED ANSWERS| 2023/ 2024 New Update
1. A client at 32 weeks
... [Show More] gestation presents with extreme abdominal tenderness and a small amount of vaginal bleeding. Her blood pressure is 95/65 mmHg, respiratory rate is 24 breaths/ minute, and her heart rate is 116 beats/ minute. She is dizzy with cold clammy skin. Which prescription has the highest priority?
Answer: Lactated Ringer's at 200 ml/hr using an 18-gauge needle.
2. The nurse is caring for a client following an emergency cesarean delivery under general anesthesia. Which assessment finding, occurring in the first 8 hours after delivery, is most critical and requires immediate intervention?
Answer: Uterine atony
3. A client at 40 weeks' gestation receives an anticholinergic, atropine 0.4 mg IM, as an adjunct to inhalation anesthesia for a scheduled Cesarean delivery. Which finding should the nurse identify as a therapeutic response to the injection?
Answer: Increase pulse and reduced oral secretions.
4. A client who is 12 weeks pregnant has type 1 diabetes mellitus. Which instruction should the nurse provide related to insulin dosages?
Answer: Increases from 18 weeks to approximately 36 weeks of gestation.
5. An oxytocin induction was started for a gravid client 6 hours ago. When assessing the FHR on the electronic fetal monitor, the nurse notes a "U-shaped" pattern... Which intervention should the nurse implement first?
Answer: Change the position of the client.
6. A one-week-old full-term infant is readmitted to the newborn nursery for hyperbilirubinemia. Which supplies should the nurse gather in preparation for this infants treatment plan?
Answer: Eye shield patches and an artificial light source for phototherapy.
7. A client whose labor is being augmented with an oxytocin (Pitocin) infusion requests an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm cervical dilatation, 60% effacement, and a -2 station. What action should the nurse implement first?
Answer: Determine current cervical dilation
8. A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control. Findings of the last vaginal exam, performed 1 hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station. Which action should the nurse implement first?
Answer: Determine current cervical dilation.
9. A postpartum client who is Rh negative refuses to receive Rho (D) immune globulin after delivery of an infant who is Rh positive. Which information should the nurse provide to this client? [Show Less]