HESI RN Maternity Exam V4 | Questions and Verified Answers |100% Correct | 2023/ 2024
QUESTION
The nurse is interacting with a female client who is
... [Show More] diagnosed with postpartum depression. Which finding should the nurse document as an objective signs of depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance.
Answer:
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
QUESTION
The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain
Answer:
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
QUESTION
In preparing a gravid client for a triple screen analysis, which action should the nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen.
Answer:
A. Prepare to draw blood for analysis.
QUESTION
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. What action should the nurse implement?
A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam.
Answer:
A. Inform her that this is a normal physiological change.
QUESTION
Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder.
Answer:
B. Laceration on the cervix
QUESTION
A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is absorbed."
Answer:
A. "This is called caput succedaneum. It will absorb and cause no problems."
QUESTION
The parents of a male newborn have signed an informed consent for circumcision. What priority intervention should the nurse implement upon completion of the circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets.
Answer:
C. Place petrolatum gauze dressing on the site.
QUESTION
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia
Answer:
D. Hypoglycemia
QUESTION
A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client for the procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
C. Chromosomal abnormalities.
D. Lecithin-sphingomyelin ration.
Answer:
B. Fetal growth and gestational age.
QUESTION
A 38-week primigravida is admitted to labor and delivery after a non-reactive stress test (NST). The nurse begins a contraction stress test (CST) with an oxytocin (Pitocin) infusion. Which finding is most important for the nurse to report to the healthcare provider?
A. Spontaneous rupture of membranes.
B. Fetal heart rate accelerations with fetal movement.
C. Absences of uterine contraction of 20 minutes.
D. A pattern of fetal late decelerations.
Answer:
D. A pattern of fetal late decelerations.
QUESTION
In determining the one minute Apgar score of a male infant the nurse asses a heart rate of 120 per min....respiration.. He has a loud cry with stimualtion, good muscle tone, color is acrocyanotic . What should the nurse assign?
A. 7
B. 8
C. 9
D. 10
Answer:
C. 9
QUESTION
The nurses assessment on a preterm infant reveals decreased muscle tone , sign of respiratory distress , irritability , mottled cool skin.Which intervention should the nurse implement first ?
A. Position a radiant warmer on the crib
B. Asses infant blood glucose level
C. Place infant in side lying position
D. Nipple feed 1 ounce of 5%glucose in water [Show Less]