HESI RN Maternity Exam

HESI RN Maternity Exam

VERSION 10

• A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl and a

hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet?· Carrots · Chicken · Yogurt · Cheese

• The nurse is preparing to administer methylergonovine maleate (Methergine) to a

postpartum client. Based on what assessment finding should the nurse withhold the drug?· Respiratory rate of 22 breaths/min · A large amount of lochia rubra · Blood pressure 149/90 · Positive Homan’s sign Note: The only contraindication that has this medicine is HBP, page 581 Matern…book.

• The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA).

The nurse includes activities to strengthen and mobilize the joints and surrounding muscle.Which physical therapy regimen should the nurse encourage the adolescent to implement?· Begin a training program lifting weights and running · Splint affected joints during activity · Exercise in a swimming pool · Perform passive range of motion exercises twice daily

Note: page 1710 MB (Maternity book)

• A client receiving oxytocin (Pitocin) to augment early labor. Which assessment is most

important for the nurse to obtain each time the infusion rate is increased?· Pain level · Blood pressure · Infusion site · Contraction pattern

Note: Page 508 MB 1 / 2

• One day after vaginal delivery of a full term baby, a postpartum client’s white blood cell

count is 15.000/mm. What action should the nurse take first?· Check the differential, since the WBC is normal for this client · Assess the client’s temperature, pulse, and respirations q4h · Assess the client’s perineal area for signs of a perineal hematoma · Notify the healthcare provider, since this finding is indicative of infection

Note: During the first 10 to 12 days after partum is between 20,000-25, 000

Page 530

• A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous

genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly?· Discuss the need for cortisol and aldosterone replacement therapy after discharge · Support the parents in their decision to assign sex of their child according to their preference · Offer information about ultrasonography and genotyping to determine sex assignment · Explain that corrective surgical procedures consistent with sex assignment can be delayed

Note: page 776 MB

• The nurse assessing a 9-year old boy who has been admitted to the hospital with possible

acute postsreptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most significant?· Back pain for a few days · A history of hypertension · A sore throats last week · Diuresis during the nights

Note: Page 1538 MB

• A loading dose of terbutaline (Brethine) 250 mcg IV is prescribed for a client in preterm

labor. Brethine 20 mg is added to 1,000 ml D W. How many ml of the solution should the nurse administer?13

• A 36-week primigravida is admitted to labor and delivery with severe abdominal pain

and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart

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