HESI:l NURl 202/l NUR202l (Latestl 2025/l
2026l Update)l Maternal-Newbornl Nursingl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Fortis
Q:l Al full-terml infantl isl admittedl tol thel newbornl nurseryl and,l afterl carefull assessment,l thel nursel suspectsl thatl thel infantl mayl havel anl esophageall atresia.l Whichl symptomsl isl thisl newbornl likelyl tol havel exhibited?
Answer:
Choking,l coughing,l andl cyanosis.
thel "3l Cs"l ofl esophageall atresial causedl byl thel overflowl ofl secretionsl intol thel trachea.
Q:l Whatl doesl al childl inl respiratoryl distressl lookl like?
Answer:
Apneicl spellsl andl gruntingl withl prematurityl orl sepsis
Q:l Whatl doesl al diaphragmaticl hernial lookl like?
Answer:
Scaphoidl abdomenl andl anorexia
Q:l Al newl motherl isl afraidl tol touchl herl baby'sl headl forl fearl ofl hurtingl thel "largel softl spot."l Whichl explanationl shouldl thel nursel givel tol thisl anxiousl client?
Answer:
There'sl al strong,l toughl membranel therel tol protectl thel babyl sol youl needl notl bel afraidl tol washl orl combl his/herl hair.
Q:l Al clientl whol isl attendingl antepartuml classesl asksl thel nursel whyl herl healthcarel providerl hasl prescribedl ironl tablets.l Thel nurse'sl responsel isl basedl onl whatl knowledge?
Answer: 1 / 4
Itl isl difficultl tol consumel 18l mgl ofl additionall ironl byl dietl alone.
Consumingl enoughl iron-containingl foodsl tol facilitatel adequatel fetall storagel ofl ironl andl tol meetl thel demandsl ofl pregnancyl isl difficultl sol ironl supplementsl arel oftenl recommended.
Q:l Whatl isl megaloblasticl anemial causedl by?
Answer:
folicl acidl deficiency
Q:l Al womanl whol thinksl shel couldl bel pregnantl callsl herl neighbor,l al nurse,l tol askl whenl shel couldl usel al homel pregnancyl testl tol diagnosel pregnancy.l Whichl responsel isl best?
Answer:
Al homel pregnancyl testl canl bel usedl rightl afterl yourl firstl missedl period.
Homel urinel testsl arel basedl onl thel chemicall detectionl ofl humanl chorionicl gonadotrophin,l whichl beginsl tol increasel 6l tol 8l daysl afterl conceptionl andl isl bestl detectedl atl 2l weeks'l gestationl orl immediatelyl afterl thel firstl missedl period.
Q:l Al 28-year-oldl clientl inl activel laborl complainsl ofl crampsl inl herl leg.l Whatl interventionl shouldl thel nursel implement?
Answer:
Extendl thel legl andl dorsiflexl thel foot
Dorsiflexingl thel footl byl pushingl thel solel ofl thel footl forwardl orl byl standingl (ifl thel clientl isl capable)l andl puttingl thel heell ofl thel footl onl thel floorl isl thel bestl meansl ofl relievingl legl cramps
Q:l Al clientl atl 30-weeks'l gestation,l complainingl ofl pressurel overl thel pubicl area,l isl admittedl forl observation.l Shel isl contractingl irregularlyl andl demonstratesl underlyingl uterinel irritability.l Vaginall examinationl revealsl thatl herl cervixl isl closed,l thick,l andl high.l Basedl onl thesel data,l whichl interventionl shouldl thel nursel implementl first?
Answer:
C.Obtainl al specimenl forl urinel analysis.l
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Obtainingl al urinel analysisl shouldl bel donel firstl becausel preterml clientsl withl uterinel irritabilityl andl contractionsl arel oftenl sufferingl froml al urinaryl tractl infection,l andl thisl shouldl bel ruledl outl first.
Q:l Al clientl inl activel laborl isl admittedl withl preeclampsia.l Whichl assessmentl findingl isl mostl significantl inl planningl thisl client'sl care?
Answer:
Al 4+l reflexl inl al clientl withl pregnancy-inducedl hypertensionl indicatesl hyperreflexia,l whichl isl anl indicationl ofl anl impendingl seizure.
Q:l Whatl isl Epogenl for?
Answer:
Changesl anl apicall heartl ratel froml thel 180sl tol thel 140s.
Epogen,l givenl tol preventl orl treatl anemia,l stimulatesl erythropoietinl production,l resultingl inl anl increasel inl RBCs.l Sincel thel bodyl hasl notl hadl tol compensatel forl anemial withl anl increasedl heartl rate,l changesl inl heartl ratel froml highl tol normall isl onel indicatorl thatl Epogenl isl effective
Q:l Thel healthcarel providerl prescribesl terbutalinel (Brethine)l forl al clientl inl preterml labor.l Beforel initiatingl thisl prescription,l itl isl mostl importantl forl thel nursel tol assessl thel clientl forl whichl condition?
Answer:
Gestationall diabetes.
Thel nursel shouldl evaluatel thel clientl forl gestationall diabetesl becausel terbutalinel (Brethine)l increasesl bloodl glucosel levels.
Q:l Al clientl withl NOl prenatall carel arrivesl atl thel laborl unitl screaming,l "Thel babyl isl coming!"l Thel nursel performsl al vaginall examinationl thatl revealsl thel cervixl isl 3l centimetersl dilatedl andl 75%l effaced.l Whatl additionall informationl isl mostl importantl forl thel nursel tol obtain?
Answer:
Datel ofl lastl normall menstruall period.
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Evaluatingl thel gestationl ofl thel pregnancyl takesl priority.l Ifl thel fetusl isl preterml andl thel fetall heartl patternl isl reassuring,l thel healthcarel providerl mayl attemptl tol prolongl thel pregnancyl andl administerl corticosteroidsl tol maturel thel lungsl ofl thel fetus.
Q:l Thel nursel assessesl al clientl admittedl tol thel laborl andl deliveryl unitl andl obtainsl thel followingl data:l darkl redl vaginall bleeding,l uterusl slightlyl tensel betweenl contractions,l BPl 110/68,l FHRl 110l beats/minute,l cervixl 1l cml dilatedl andl uneffaced.l Basedl onl thesel assessmentl findings,l whatl interventionl shouldl thel nursel implement?
Answer:
Monitoringl bleedingl froml IVl sites
Monitoringl bleedingl froml peripherall sitesl isl thel priorityl intervention.l Thisl clientl isl presentingl withl signsl ofl placentall abruption.l Disseminatedl intravascularl coagulationl (DIC)l isl al complicationl ofl placentall abruptio,l characterizedl byl abnormall bleeding.
Q:l Immediatelyl afterl birthl al newbornl infantl isl suctioned,l dried,l andl placedl underl al radiantl warmer.l Thel infantl hasl spontaneousl respirationsl andl thel nursel assessesl anl apicall heartl ratel ofl 80l beats/minutel andl respirationsl ofl 20l breaths/minute.l Whatl actionl shouldl thel nursel performl next?
Answer:
Initiatel positivel pressurel ventilation
Thel nursel shouldl immediatelyl beginl positivel pressurel ventilationl becausel thisl infant'sl vitall signsl arel notl withinl thel normall range,l andl oxygenl deprivationl leadsl tol cardiacl depressionl inl infants.l (Thel normall newbornl pulsel isl 100l tol 160l beats/minutel andl respirationsl arel 40l tol 60l breaths/minute.)
Q:l Thel nursel isl preparingl tol givel anl enemal tol al laboringl client.l Whichl clientl requiresl thel mostl cautionl whenl carryingl outl thisl procedure?
Answer:
Al 40-weekl primigravidal whol isl atl 6l cml cervicall dilatationl andl thel presentingl partl isl notl engaged.
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