HESI RN
HESI Maternity Test Bank Questions
Question 1 of 5
A woman who delivered a 9-pound baby via cesarean section under spinal anesthesia is recovering in the post-anesthesia care unit. Her fundus is firm at the umbilicus, and a continuous trickle of bright red blood with no clots is observed by the nurse. Which action should the nurse implement?
Correct Answer: A
Rationale: In this situation, continuous bleeding despite a firm fundus suggests a possible laceration. The appropriate action for the nurse to take is to assess the woman's blood pressure. This helps determine the severity of blood loss and guides further interventions, such as identifying the need for additional assessments or interventions to control bleeding.
Question 2 of 5
A young girl with a fractured radius has a cast applied. As the cast is drying, it is elevated above the level of her heart. Which assessment finding should the healthcare provider be reported to immediately?
Correct Answer: C
Rationale: Numbness and inability to move fingers are concerning findings that suggest potential nerve damage or compartment syndrome due to increased pressure within the cast. This requires immediate notification of the healthcare provider to prevent further complications or permanent damage.
Question 3 of 5
When preparing a class on newborn care for expectant parents, what content should be taught concerning the newborn infant born at term gestation?
Correct Answer: C
Rationale: Vernix caseosa is a white, cheesy substance that acts as a protective barrier on the skin of newborns, particularly present in skin folds. It helps to prevent dehydration and protect the delicate skin of the newborn from the amniotic fluid in utero. Educating expectant parents about the presence and function of vernix caseosa can help them understand the importance of its preservation during the immediate postnatal period.
Question 4 of 5
What action should be implemented when preparing to measure the fundal height of a pregnant client?
Correct Answer: A
Rationale: Having the client empty her bladder before measuring the fundal height is essential to ensure an accurate measurement. A full bladder can impact the fundal height measurement by displacing the uterus and affecting the accuracy of the assessment.
Question 5 of 5
A client who delivered vaginally 2 days ago states that she wants to resume using her diaphragm for birth control. What information should you share with her?
Correct Answer: B
Rationale: The diaphragm should be refitted after childbirth to ensure proper fit and effectiveness, as changes in the body may affect its function.
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