HESI Maternity Test Bank

Questions 44

HESI RN

HESI RN Test Bank

HESI Maternity Test Bank Questions

Question 1 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 2 of 5

What maternal behavior is typically observed when a new mother first receives her infant?

Correct Answer: B

Rationale: When a new mother first receives her infant, a common behavior is to use her arms and hands to receive the infant and then trace the infant's profile with her fingertips. This behavior helps facilitate bonding and aids in the recognition of the newborn.

Question 3 of 5

The healthcare provider is assessing a 2-hour-old infant born by cesarean delivery at 39-weeks gestation. Which assessment finding should receive the highest priority when planning the infant's care?

Correct Answer: C

Rationale: A high respiratory rate in a newborn is concerning as it may indicate respiratory distress, which requires immediate attention to ensure adequate oxygenation. Monitoring and addressing respiratory issues take precedence over other parameters in the initial assessment of a newborn.

Question 4 of 5

The nurse is caring for a one-year-old child following surgical correction of hypospadias. Which nursing action has the highest priority?

Correct Answer: A

Rationale: In caring for a one-year-old child post hypospadias surgery, the highest priority action is to monitor urinary output. This is crucial to assess kidney function and ensure there are no complications following the surgical procedure.

Question 5 of 5

A mother calls the school nurse to report that her preschool-aged child was bitten by a tick during a school outing last week. The mother removed the tick and flushed it down the toilet. What action should the school nurse take?

Correct Answer: D

Rationale: Scheduling a test for Lyme disease if a rash appears is the correct action to take in this situation. Lyme disease can be transmitted through tick bites, and a rash is a common early symptom. Testing for Lyme disease is essential for timely diagnosis and treatment to prevent complications.

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