HESI RN Mental Health Nursing Study Guide 2018 (V1–V3) –
Comprehensive Psychiatric Practice Questions & Revision
Notes
Women & Newborn Health
Type A
A client and her partner ask the nurse for information about permanent
contraception. Which of the following statements should the nurse include
in the counseling?
a. Most sterilization procedures are considered irreversible
b. A woman should use contraception for 1-2 months after a tubal ligation
c. A man is usually sterile immediately after a vasectomy
d. The menstrual cycle is shorter after a tubal ligation
• A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which of the following interventions should the nurse include in
the plan of care?
a. Swaddle the newborn in a flexed position
b. Weigh the newborn every other day
c. Increase the newborn’s visual stimulation
d. Discourage parental interaction until after a social service evaluation
• A nurse is providing teaching about increasing dietary fiber to an
antepartum client who reports constipation. Which of the following food
selections has the highest fiber content per cup?
a. Lentils
b. Oatmeal
pg. 1
, c. Cabbage
d. Asparagus
• A nurse is teaching a client who is pregnant about a new prescription for iron
supplements. Which of the following instructions should the nurse include in
the teaching?
a. Increase intake of foods rich in vitamin C
b. Take an extra pill if you miss a dose
c. Report black stools to the provider
d. Drink 8 ox of milk with each pill
• A nurse is caring for a preterm newborn immediately after delivery. Which of
the following actions should the nurse take first?
a. Dry the infant under the radiant warmer
b. Take the infant’s temperature
c. Weigh the infant
d. Obtain the infant’s blood glucose
• A nurse is discussing family planning with a client who has a history of DVT.
The nurse should inform the client that this condition is a contraindication
for which of the following birth control methods?
a. Oral contraceptive
b. Cervical cap
c. Diaphragm
d. Intrauterine device
• A nurse is teaching a client who is postpartum about car seat safety. Which of
the following
pg. 2
, statements indicates and understanding of the instructions?
a. I will make sure the retainer clip is at the level of my baby’s abdomen
b. I will position the car seat in the front passenger seat facing the font of
the car
c. I will adjust the angle of the car seat so that my baby sits at a 90-degre
angle
d. I will place the shoulder harness slightly below my baby’s shoulders
• A nurse is teaching a prenatal client about listeriosis and dietary
modifications during pregnancy. Which of the following statements by the
client indicates an understanding of the teaching?
a. I can have a mid-day snack with soft cheese
b. I can purchase a seafood salad from the grocery store
c. I can still have a hot dog at the ballpark
d. I can eat grilled chicken on a bun at lunch time
•A nurse is preparing to administer methylergonovine 0.2 mg orally to a
client who is 2 hours postpartum and has a boggy uterus. For which of
the following assessment findings should the nurse withhold the
medication?
a. Blood pressure 142/92 mm Hg
b. Urine output 100 mL in 3 hours
c. Respiratory rate 14/min
d. Pulse rate 58/min
pg. 3
, •A nurse is caring for four newborns. Which of the following findings
should the nurse report to the provider?
a. A newborn who has a high-pitched cry with exaggerated Moro reflex
b. A female newborn who has blood-tinged vaginal discharge
c. A male newborn who has scrotal edema
d. A newborn who has molding with overlapping suture lines
•A nurse in a provider’s office is caring for a 20-year-old client who is at 12
weeks of gestation and requests an amniocentesis to determine the gender
of the fetus. Which of the following responses should the nurse make?
a. We can schedule the procedure for later today if you’d like
b. This procedure determines if your baby has genetic or congenital
disorders
c. You cannot have an amniocentesis until you are at least 35 years of age
d. Your provider will schedule a chorionic villus sampling to determine the
sex of your baby
•A nurse is caring for a client who is postpartum. The client reports no
relief in perineal pain following the administration of
oxycodone/acetaminophen. Which of the following actions should the nurse
take first?
a. Reposition the client
b. Assess the client’s perineal area for swelling
c. Administer ibuprofen to the client
pg. 4
Comprehensive Psychiatric Practice Questions & Revision
Notes
Women & Newborn Health
Type A
A client and her partner ask the nurse for information about permanent
contraception. Which of the following statements should the nurse include
in the counseling?
a. Most sterilization procedures are considered irreversible
b. A woman should use contraception for 1-2 months after a tubal ligation
c. A man is usually sterile immediately after a vasectomy
d. The menstrual cycle is shorter after a tubal ligation
• A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which of the following interventions should the nurse include in
the plan of care?
a. Swaddle the newborn in a flexed position
b. Weigh the newborn every other day
c. Increase the newborn’s visual stimulation
d. Discourage parental interaction until after a social service evaluation
• A nurse is providing teaching about increasing dietary fiber to an
antepartum client who reports constipation. Which of the following food
selections has the highest fiber content per cup?
a. Lentils
b. Oatmeal
pg. 1
, c. Cabbage
d. Asparagus
• A nurse is teaching a client who is pregnant about a new prescription for iron
supplements. Which of the following instructions should the nurse include in
the teaching?
a. Increase intake of foods rich in vitamin C
b. Take an extra pill if you miss a dose
c. Report black stools to the provider
d. Drink 8 ox of milk with each pill
• A nurse is caring for a preterm newborn immediately after delivery. Which of
the following actions should the nurse take first?
a. Dry the infant under the radiant warmer
b. Take the infant’s temperature
c. Weigh the infant
d. Obtain the infant’s blood glucose
• A nurse is discussing family planning with a client who has a history of DVT.
The nurse should inform the client that this condition is a contraindication
for which of the following birth control methods?
a. Oral contraceptive
b. Cervical cap
c. Diaphragm
d. Intrauterine device
• A nurse is teaching a client who is postpartum about car seat safety. Which of
the following
pg. 2
, statements indicates and understanding of the instructions?
a. I will make sure the retainer clip is at the level of my baby’s abdomen
b. I will position the car seat in the front passenger seat facing the font of
the car
c. I will adjust the angle of the car seat so that my baby sits at a 90-degre
angle
d. I will place the shoulder harness slightly below my baby’s shoulders
• A nurse is teaching a prenatal client about listeriosis and dietary
modifications during pregnancy. Which of the following statements by the
client indicates an understanding of the teaching?
a. I can have a mid-day snack with soft cheese
b. I can purchase a seafood salad from the grocery store
c. I can still have a hot dog at the ballpark
d. I can eat grilled chicken on a bun at lunch time
•A nurse is preparing to administer methylergonovine 0.2 mg orally to a
client who is 2 hours postpartum and has a boggy uterus. For which of
the following assessment findings should the nurse withhold the
medication?
a. Blood pressure 142/92 mm Hg
b. Urine output 100 mL in 3 hours
c. Respiratory rate 14/min
d. Pulse rate 58/min
pg. 3
, •A nurse is caring for four newborns. Which of the following findings
should the nurse report to the provider?
a. A newborn who has a high-pitched cry with exaggerated Moro reflex
b. A female newborn who has blood-tinged vaginal discharge
c. A male newborn who has scrotal edema
d. A newborn who has molding with overlapping suture lines
•A nurse in a provider’s office is caring for a 20-year-old client who is at 12
weeks of gestation and requests an amniocentesis to determine the gender
of the fetus. Which of the following responses should the nurse make?
a. We can schedule the procedure for later today if you’d like
b. This procedure determines if your baby has genetic or congenital
disorders
c. You cannot have an amniocentesis until you are at least 35 years of age
d. Your provider will schedule a chorionic villus sampling to determine the
sex of your baby
•A nurse is caring for a client who is postpartum. The client reports no
relief in perineal pain following the administration of
oxycodone/acetaminophen. Which of the following actions should the nurse
take first?
a. Reposition the client
b. Assess the client’s perineal area for swelling
c. Administer ibuprofen to the client
pg. 4
