HESI RN Maternity | Questions and Verified Answers (2023/2024 Update)

HESI RN Maternity | Questions and Verified Answers (2023/2024 Update) Q: Which action should the nurse implement caring for a newborn immediately after birth? -keep newborn airway clear -foster parent-newborn attachment -administer eye prophylaxis and vitamin k -dry the newborn and wrapping in blanket Answer: A. Keep the newborn's airway clear Q: During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4 hours ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes. What action should the nurse implement next? -perform fundal massage -assess bp -notify the HCP -encourage the client to void Answer: A. Perform fundal massage Q: The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? (Select all that apply) Answer: B. Chest breathing with nasal flaring C. Diaphragmatic with chest retraction F. Grunting heard with a stethoscope Q: What action should the nurse implement when caring for a newborn receiving phototherapy? -reposition every 6 hr -place eye shield over eyes -limit intake of formula -apply oil based lotion to skin Answer: B. Place an eyeshield over the eyes Q: Which finding indicates to the nurse that a 4 day old infant is receiving adequate breast milk? -gain 1-2 oz per week -saturates 6-8 diapers per day -rests for 6 hours b/w feedings -defecates at least once per 24 hours Answer: B. Saturates 6 to 8 diapers per day Q: The nurse is providing discharge teaching for a gravid client who is being released from the hospital after placement of cerclage. Which instruction is the most important for the client to understand? -plan for a possible cesarean birth -arrange for home uterine monitoring -make arrangements for care at home -report uterine cramping or low backache Answer: D. Report uterine cramping or low backache Q: A client at 28 weeks gestation arrives at the labor and delivery unit with a complaint of bright red, painless vaginal bleeding. For which diagnostic procedure should the nurse prepare the client? -contraction stress test -internal fetal monitoring -abdominal ultrasound -lecithin-sphingmyelin ratio Answer: C. Abdominal ultrasound Q: The nurse is planning for the care of a 30 year old primigravida with pre-gestational diabetes. What is the most important factor affecting this client's pregnancy outcome? -mothers age -amount of insulin required prenatally -degree of glycemic control during pregnancy -number of years since diabetes was diagnosed Answer: C. Degree of glycemic control during pregnancy Q: A client with asthma who is 8 hours post delivery is experiencing postpartum hemorrhage. Which prescription should the nurse administer? -oxytocin -ibuprofen -fentanyl -hemabate