HESI Patient Review Questions And Answers
Lily Larson is a 17-year-old primigravida who has come to the prenatal clinic where you work. She says
she is about seven months pregnant. This is her first visit for prenatal care. She has come to the clinic
because she knows "my baby is due soon."
Lily lives with her grandmother in a two-bedroom house near the clinic. She has no health insurance,
and her grandmother receives a small income from Social Security. - (ANSWER)Lily says she feels "Okay,
but tired." She had been attending the eleventh grade in high school until she dropped out three
months ago. She is currently working part-time in a drug store, but plans to go back to school after her
baby is born. Right now she is working to "save money for me and my baby."
You record initial data, and continue your assessment of Lily.
1. Lily mentions she is afraid about having "one of those exams." An appropriate way for you to proceed
would be to:
discuss with Lily the physical examinations that will be necessary
explain to Lily the importance of prenatal care
have Lily's pelvic exam done before continuing your assessment
talk to Lily about changes that occur in pregnancy - (ANSWER)Discuss with Lily the physical examinations
that will be necessary
You explain to Lily the need to ask her some questions and perform some physical assessments. You
spend some time describing the kinds of exams Lily will need to have, since the idea of these exams is
distressing to her. You answer Lily's questions simply and honestly. - (ANSWER)
2. You know that Lily is at risk for health problems associated with her pregnancy. Which of the
following contribute to Lily's risk? (Select all)
Lily's age of 17 years
Lily's low income level
The fact that Lily lives with a grandparent
,HESI Patient Review Questions And Answers
Lily's family history of hypertension
The fact that Lily has sought prenatal care late in her pregnancy - (ANSWER)Lily's age of 17 years
The immature skeletal and endocrine systems of adolescents increase the risk for complications such as
anemia and inappropriate weight gain during pregnancy. Also, Lily is at increased risk for gestational
hypertension (GH) and preeclampsia. Risk for GH is increased in women under 18 or over 35 years of
age. In addition, adolescents tend to be immature psychologically, having not established their
identities. This factor increases risk for abusive relationships and substance abuse.
Lily's low income level
Low-income women are more likely to be undernourished and seek prenatal care late in their
pregnancies. These factors increase risk for pregnancy-related complications.
Lily's family history of hypertension
Women with a family history of hypertension are more likely to develop gestational hypertension (GH)
during pregnancy.
The fact that Lily has sought prenatal care late in her pregnancy
Late prenatal care puts all women, especially adolescents, at risk for the development of complications
during pregnancy.
3. Adolescents frequently avoid seeking early prenatal care. Factors associated with this include the
adolescent's: (Select all)
inability to pay for medical care
lack of concern for the baby's health
denial of pregnancy
lack of trust in the healthcare system
peer pressure - (ANSWER)-Inability to pay for medical care
-Denial of pregnancy
-Lack of trust in the healthcare system
, HESI Patient Review Questions And Answers
Adolescents may also avoid prenatal care because they are afraid to tell their parents and/or partner
about the pregnancy. Still others may not even realize that they are pregnant.
4.
Lily's age and subsequent immature skeletal and endocrine systems increase her risk of pregnancy-
related complications. Because of her age, Lily is also more likely to:
have an inadequate diet
have a multiple pregnancy
develop placental abnormalities
develop gestational diabetes - (ANSWER)Have an inadequate diet
5. Because Lily has sought prenatal care so late, she is at risk for:
cephalopelvic disproportion (CPD)
preterm birth
nausea lasting throughout pregnancy
vulvar varicosities - (ANSWER)Preterm birth
6. Lily will need a lot of prenatal teaching, and you have already started thinking about this. Because Lily
is an adolescent, which of the following approaches may work best when teaching Lily about nutrition
and exercise in pregnancy?
Discuss with Lily the importance of considering the needs of her baby first when eating or planning
activity
Limit information about nutrition and exercise since Lily has so much to learn and it is late in her
pregnancy
Explain how healthy eating and exercise habits will help Lily look and feel better
Emphasize the fact that there may be complications if Lily has poor nutrition and exercise habits -
(ANSWER)Explain how healthy eating and exercise habits will help Lily look and feel better
Lily Larson is a 17-year-old primigravida who has come to the prenatal clinic where you work. She says
she is about seven months pregnant. This is her first visit for prenatal care. She has come to the clinic
because she knows "my baby is due soon."
Lily lives with her grandmother in a two-bedroom house near the clinic. She has no health insurance,
and her grandmother receives a small income from Social Security. - (ANSWER)Lily says she feels "Okay,
but tired." She had been attending the eleventh grade in high school until she dropped out three
months ago. She is currently working part-time in a drug store, but plans to go back to school after her
baby is born. Right now she is working to "save money for me and my baby."
You record initial data, and continue your assessment of Lily.
1. Lily mentions she is afraid about having "one of those exams." An appropriate way for you to proceed
would be to:
discuss with Lily the physical examinations that will be necessary
explain to Lily the importance of prenatal care
have Lily's pelvic exam done before continuing your assessment
talk to Lily about changes that occur in pregnancy - (ANSWER)Discuss with Lily the physical examinations
that will be necessary
You explain to Lily the need to ask her some questions and perform some physical assessments. You
spend some time describing the kinds of exams Lily will need to have, since the idea of these exams is
distressing to her. You answer Lily's questions simply and honestly. - (ANSWER)
2. You know that Lily is at risk for health problems associated with her pregnancy. Which of the
following contribute to Lily's risk? (Select all)
Lily's age of 17 years
Lily's low income level
The fact that Lily lives with a grandparent
,HESI Patient Review Questions And Answers
Lily's family history of hypertension
The fact that Lily has sought prenatal care late in her pregnancy - (ANSWER)Lily's age of 17 years
The immature skeletal and endocrine systems of adolescents increase the risk for complications such as
anemia and inappropriate weight gain during pregnancy. Also, Lily is at increased risk for gestational
hypertension (GH) and preeclampsia. Risk for GH is increased in women under 18 or over 35 years of
age. In addition, adolescents tend to be immature psychologically, having not established their
identities. This factor increases risk for abusive relationships and substance abuse.
Lily's low income level
Low-income women are more likely to be undernourished and seek prenatal care late in their
pregnancies. These factors increase risk for pregnancy-related complications.
Lily's family history of hypertension
Women with a family history of hypertension are more likely to develop gestational hypertension (GH)
during pregnancy.
The fact that Lily has sought prenatal care late in her pregnancy
Late prenatal care puts all women, especially adolescents, at risk for the development of complications
during pregnancy.
3. Adolescents frequently avoid seeking early prenatal care. Factors associated with this include the
adolescent's: (Select all)
inability to pay for medical care
lack of concern for the baby's health
denial of pregnancy
lack of trust in the healthcare system
peer pressure - (ANSWER)-Inability to pay for medical care
-Denial of pregnancy
-Lack of trust in the healthcare system
, HESI Patient Review Questions And Answers
Adolescents may also avoid prenatal care because they are afraid to tell their parents and/or partner
about the pregnancy. Still others may not even realize that they are pregnant.
4.
Lily's age and subsequent immature skeletal and endocrine systems increase her risk of pregnancy-
related complications. Because of her age, Lily is also more likely to:
have an inadequate diet
have a multiple pregnancy
develop placental abnormalities
develop gestational diabetes - (ANSWER)Have an inadequate diet
5. Because Lily has sought prenatal care so late, she is at risk for:
cephalopelvic disproportion (CPD)
preterm birth
nausea lasting throughout pregnancy
vulvar varicosities - (ANSWER)Preterm birth
6. Lily will need a lot of prenatal teaching, and you have already started thinking about this. Because Lily
is an adolescent, which of the following approaches may work best when teaching Lily about nutrition
and exercise in pregnancy?
Discuss with Lily the importance of considering the needs of her baby first when eating or planning
activity
Limit information about nutrition and exercise since Lily has so much to learn and it is late in her
pregnancy
Explain how healthy eating and exercise habits will help Lily look and feel better
Emphasize the fact that there may be complications if Lily has poor nutrition and exercise habits -
(ANSWER)Explain how healthy eating and exercise habits will help Lily look and feel better
