HESI RN
Maternity HESI 2023 Quizlet
1. Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client?
- A. The client's readiness to learn.
- B. The client's educational background.
- C. The order in which the information is presented.
- D. The extent to which the pregnancy was planned.
Correct answer: A
Rationale: The client's readiness to learn is the most critical factor influencing successful teaching of the gravid client. When a client is receptive and motivated to learn, they are more likely to engage with the information provided, leading to better understanding and retention.
2. During a routine first-trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?
- A. Recommend explaining the normal physiological changes during pregnancy.
- B. Notify the healthcare provider of the complaint.
- C. Inform her that this is a normal physiological change.
- D. Prepare to provide education on vaginal health.
Correct answer: C
Rationale: The increased vaginal discharge described by the pregnant client, which is white, thin, and watery, is a common physiological change during pregnancy. It is typically normal and attributed to hormonal fluctuations. The nurse should reassure the client that this type of discharge is expected during pregnancy and does not typically indicate an issue requiring medical intervention or treatment.
3. A 6-month-old child who had a cleft-lip repair has elbow restraints in place. What nursing intervention should the nurse plan to implement?
- A. Obtain the healthcare provider’s advice as to when the restraints should be removed.
- B. Remove restraints one at a time to provide range of motion exercises.
- C. Record observation of the restraints q2h and ensure that they are in place at all times.
- D. Remove restraints q4h for 30 minutes and place gloves on the child’s hands.
Correct answer: B
Rationale: Removing restraints one at a time for range of motion exercises prevents muscle stiffness and allows assessment of the skin.
4. A client who is receiving oxytocin to augment early labor begins to experience tachysystolic tetanic contractions with variable fetal heart decelerations. Which action should the nurse implement?
- A. Turn off the oxytocin infusion.
- B. Reposition the fetal monitor transducers.
- C. Decrease the rate of the oxytocin infusion.
- D. Alert the charge nurse about the patient's condition.
Correct answer: A
Rationale: When a client experiences tachysystolic tetanic contractions with variable fetal heart decelerations, indicating uterine hyperstimulation, the priority action is to turn off the oxytocin infusion. This step aims to reduce uterine activity, which can compromise fetal oxygenation and lead to adverse outcomes.
5. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?
- A. Weight gain.
- B. Reduction of fever.
- C. Improved caloric intake.
- D. Reduction of edema.
Correct answer: D
Rationale: The correct answer is D: Reduction of edema. Albumin helps reduce edema by increasing oncotic pressure, drawing fluid back into the blood vessels. In nephrotic syndrome, there is an abnormal loss of protein in the urine, leading to decreased oncotic pressure and fluid shifting into the interstitial spaces, causing edema. Administering albumin helps restore the oncotic pressure, reducing edema, which is a desirable effect of the medication.
Similar Questions
Access More Features
HESI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $69.99
HESI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access @ $149.99