HESI RN
Maternity HESI 2023 Quizlet
1. A client at 28 weeks gestation calls the antepartum clinic and reports experiencing a small amount of bright red vaginal bleeding without uterine contractions or abdominal pain. What instruction should the LPN/LVN provide?
- A. Come to the clinic today for an ultrasound.
- B. Go immediately to the emergency room.
- C. Lie on your left side for about one hour and see if the bleeding stops.
- D. Bring a urine specimen to the lab tomorrow to determine if you have a urinary tract infection.
Correct answer: A
Rationale: Bright red vaginal bleeding without pain could indicate placental issues such as previa. An ultrasound is necessary to evaluate the cause. It is important to rule out potential serious conditions like placental previa, which can lead to further complications for both the mother and the fetus. Therefore, prompt evaluation through an ultrasound at the clinic is essential for appropriate management and ensuring the well-being of the client and her baby.
2. During cellular respiration, glycolysis takes place in the cytosol and produces how many molecules of ATP, pyruvate, and NADH?
- A. two, two, two
- B. two, four, two
- C. two, four, four
- D. four, four, four
Correct answer: A
Rationale: Glycolysis, the first step of cellular respiration, takes place in the cytosol and produces two molecules each of ATP, pyruvate, and NADH. Therefore, the correct answer is A. Choice B is incorrect as glycolysis produces two ATP molecules, not four. Choice C is incorrect as it incorrectly states that glycolysis produces four molecules of pyruvate and NADH. Choice D is incorrect because glycolysis produces two molecules of ATP, not four.
3. What is the most important factor in ensuring accessibility in reproductive health services?
- A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
- B. Requiring patients to access multiple services to get the care they need.
- C. Providing reproductive health services only to those who can afford it.
- D. Providing health services only in urban areas.
Correct answer: A
Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.
4. When observing a distraught mother scolding her 3-year-old son for wetting his pants in the hallway of a pediatric unit, what initial action should the nurse take?
- A. Suggest that the mother consult a pediatric nephrologist.
- B. Provide disposable training pants while calming the mother.
- C. Refer the mother to a community parent education program.
- D. Inform the mother that toilet training is slower for boys.
Correct answer: B
Rationale: In this situation, the nurse's initial action should be to provide disposable training pants to manage the immediate issue of wetting while also calming the mother. This approach addresses the current distressing situation and offers a practical solution to alleviate the mother's concerns.
5. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During the nurse's initial evening rounds, the nurse notices a foul smell in the room. The client makes all of these statements during their conversation. Which statement would alert the nurse to a complication?
- A. I have a sharp pain in my chest when I take a breath.
- B. I have been coughing up foul-tasting, brown, thick sputum.
- C. I have been sweating all day.
- D. I feel hot off and on.
Correct answer: B
Rationale: Coughing up foul-tasting, brown, thick sputum suggests a possible abscess or secondary infection, requiring attention. Choice A may indicate pleurisy, but the focus should be on the sputum. Choice C may be non-specific and could be related to the infection or fever. Choice D is non-specific and may be expected during an infection.