HESI RN
Maternity HESI 2023 Quizlet
1. A pregnant client receives Rho(D) immune globulin after an amniocentesis. The day following, she reports a temperature of 99.8°F (37.67°C). Which action should the nurse implement?
- A. Schedule a visit with the healthcare provider today.
- B. Verify the compatibility of the administered Rho(D) immune globulin.
- C. Encourage the client to increase her intake of oral fluids.
- D. Instruct the client to maintain bedrest for 24 hours.
Correct answer: C
Rationale: A mild increase in temperature post-amniocentesis is common, and encouraging the client to increase oral fluid intake is the appropriate action. Increasing fluid intake can help reduce mild fever, promote recovery, and prevent dehydration. It is important for the nurse to educate the client on the importance of staying hydrated to support her overall well-being during this time.
2. The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide?
- A. I will ask the HCP for a psychiatric consult for your child'
- B. This type of acting out behavior is normal for adolescents'
- C. It is important to focus on your child’s needs at this difficult time'
- D. A reaction of anger is your child’s attempt to cope with this loss'
Correct answer: D
Rationale: Acknowledging the child's anger as part of the coping process helps the mother understand her child's emotional response.
3. In a patient with chronic kidney disease, which of the following lab values would be expected?
- A. Elevated creatinine levels.
- B. Low hemoglobin levels.
- C. Elevated potassium levels.
- D. Low sodium levels.
Correct answer: A
Rationale: In chronic kidney disease, elevated creatinine levels are expected due to impaired kidney function. Creatinine is a waste product that is typically filtered out by the kidneys. With kidney disease, the clearance of creatinine is reduced, leading to its accumulation in the blood. Low hemoglobin levels (choice B) may be seen in chronic kidney disease due to decreased production of erythropoietin. However, elevated potassium levels (choice C) and low sodium levels (choice D) are more commonly associated with kidney dysfunction but are not as specific indicators of chronic kidney disease as elevated creatinine levels.
4. What function does cholesterol, a phospholipid, serve within the cell membrane?
- A. It builds up fats to make the structure more flexible
- B. It allows protein channels to form
- C. It makes the structure very rigid and impermeable
- D. It stabilizes the membrane structure
Correct answer: D
Rationale: Cholesterol helps to maintain the fluidity and stability of the cell membrane by fitting between the phospholipid molecules. Choice A is incorrect because cholesterol does not build up fats in the cell membrane. Choice B is incorrect as protein channels are formed by proteins, not cholesterol. Choice C is incorrect as cholesterol actually helps regulate the fluidity of the membrane, making it less rigid and more permeable.
5. Which of the following serves as the information processing and administrative center of the cell?
- A. Golgi apparatus
- B. Cytoplasm
- C. Nucleus
- D. Lysosomes
Correct answer: C
Rationale: The correct answer is C, the nucleus. The nucleus is indeed the information processing and administrative center of the cell as it contains the genetic material (DNA) and is responsible for controlling cellular activities. The Golgi apparatus (Choice A) is involved in processing and packaging proteins, the cytoplasm (Choice B) is the fluid that fills the cell and provides a medium for organelles to be suspended, and lysosomes (Choice D) are responsible for digesting waste materials and foreign invaders. Therefore, the nucleus is the most appropriate choice for the given function.