Hesi RN Maternal Newborn

Hesi RN Maternal Newborn Related

Review Hesi RN Maternal Newborn related questions and content

History and Physical:
Nurses' Notes:
Vital Signs:
Laboratory Results:

The client is a 28-year-old primiparous female who was induced at 41 weeks gestation with misoprostol and oxytocin. She gave birth vaginally 4 days ago, and her prenatal course and delivery were uncomplicated. She was discharged home on day two with her newborn and has been breastfeeding around the clock.
A nurse is caring for a primiparous client in the postpartum unit. The client was induced at 41 weeks gestation with misoprostol and oxytocin and gave birth vaginally 4 days ago. She was discharged home on day two with her newborn and has been breastfeeding around the clock. She called her healthcare provider this morning with fatigue, new-onset headache, nausea, dizziness, weakness, and seeing "flashing lights."

The nurse reviews the client's history, physical, and flow sheet to determine the cause of the client's symptoms. Highlight the information from the history, physical, and flow sheet that require further evaluation. Select all that apply.

  • A. Hemoglobin 10.4 g/dL (6.45 mmol/L)
  • B. Platelets 150,000/mm³ (150 x 10⁹/L)
  • C. New-onset headache
  • D. Vomiting small amount of yellow fluid
  • E. Right upper quadrant pain
  • F. Seeing flashing lights
  • G. Elevated blood pressure
Correct Answer: C,D,E,F,G

Rationale: Headache, vomiting, right upper quadrant pain, flashing lights, and elevated blood pressure suggest postpartum preeclampsia or HELLP syndrome, requiring urgent evaluation.

You may also like to solve these questions

A primiparous client was induced at 41-weeks gestation with misoprostol and oxytocin. She gave birth vaginally 4 days ago, and her prenatal course and delivery were uncomplicated. She was discharged home on day two with her newborn and has been breastfeeding around the clock. Discharge prescription included ferrous sulfate 325 mg PO twice daily. Client called her healthcare provider (HCP) this morning with fatigue, new onset of headache that was not relieved with ibuprofen, nausea, dizziness, weakness, and seeing “flashing lights.”. Client was instructed to come to the hospital for evaluation.

  • A. She may be experiencing postpartum preeclampsia.
  • B. She may have an infection that needs further evaluation.
  • C. Her symptoms could indicate anemia due to blood loss.
  • D. She may be experiencing normal postpartum fatigue.
Correct Answer: A

Rationale: Symptoms like headache, visual disturbances, and nausea suggest postpartum preeclampsia, unlike infection, anemia, or normal fatigue, which don't typically include these signs.

A nurse is conducting a preconception class for a group of parents who are anticipating having children. Which client(s) should the nurse refer for genetic counseling? (Select all that apply)

  • A. A couple who express concern about birth defects after using an internet DNA testing site.
  • B. A woman and her significant other who are excited about the prospect of having children.
  • C. A woman planning to start a second family after the loss of an embryo following an in-vitro fertilization procedure.
  • D. A man who states that his father was recently diagnosed with Huntington's disease.
  • E. A couple who plan to use in-vitro fertilization with donated sperm.
Correct Answer: A,C,D,E

Rationale: Concerns about birth defects, embryo loss, Huntington's disease, and donor sperm use indicate potential genetic risks requiring counseling, unlike general excitement about having children.

Which action should the nurse take?

  • A. Document the normal finding.
  • B. Notify the healthcare provider.
  • C. Schedule an ultrasound.
  • D. Obtain hematocrit level.
Correct Answer: B

Rationale: Notifying the healthcare provider about abnormal FHR patterns ensures timely intervention to address potential fetal distress.

A diabetic client delivers a full-term large-for-gestational-age (LGA) infant who is jittery. Which action should the nurse take first?

  • A. Obtain a blood glucose level.
  • B. Feed the infant glucose water (10%).
  • C. Administer oxygen.
  • D. Decrease environmental stimuli.
Correct Answer: A

Rationale: Obtaining a blood glucose level confirms hypoglycemia as the cause of jitteriness, common in LGA infants of diabetic mothers, guiding treatment.

During the admission of a newborn, the nurse identifies a localized swelling that does not cross the suture line on the posterior area of the parietal bone. Which action should the nurse implement?

  • A. Apply direct pressure to the caput succedaneum.
  • B. Submit a request for a STAT Computerized Tomography (CT) scan of the head.
  • C. Notify the pediatrician of the cephalhematoma.
  • D. Assess neurological vital signs every 4 hours.
Correct Answer: C

Rationale: A cephalhematoma, not crossing suture lines, requires pediatrician notification to monitor for complications like jaundice, unlike caput succedaneum or unnecessary CT scans.

Copyright © 2025 Nokea. All rights reserved.